Effect of emergent nephrostomy on long-term total and split renal function in patients with upper urinary tract obstruction due to pelvic malignant tumors
Topic overview
This retrospective study examines whether emergent nephrostomy placement preserves kidney function in patients with pelvic tumors causing urinary obstruction. Results from seven pediatric oncology patients suggest nephrostomy improves total renal function and may help preserve split renal function in the affected kidney compared to conservative management.
Key takeaways
- Nephrostomy placement significantly improved eGFR at end of treatment in patients with pelvic tumor-related UUTO.
- Patients without nephrostomy showed no improvement in eGFR despite tumor treatment.
- Split renal function remained impaired in affected kidneys even when total eGFR normalized.
- Nephrostomy was safely managed without severe infectious complications in this cohort.
- Early nephrostomy may preserve long-term renal function in malignant pelvic tumor patients with severe hydronephrosis.
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How to cite: GlobalCastMD. Effect of emergent nephrostomy on long-term total and split renal function in patients with upper urinary tract obstruction due to pelvic malignant tumors. GlobalCastMD Medical Library. 2024-08-19. https://dev.library.globalcastmd.com/article/9041?via_space=staycurrentmd
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