Hydronephrosis surgery: Difference between revisions

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==Overview==
==Overview==
 
[[Surgery]] is the mainstay of [[treatment]] for [[Hydronephrosis]]. The type of [[surgery]] depends on the underlying cause and also depending on whether the obstruction is acute or chronic.
*[[Surgery]] is the mainstay of [[treatment]] for [[Hydronephrosis]]. The type of [[surgery]] depends on the underlying cause and also depending on whether the obstruction is acute or chronic.


==Surgery==
==Surgery==


[[Treatment-resistant depression|Treatment]] of [[hydronephrosis]] focuses upon the removal of the [[obstruction]] and drainage of the urine that has accumulated behind the [[obstruction]]. Therefore, the specific [[Treatment-resistant depression|treatment]] depends upon where the obstruction lies, and whether it is acute or [[chronic (medicine)|chronic]].
[[Surgery]] is the mainstay of treatment for [[hydronephrosis]]. The type of [[surgery]] depends on the underlying cause and also depending on whether the obstruction is acute or chronic. Surgical options include:<ref name="pmid29974220">{{cite journal |vauthors=Liu KL, Lee BC, Ye JD, Chang YH, Chang CC, Huang KH, Lee YJ, Chang YC |title=Comparison of single and tandem ureteral stenting for malignant ureteral obstruction: a prospective study of 104 patients |journal=Eur Radiol |volume= |issue= |pages= |date=July 2018 |pmid=29974220 |doi=10.1007/s00330-018-5560-6 |url=}}</ref><ref name="pmid29714462">{{cite journal |vauthors=Şimşir A, Kızılay F, Semerci B |title=Comparison of percutaneous nephrostomy and double J stent in
 
symptomatic pregnancy hydronephrosis treatment |journal=Turk J Med Sci |volume=48 |issue=2 |pages=405–411 |date=April 2018 |pmid=29714462 |doi=10.3906/sag-1711-5 |url=}}</ref><ref name="pmid30017605">{{cite journal |vauthors=Li B, Liu DB, Gong EM |title=Robot-assisted laparoscopic transplant-to-native ureteroureterostomy of an intraperitoneal renal allograft |journal=J Pediatr Urol |volume= |issue= |pages= |date=June 2018 |pmid=30017605 |doi=10.1016/j.jpurol.2018.06.008 |url=}}</ref><ref name="pmid29937413">{{cite journal |vauthors=Shrestha AL, Bal HS, Kisku SMC, Sen S |title=Outcome of end cutaneous ureterostomy (ECU) as a non conservative option in the management of primary obstructive megaureters (POM) |journal=J Pediatr Urol |volume= |issue= |pages= |date=June 2018 |pmid=29937413 |doi=10.1016/j.jpurol.2018.05.004 |url=}}</ref><ref name="pmid30007500">{{cite journal |vauthors=Baek M, Silay MS, Au JK, Huang GO, Elizondo RA, Puttmann KT, Janzen NK, Seth A, Roth DR, Koh CJ |title=Does the use of 5 mm instruments affect the outcomes of robot-assisted laparoscopic pyeloplasty in smaller working spaces? A comparative analysis of infants and older children |journal=J Pediatr Urol |volume= |issue= |pages= |date=July 2018 |pmid=30007500 |doi=10.1016/j.jpurol.2018.06.010 |url=}}</ref><ref name="pmid29630257">{{cite journal |vauthors=Young M, Stavas J |title= |journal= |volume= |issue= |pages= |date= |pmid=29630257 |doi= |url=}}</ref><ref name="pmid18947797">{{cite journal |author=Onen A |title=Treatment and outcome of prenatally detected newborn hydronephrosis |journal=J Pediatr Urol |volume=3 |issue=6 |pages=469–76 |year=2007 |month=December |pmid=18947797 |doi=10.1016/j.jpurol.2007.05.002 |url=}}</ref>
Acute [[obstruction]] of the upper urinary tract is usually treated by the insertion of a [[nephrostomy]] tube. Chronic upper [[urinary tract]] obstruction is treated by the insertion of a [[ureteric stent]] or a [[pyeloplasty]].<ref name="pmid29974220">{{cite journal |vauthors=Liu KL, Lee BC, Ye JD, Chang YH, Chang CC, Huang KH, Lee YJ, Chang YC |title=Comparison of single and tandem ureteral stenting for malignant ureteral obstruction: a prospective study of 104 patients |journal=Eur Radiol |volume= |issue= |pages= |date=July 2018 |pmid=29974220 |doi=10.1007/s00330-018-5560-6 |url=}}</ref><ref name="pmid29714462">{{cite journal |vauthors=Şimşir A, Kızılay F, Semerci B |title=Comparison of percutaneous nephrostomy and double J stent in
* Urethral stenting
symptomatic pregnancy hydronephrosis treatment |journal=Turk J Med Sci |volume=48 |issue=2 |pages=405–411 |date=April 2018 |pmid=29714462 |doi=10.3906/sag-1711-5 |url=}}</ref><ref name="pmid30017605">{{cite journal |vauthors=Li B, Liu DB, Gong EM |title=Robot-assisted laparoscopic transplant-to-native ureteroureterostomy of an intraperitoneal renal allograft |journal=J Pediatr Urol |volume= |issue= |pages= |date=June 2018 |pmid=30017605 |doi=10.1016/j.jpurol.2018.06.008 |url=}}</ref><ref name="pmid29937413">{{cite journal |vauthors=Shrestha AL, Bal HS, Kisku SMC, Sen S |title=Outcome of end cutaneous ureterostomy (ECU) as a non conservative option in the management of primary obstructive megaureters (POM) |journal=J Pediatr Urol |volume= |issue= |pages= |date=June 2018 |pmid=29937413 |doi=10.1016/j.jpurol.2018.05.004 |url=}}</ref><ref name="pmid30007500">{{cite journal |vauthors=Baek M, Silay MS, Au JK, Huang GO, Elizondo RA, Puttmann KT, Janzen NK, Seth A, Roth DR, Koh CJ |title=Does the use of 5 mm instruments affect the outcomes of robot-assisted laparoscopic pyeloplasty in smaller working spaces? A comparative analysis of infants and older children |journal=J Pediatr Urol |volume= |issue= |pages= |date=July 2018 |pmid=30007500 |doi=10.1016/j.jpurol.2018.06.010 |url=}}</ref><ref name="pmid29630257">{{cite journal |vauthors=Young M, Stavas J |title= |journal= |volume= |issue= |pages= |date= |pmid=29630257 |doi= |url=}}</ref>
** Unilateral
 
