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Pyeloplasty is a type of surgical procedure performed to treat an uretero-pelvic junction obstruction if residual renal function is adequate. [1]This revision of the renal pelvis treats the obstruction by excising the stenotic area of the renal pelvis or uretero-pelvic junction and creating a more capacious conduit using the tissue of the remaining ureter and renal pelvis.
At the present time, there is one temporary prostatic stent that has received U.S. Food and Drug Administration (FDA) approval. [4] The Spanner [5] temporary prostatic stent maintains urine flow and allows natural voluntary urination. The prostatic stent is a completely internal device and can be inserted and removed as easily as a Foley ...
Ureteral stent Ureteral stent (detail) A ureteral stent (pronounced you-REE-ter-ul), or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm. Additionally, stents come in differing diameters or gauges ...
Constant monitoring of vital signs including pulse oximetry, cardiac monitoring , body temperature and blood pressure are carried out by the anesthesia practitioner until the patient is discharged post-operatively to the post-surgical recovery unit. After sufficient awakening from the anesthetic agent has taken place, and if the patient is a ...
Stent placement can be useful for saving a kidney at risk for postrenal acute kidney failure due to the increased hydrostatic pressure, swelling and infection (pyelonephritis and pyonephrosis) caused by an obstructing stone. Ureteral stents vary in length from 24 to 30 cm (9.4 to 11.8 in) and most have a shape commonly referred to as a "double ...
A retrograde pyelogram may be performed to find the cause of blood in the urine, or to locate the position of a stone or narrowing, tumour or clot, as an adjunct during the placement of ureteral stents. [13] It can also be used ureteroscopy, or to delineate renal anatomy in preparation for surgery.
Diagnosis is typically based on symptoms and supported by urinalysis. [2] If there is no improvement with treatment, medical imaging may be recommended. [2] Pyelonephritis may be preventable by urination after sex and drinking sufficient fluids. [1] Once present it is generally treated with antibiotics, such as ciprofloxacin or ceftriaxone.
Chronic upper urinary tract obstruction is treated by the insertion of a ureteric stent or a pyeloplasty. [13] Lower urinary tract obstruction (such as that caused by bladder outflow obstruction secondary to benign prostatic hyperplasia) is usually treated by insertion of a urinary catheter or a suprapubic catheter. Surgery is not required in ...