Radiological management of patients with urinary obstruction following urinary diversion procedures: technical factors, complications, long-term management and outcome. Experience with 378 procedures.

Hdl Handle:
http://hdl.handle.net/10147/209029
Title:
Radiological management of patients with urinary obstruction following urinary diversion procedures: technical factors, complications, long-term management and outcome. Experience with 378 procedures.
Authors:
Maher, M M; Rizzo, S; Kalra, M; Mc Sweeney, S E; Arellano, R; Hahn, P; Gervais, D; Mueller, P
Affiliation:
Department of Radiology, University College Cork, Cork University Hospital, Cork,, Ireland. m.maher@ucc.ie
Citation:
J Med Imaging Radiat Oncol. 2008 Jun;52(3):237-43.
Journal:
Journal of medical imaging and radiation oncology
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209029
DOI:
10.1111/j.1440-1673.2008.01953.x
PubMed ID:
18477118
Abstract:
We aimed to assess management by interventional radiology techniques of patients with urinary diversion procedures (UD) complicated by urinary obstruction (UO). A 12-year electronic database of interventional cases was searched for urinary access in patients with UD. Patients' records were assessed for aetiology of obstruction, indication for procedure, types of interventional radiology, complications and outcome. Management issues included frequency of visits for catheter care, type of catheter placement and technical problems associated with catheter maintenance. Three hundred and seventy eight procedures were carried out in 25 patients (mean age 70 years; Male : Female ratio 13:12). Indications for UD were malignancy (n = 22) and neuropathic bladder (n = 3). UD included ileal conduits (n = 17), cutaneous ureterostomy (n = 3 (2 patients)) and sigmoid colon urinary conduit (n = 6). In most patients, catheters were placed antegradely through nephrostomy tract, but subsequent access was through the UD. Twenty of 25 patients had unilateral stents where as 5 had bilateral stents (8-10- Fr pigtail catheters (20-45 cm in length)). The mean number of procedures including catheter changes was 15 +/- 4 per patient and 331 of 378 procedures (87 %) were carried out as outpatients. Since catheter placement, 11 patients required hospital admission on 22 occasions for catheter-related complications. Ureteric strictures in patients with UD can be successfully managed by interventional radiology.
Language:
eng
MeSH:
Aged; Female; Humans; Longitudinal Studies; Male; Radiology, Interventional/*methods; Retrospective Studies; Treatment Outcome; Ureteral Obstruction/etiology/*prevention & control/*radiography; Urinary Catheterization/*methods; Urinary Diversion/*adverse effects
ISSN:
1754-9485 (Electronic); 1754-9477 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMaher, M Men_GB
dc.contributor.authorRizzo, Sen_GB
dc.contributor.authorKalra, Men_GB
dc.contributor.authorMc Sweeney, S Een_GB
dc.contributor.authorArellano, Ren_GB
dc.contributor.authorHahn, Pen_GB
dc.contributor.authorGervais, Den_GB
dc.contributor.authorMueller, Pen_GB
dc.date.accessioned2012-02-03T15:10:20Z-
dc.date.available2012-02-03T15:10:20Z-
dc.date.issued2012-02-03T15:10:20Z-
dc.identifier.citationJ Med Imaging Radiat Oncol. 2008 Jun;52(3):237-43.en_GB
dc.identifier.issn1754-9485 (Electronic)en_GB
dc.identifier.issn1754-9477 (Linking)en_GB
dc.identifier.pmid18477118en_GB
dc.identifier.doi10.1111/j.1440-1673.2008.01953.xen_GB
dc.identifier.urihttp://hdl.handle.net/10147/209029-
dc.description.abstractWe aimed to assess management by interventional radiology techniques of patients with urinary diversion procedures (UD) complicated by urinary obstruction (UO). A 12-year electronic database of interventional cases was searched for urinary access in patients with UD. Patients' records were assessed for aetiology of obstruction, indication for procedure, types of interventional radiology, complications and outcome. Management issues included frequency of visits for catheter care, type of catheter placement and technical problems associated with catheter maintenance. Three hundred and seventy eight procedures were carried out in 25 patients (mean age 70 years; Male : Female ratio 13:12). Indications for UD were malignancy (n = 22) and neuropathic bladder (n = 3). UD included ileal conduits (n = 17), cutaneous ureterostomy (n = 3 (2 patients)) and sigmoid colon urinary conduit (n = 6). In most patients, catheters were placed antegradely through nephrostomy tract, but subsequent access was through the UD. Twenty of 25 patients had unilateral stents where as 5 had bilateral stents (8-10- Fr pigtail catheters (20-45 cm in length)). The mean number of procedures including catheter changes was 15 +/- 4 per patient and 331 of 378 procedures (87 %) were carried out as outpatients. Since catheter placement, 11 patients required hospital admission on 22 occasions for catheter-related complications. Ureteric strictures in patients with UD can be successfully managed by interventional radiology.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLongitudinal Studiesen_GB
dc.subject.meshMaleen_GB
dc.subject.meshRadiology, Interventional/*methodsen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.subject.meshUreteral Obstruction/etiology/*prevention & control/*radiographyen_GB
dc.subject.meshUrinary Catheterization/*methodsen_GB
dc.subject.meshUrinary Diversion/*adverse effectsen_GB
dc.titleRadiological management of patients with urinary obstruction following urinary diversion procedures: technical factors, complications, long-term management and outcome. Experience with 378 procedures.en_GB
dc.contributor.departmentDepartment of Radiology, University College Cork, Cork University Hospital, Cork,, Ireland. m.maher@ucc.ieen_GB
dc.identifier.journalJournal of medical imaging and radiation oncologyen_GB
dc.description.provinceMunster-

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