** Bilateral
Lower [[urinary tract]] obstruction (such as that caused by bladder outflow obstruction secondary to prostatic hypertrophy) is usually treated by insertion of a [[urinary catheter]] or a [[suprapubic catheter]].
* Pyleoplasty
 
* Per-cutaneous nephrostomy
[[Surgery]] is not required in all cases.<ref name="pmid18947797">{{cite journal |author=Onen A |title=Treatment and outcome of prenatally detected newborn hydronephrosis |journal=J Pediatr Urol |volume=3 |issue=6 |pages=469–76 |year=2007 |month=December |pmid=18947797 |doi=10.1016/j.jpurol.2007.05.002 |url=}}</ref>
* Percutaneous ureterostony
 
==Contraindications==
 


==References==
==References==

Latest revision as of 19:00, 12 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]

Overview

Surgery is the mainstay of treatment for Hydronephrosis. The type of surgery depends on the underlying cause and also depending on whether the obstruction is acute or chronic.

Surgery

Surgery is the mainstay of treatment for hydronephrosis. The type of surgery depends on the underlying cause and also depending on whether the obstruction is acute or chronic. Surgical options include:[1][2][3][4][5][6][7]

  • Urethral stenting
    • Unilateral
    • Bilateral
  • Pyleoplasty
  • Per-cutaneous nephrostomy
  • Percutaneous ureterostony

References

  1. ↑ Liu KL, Lee BC, Ye JD, Chang YH, Chang CC, Huang KH, Lee YJ, Chang YC (July 2018). "Comparison of single and tandem ureteral stenting for malignant ureteral obstruction: a prospective study of 104 patients". Eur Radiol. doi:10.1007/s00330-018-5560-6. PMID 29974220.
  2. ↑ Şimşir A, Kızılay F, Semerci B (April 2018). "Comparison of percutaneous nephrostomy and double J stent in symptomatic pregnancy hydronephrosis treatment". Turk J Med Sci. 48 (2): 405–411. doi:10.3906/sag-1711-5. PMID 29714462. line feed character in |title= at position 61 (help)
  3. ↑ Li B, Liu DB, Gong EM (June 2018). "Robot-assisted laparoscopic transplant-to-native ureteroureterostomy of an intraperitoneal renal allograft". J Pediatr Urol. doi:10.1016/j.jpurol.2018.06.008. PMID 30017605.
  4. ↑ Shrestha AL, Bal HS, Kisku S, Sen S (June 2018). "Outcome of end cutaneous ureterostomy (ECU) as a non conservative option in the management of primary obstructive megaureters (POM)". J Pediatr Urol. doi:10.1016/j.jpurol.2018.05.004. PMID 29937413. Vancouver style error: initials (help)
  5. ↑ Baek M, Silay MS, Au JK, Huang GO, Elizondo RA, Puttmann KT, Janzen NK, Seth A, Roth DR, Koh CJ (July 2018). "Does the use of 5 mm instruments affect the outcomes of robot-assisted laparoscopic pyeloplasty in smaller working spaces? A comparative analysis of infants and older children". J Pediatr Urol. doi:10.1016/j.jpurol.2018.06.010. PMID 30007500.
  6. ↑ Young M, Stavas J. PMID 29630257. Missing or empty |title= (help)
  7. ↑ Onen A (2007). "Treatment and outcome of prenatally detected newborn hydronephrosis". J Pediatr Urol. 3 (6): 469–76. doi:10.1016/j.jpurol.2007.05.002. PMID 18947797. Unknown parameter |month= ignored (help)

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