6533b836fe1ef96bd12a0a66

RESEARCH PRODUCT

Transrenal ureteral occlusion using a detachable balloon

Klose KjPeter AlkenJ. BohlRolf W. Günther

subject

Adultmedicine.medical_specialtyPercutaneousUrinary FistulaUrologymedicine.medical_treatmentUrinary Diversionurologic and male genital diseasesUreterUreteral occlusionUrinary FistulamedicineHumansUreteral DiseasesDysuriaRadiology Nuclear Medicine and imagingIn patientAgedPelvic NeoplasmsVesicovaginal Fistulabusiness.industryPalliative CareDetachable balloonMiddle AgedEmbolization TherapeuticSurgerymedicine.anatomical_structureNephrostomyFemaleUretermedicine.symptombusiness

description

Percutaneous transrenal ureteral occlusion using a detachable balloon filled with silicone was performed in 20 patients. The main indications were palliation of large urinary fistulas and as a treatment of last resort for severe dysuria in patients with advanced pelvic malignancies. In 6 patients the contralateral kidney was rendered nonfunctional to obviate the need for bilateral nephrostomy. Due to frequent obstruction of the tube, ureteral blockage in 3 became insufficient. Two dislocated balloons were extracted percutaneously and replaced. In order to achieve effective interruption of urinary flow down the ureter, well-functioning external nephrostomy drainage is necessary.

yearjournalcountryeditionlanguage
1984-12-01Urologic Radiology
https://doi.org/10.1007/bf02923727