Ureteric stents vs percutaneous nephrostomy for initial urinary drainage in children with obstructive anuria and acute renal failure due to ureteric calculi: a prospective, randomised study

ElSheemy, Mohammed S.; Shouman, Ahmed; Shoukry, A; ElShenoufy, Ahmed; Aboulela, Waseem; Daw, Kareem; Hussein, Ahmed A.; Morsi, Hany A.; Badawy, Hesham

doi:10.1111/bju.12768

Cited by 27 publications

(24 citation statements)

References 12 publications

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“…ElSheemy and colleagues randomized 90 children ≤12 years with anuria or acute renal failure secondary to bilateral ureteral stones to bilateral ureteral stent placement or bilateral PCN tube placement. 26 While there was significantly more complications in the PCN tube cohort, the authors noted higher rates of failure and mucosal complications in the ureteral stent cohort when the stone size was >2 cm. 26 Therefore larger stones may benefit from PCN tube decompression although additional well designed studies are needed to draw definitive conclusions.…”

Section: Acute Managementmentioning

confidence: 90%

Clinical effectiveness in the diagnosis and acute management of pediatric nephrolithiasis

Batavia

Tasian

2016

International Journal of Surgery

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Section: Acute Managementmentioning

confidence: 90%

Clinical effectiveness in the diagnosis and acute management of pediatric nephrolithiasis

Batavia

Tasian

2016

International Journal of Surgery

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“…17 Elsheemy MS et al, recommended JJ stent over percutaneous nephrostomy in patients of calculus renal failure as it may facilitate subsequent URS and ESWL. 18 But preferred Urinary diversion by JJs stents or percutaneous nephrostomy, is still controversial.…”

Section: Discussionmentioning

confidence: 99%

Calculus Renal Failure

Ali

Ghous

Rashid

et al. 2018

TPMJ

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Background: Urolithiasis is a common urological disease in Pakistan. Calculusrenal failure is a urological emergency that required immediate intervention to prevent furtherdeterioration of renal function. Objectives: The purpose of this study is to present clinical profileof calculus renal failure patient and to report our experience of management of such patients.Study Design: Descriptive Cross sectional study. Setting and Period: Department of urologyServices Hospital from July 2015 to December 2016 were included. Materials and Methods:Patients of all ages of either sex who presented with calculus renal failure. The patients withobstructive uropathy due to causes other than stone disease were excluded. Demographicinformation along with detailed history recorded. Baseline investigations included Completeblood counts, serum creatinine, serum electrolytes and ultrasound for KUB. For stone positionXray KUB in every case & CT in selected cases performed. Functional status of individual kidneywas assessed by renal scan with differential GFR. After initial emergency treatment, all patientswere subjected to definite treatment depending upon stone location and functional status ofkidney. Results: A total of 68 patients were recruited for this study. The mean age of the patientswas 48.8 + 14.13 with range 23-90. 52(76.5%) of the patients were male and 16(23.5%)were females. Most common presentation was lumber pain 46 (67.6%) followed by anorexia 42(61.8%). The average presence of the symptoms was 17.70 days. At initial management of thecondition contained, 16(23.5%) of the patients managed by peritoneal dialysis /Hemodialysis,10(14.7%) by unilateral PCN, 16(23.5%) by Bilateral PCN, unilateral JJ stenting done in 8(11.8%)while bilateral JJ stenting in 07 (10.9%), 6(8.8%). 10(14.7%) patient were managed with URS/Lithoclast therapy without any prior diversion. Renal function in 08 patients (11.8%) did notimproved after initial management and they remained on maintenance dialysis. Conclusion: Intime diagnosis and early proper treatment improves the outcome.

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“…The type of urinary diversion to propose differs from the etiology [10]. For the original stone obstruction, retrograde drainage by the double J probe represents the first line of treatment, achieved in 62.5% of cases in our series, except in cases of purulent retention and if the size of ureteral calculus is> 2 cm, where we used a percutaneous nephrostomy tube [5,10,11]. During the establishment of a ureteral catheter, ureteroscopy with fragmentation of obstructive calculation could be considered [12,13].…”

Section: Discussionmentioning

confidence: 99%

Obstructive Anuria of Adults in the Region of Eastern Morocco: Epidemiological, Diagnosis and Therapeutic Aspects. Retrospective Two Center Study of 44 Cases

Khalil¹

2017

UNOAJ

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Purpose: To analyze the aspects of obstructive anuria in adults. Materials and Methods:A two center retrospective study over a period of 4 years (2011)(2012)(2013)(2014) compiled 44 patients in two urology departments in the region of eastern Morocco. Many data were collected. We studied two groups: the first group of stone formers patients (n= 16) and the second group of neoplastic patients (n= 28). A comparison between the two groups was performed. Results:The mean age was 61 years with a sex ratio of 1.3. The main symptoms were anuria (50%) and back pain (50%). The obstruction was neoplastic in 28 cases, and 16 cases of stones. A renal urine diversion performed in 11 patients (25%), either by percutaneous nephrostomy in 26 cases (59.1%) or by a double-J ureteral probe in 13 cases (29.5%). There was 3 deaths (6.8%) and 9 cases of chronic renal failure (20.45%).Discussion: To our knowledge, this is the first epidemiological and analytical study on obstructive anuria carried out in the region of eastern Morocco. Urgent diagnosis and therapeutic management are requested to prevent metabolic consequences. Helical CT scan without enhancing contrast is a promising technique for anuria's exploration. It is indicated whenever ultrasonography and standard radiography cannot determine the cause of anuria. Antegrade opacification by the nephrostomy probe and retrograde ureteropyelography (UPR) can be helpful to visualize the nature of the obstacle and its headquarters, but these two examinations are less practiced since the advent of the CT scan. Conclusion:Obstructive anuria is an urological emergency that involves immediate and functional prognosis of the kidney. Its management is closely related to the etiology of the obstruction which also determines the prognosis.

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Ureteric stents vs percutaneous nephrostomy for initial urinary drainage in children with obstructive anuria and acute renal failure due to ureteric calculi: a prospective, randomised study

Abstract: The trial is registered at ClinicalTrials.gov, number NCT02055430

Cited by 27 publications

References 12 publications

Clinical effectiveness in the diagnosis and acute management of pediatric nephrolithiasis

Clinical effectiveness in the diagnosis and acute management of pediatric nephrolithiasis

Calculus Renal Failure

Obstructive Anuria of Adults in the Region of Eastern Morocco: Epidemiological, Diagnosis and Therapeutic Aspects. Retrospective Two Center Study of 44 Cases

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