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ORIGINAL ARTICLE
Year : 2013  |  Volume : 5  |  Issue : 3  |  Page : 148-151

Role of ureteric stents in relieving obstruction in patients with obstructive uropathy


Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Correspondence Address:
M Abdelkhalek
Department of Urology, Faculty of Medicine, AL-Azahar University, Cairo
Egypt
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DOI: 10.4103/0974-7796.115731

PMID: 24049375

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Purpose: The aim of this study is to evaluate the role of ureteric stents in relieving obstruction and improvement of kidney function in patients with obstructive uropathy. Materials and Methods: This study involved 138 patients with obstructive uropathy with age ranged from 2 months to 73 years. Patients classified into two groups: Group (I): Includes 57 patients (41.3%), ureteric stents fixed to them; and Group (II): Includes 81 patients (58.6%) managed by other treatment modalities. All patients underwent clinical assessment, Laboratory and radiologic investigations: At presentation and postoperative. These included: Complete urine analysis, urine culture and sensitivity, serum creatinine, serum urea nitrogen, serum uric acid, serum sodium (Na), serum potassium (K), Fasting blood glucose level and blood picture and plain X-ray (KUB), abdominal ultrasonography (US), diuretic renography and retrograde pyelography. Results: Renal glomerular filtration rate (GFR) was used as an indicator for improvement of renal function after fixation of ureteric stent. In group I: 56 (71.8%) kidneys showed significant recovery compared to 61 kidneys (66.3%). In group II, there is statistically significant relation between renal perfusion and renal recovery ( P < 0.004), statistically significant relation between parenchymal thickness and recovery in both groups ( P < 0.0002), statistically significant relation between degree of corticomedullary differentiation and recovery ( P < 0.0003) and statistically significant relationship between hemoglobin levels at presentation and the recoverability ( P < 0.002). Conclusion: The predictors of renal recoverability revealed that ureteral stents alone can help in regaining renal function and significant improvement of clinical condition in patients with obstructive uropathy.


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