Incidence, management, and sequelae of ureteric obstruction in women with cervical cancer

Maguire, Patrick; Sobota, Aleksandra; Mulholland, Douglas; Ryan, J. Mark; Gleeson, Noreen

doi:10.1007/s00520-019-04851-9

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Currently, there is limited data on the optimal urinary diversion method selection for cervical cancer patients. Several studies have shown that urinary diversion can improve renal function in cervical cancer patients, although the effects of the procedure on overall survival rates are unclear (Dientsmann et al, 2008;Pergialiotis et al, 2019;Maguire et al, 2020). Lapitan and Buckley (2011) showed that palliative urinary diversion may be beneficial for short-term chance of survival in cervical cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Survival Outcome After Percutaneous Nephrostomy as Palliative Urinary Diversion in Obstructive Uropathy due to Advance Cervical Cancer Patients

Noegroho

Kurniawan

Wijayanti

et al. 2021

Asian Pac J Cancer Prev

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Survival Outcome After Percutaneous Nephrostomy as Palliative Urinary Diversion in Obstructive Uropathy due to Advance Cervical Cancer Patients

Noegroho

Kurniawan

Wijayanti

et al. 2021

Asian Pac J Cancer Prev

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“…The consequences of such impairment include hydronephrosis, abnormal renal function and obstructive renal failure. 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

“…The consequences of such impairment include hydronephrosis, abnormal renal function and obstructive renal failure. 10,11 Some patients fail to show significantly improved renal function after a urethral catheter is placed to relieve the obstruction. 12 Their severe symptoms of the internal environment disturbance such as azotaemia and hyperkalaemia are not corrected as soon as expected without significant changes in creatinine, urea nitrogen or serum potassium on the following day after the ureteral stent is placed.…”

Section: A H E a D O F P R I N Tmentioning

confidence: 99%

A comparative analysis of high-flux and low-flux dialysis in cervical cancer patients with obstructive renal failure showing no significantly improved renal function after catheterisation

Zhang

Xie²,

Ao³

et al. 2021

Pak J Med Sci

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Objective: This study aims to compare the clinical application value of high-flux dialysis with low-flux dialysis in patients without significantly improved renal function after cervical cancer and obstructive renal failure catheterisation. Methods: This prospective randomised study was conducted from January 2018 to December 2019. Eighty cervical cancer patients with obstructive renal failure who showed no significant renal function improvement after catheterisation were randomised into two groups (n = 40 in each group) in the Second People’s Hospital of Yibin City. High-flux and low-flux dialysis were employed in the experimental group and the control group, respectively. Treatments in both groups were provided every other day, with the whole course lasting one week. Data were recorded before and after dialysis included inflammatory factors such as IL-6, CRP and TNF-a, large and moderate molecular toxins (e.g., β2 micro-globulin, parathyrin (PTH) and cysteine protease inhibitor). Renal function changes during the dialysis were also recorded. Afterwards, the two groups were compared regarding the overall efficacy. Results: Both the experimental group and the control group experienced a significant decrease in IL-6, CRP, TNF-a, β2 micro-globulin, PTH and cysteine protease inhibitor, with the decrease in the experimental group being more evident (p < 0.05). After dialysis was completed, the experimental group restored renal function indicators such as Cre, CysC and serum K+ levels more quickly than the control group (p < 0.05). The effective rate was 100% for the experimental group and 87.5% for the control group. The intragroup difference in the efficacy.was significant. Conclusions: High-flux dialysis appears to be more beneficial for cervical cancer patients with obstructive renal failure, showing no significant improvement in renal function after catheterisation. It restored renal function more quickly, had more radical draining of inflammatory factors and large and moderate molecular toxins, and had a higher overall effective rate. doi: https://doi.org/10.12669/pjms.37.4.3515 How to cite this:Zhang C, Xie DQ, Ao L, Zhu L. A comparative analysis of high-flux and low-flux dialysis in cervical cancer patients with obstructive renal failure showing no significantly improved renal function after catheterisation. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3515 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Urinary leakage usually occurs after closed renal injury, iatrogenic urinary tract injury, or arises spontaneously in the presence of obstruction. 1,2 Urinomas may be occult initially, especially in renal subcapsular location, and may lead to abscess formation and electrolyte imbalances if not promptly diagnosed and appropriately managed. 3,4 Several cases of incidental discovery of a urinoma by 18 F-FDG PET/CT have been reported.…”

mentioning

confidence: 99%

“…Urinoma is an accumulation of extravasated urine either in renal subcapsular or perirenal space. Urinary leakage usually occurs after closed renal injury, iatrogenic urinary tract injury, or arises spontaneously in the presence of obstruction 1,2 . Urinomas may be occult initially, especially in renal subcapsular location, and may lead to abscess formation and electrolyte imbalances if not promptly diagnosed and appropriately managed 3,4 .…”

mentioning

confidence: 99%

Incidental Diagnosis of Right Renal Subcapsular Urinoma on an 18F-FDG PET/CT Scan Performed for Staging of Cervical Cancer

Liu

Yao

2022

Clin Nucl Med

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A 53-year-old woman with cervical cancer underwent FDG PET/ CT staging, which demonstrated an avid cervical mass with right parametrial involvement and presence of bilateral lymph node metastases. The right ureter was encased, resulting in obstruction and renal pelvic dilatation. Avid right renal subcapsular lesions were also noted, which were hyperintense on T2-weighted imaging compatible to encapsulated fluid collections. These lesions were diagnosed as subcapsular urinoma due to transmitted back pressure caused by obstruction of the right ureter.

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Incidence, management, and sequelae of ureteric obstruction in women with cervical cancer

Cited by 9 publications

References 17 publications

Factors Affecting Survival Outcome After Percutaneous Nephrostomy as Palliative Urinary Diversion in Obstructive Uropathy due to Advance Cervical Cancer Patients

Factors Affecting Survival Outcome After Percutaneous Nephrostomy as Palliative Urinary Diversion in Obstructive Uropathy due to Advance Cervical Cancer Patients

A comparative analysis of high-flux and low-flux dialysis in cervical cancer patients with obstructive renal failure showing no significantly improved renal function after catheterisation

Incidental Diagnosis of Right Renal Subcapsular Urinoma on an 18F-FDG PET/CT Scan Performed for Staging of Cervical Cancer

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