Hydronephrosis surgery

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Hydronephrosis Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hydronephrosis from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

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Diagnostic Study of Choice

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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

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 depends upon where the obstruction lies, and whether it is acute or chronic.

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.[1][2][3][4][5][6]

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.

Surgery is not required in all cases.[7]

Surgery

  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

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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