Acute Urinary Suppression after Ureteral Catheterization

Sirota, Jonas H.; Narins, Lester

doi:10.1056/nejm195712052572303

Cited by 38 publications

(10 citation statements)

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“…The other postulated mechanism is of mechanical obstruction secondary to ureteral edema from ureteral manipulation. Sirota and Narins in 1957 made similar observation after ureteral catheterization and suggested that the oliguria could be explained by edema of the ureteral orifices, causing urinary obstruction (5). RA has since then been reported following nephrectomy (6), hepatectomy (7), hysterectomy (8), and also after acute cardiac event in a patient with history of urolithiasis (9).…”

Section: Discussionmentioning

confidence: 93%

Reflex anuria: a rare cause of acute kidney injury

Adediran

Dhakarwal

2014

Journal of Community Hospital Internal Medicine Perspectives

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BackgroundAcute Kidney Injury results from pre renal, post renal or intrinsic renal causes. Reflex anuria is a very rare cause of renal impairment which happens due to irritation or trauma to one kidney or ureter, or severely painful stimuli to other nearby organs.Case PresentationHere we present a case of acute kidney injury secondary to reflex anuria in a patient who underwent extensive gynecological surgery along with ureteral manipulation which recovered spontaneously.ConclusionReflex Anuria is a rare and often not considered as cause of acute kidney injury. This case illustrates that this should be kept as a differential in potential cause of acute kidney injury in patient undergoing urogenital or gynecological surgeries.

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Section: Discussionmentioning

confidence: 93%

Reflex anuria: a rare cause of acute kidney injury

Adediran

Dhakarwal

2014

Journal of Community Hospital Internal Medicine Perspectives

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“…Her anuria improved promptly after hemodialysis, allowing her treatment to conclude with only one hemodialysis session, and a normal renal function was restored with no sequelae. Table summarizes the clinical characteristics described in case reports of patients who developed AKI after retrograde pyelography (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Common symptoms include severe flank pain.…”

Section: Discussionmentioning

confidence: 99%

Reflex Anuria Following Retrograde Pyelography: A Case Report and Literature Review

et al. 2020

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A case of acute kidney injury due to reflex anuria that was caused by retrograde pyelography and required temporary hemodialysis is reported. An 83-year-old Japanese woman presented with anuria 2 days after undergoing bilateral retrograde pyelography for the investigation of gross hematuria. Retrograde pyelography showed no apparent abnormality, such as malignancy or urolithiasis, but pyelorenal extravasation of contrast medium was remarkable. Her anuria improved promptly after hemodialysis, allowing her treatment to conclude with only one hemodialysis session, and a normal renal function was restored with no sequelae. The details of this case and a review of the relevant literature are presented.

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“…On the other hand, the complications related to stent insertion include hematuria and ureteric injury [5]. The most serious complication is termed reflux anuria, in which severe oliguria or anuria results from manipulation of the ureters resulting in constriction and development of edema [15]. In the same study by Chahin et al, 66 patients that received LUS prior to laparoscopic colectomy, four developed anuria, with two requiring temporary renal support [9].…”

Section: Discussionmentioning

confidence: 99%

The Utility of Lighted Ureteral Stents in Laparoscopic Colorectal Resection: A Survey of Canadian Surgeons

et al. 2011

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BackgroundEstablishing the exact location of the ureters is critical in preventing ureteric injury during colorectal surgery. In laparoscopic colorectal resections this identification can be facilitated by the pre-operative insertion of lighted ureteral stents (LUS). LUS may also serve as an invaluable educational aid during the teaching of colorectal surgery. However, the available evidence does not support the routine use of stents as an injury prevention measure. Furthermore, stent insertion carries inherent risks of ureteric injury. The objective of this study was to determine the frequency of use and indications for LUS in laparoscopic colorectal resections among Canadian surgeons.MethodsA seven-question survey was administered to Canadian surgeons through the monthly Canadian Association of General Surgeons (CAGS) e-news over a period of three months. The questions focused on surgeon demographics, experience with laparoscopic colon resections and the use of stents.ResultsSeventy-five surgeons completed the survey. There was a wide range of experience among the surgeons in terms of years in practice. The majority (84%) reported performing laparoscopic colorectal resections and of those 65% reported performing less than 25 resections a year. Only 26% of surgeons used LUS during laparoscopic resections. Furthermore, 75% of LUS users did not have sub-specialty training, 69% performed less than 25 resections per year and 50% were in practice for less than five years. When used, LUS were inserted for diverticular disease (100%), left colon resection (88%) and low anterior resections (75%).ConclusionThe majority of surgeons across Canada do not use LUS for laparoscopic colorectal resections. Of those performing laparoscopic colorectal resections, there may be a preference to use LUS for complex cases and by novice operators. This data suggests that proponents of LUS deem that it may have a role in diverticular disease.

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Acute Urinary Suppression after Ureteral Catheterization

Cited by 38 publications

References 1 publication

Reflex anuria: a rare cause of acute kidney injury

Reflex anuria: a rare cause of acute kidney injury

Reflex Anuria Following Retrograde Pyelography: A Case Report and Literature Review

The Utility of Lighted Ureteral Stents in Laparoscopic Colorectal Resection: A Survey of Canadian Surgeons

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