Evaluating the efficacy of percutaneous nephrostomy in managing hematuria following antegrade double j ureteral stent placement

Muhammet Arslan; Halil Serdar Aslan; Kadirhan Alver; Mahmut Demirci; Mehmet Alpua; Sinan Çelen

Makale detayları

Evaluating the efficacy of percutaneous nephrostomy in managing hematuria following antegrade double j ureteral stent placement

Yazarlar:

Muhammet Arslan | Halil Serdar Aslan | Kadirhan Alver | Mahmut Demirci | Mehmet Alpua | Sinan Çelen

Yayıncı:

Pamukkale University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.682-688

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315063

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: This study aims to evaluate the clinical outcomes of percutaneous nephrostomy in patients who develop hematuria during percutaneous antegrade double j stent placement. Materials and methods: We conducted a multicenter retrospective cross-sectional study, reviewing medical records from January 2016 to June 2024, to identify patients who underwent percutaneous antegrade double j stent placement and developed hematuria. Percutaneous antegrade double j stent and nephrostomy procedures were performed under ultrasound and fluoroscopic guidance. Results: The study included 151 patients with a mean age of 65.9  15.3 years; 46 30.5 were female, and 105 69.5 were male. Hematuria was observed in 20 8.9 of the 225 antegrade double j stent procedures. Hematuria was significantly more common in patients with benign conditions 35 compared patients with malignant tumors 9.2 p0.003. Postoperative nephrostomy was performed in 118 52.4 of the procedures. Among patients who developed hematuria, 11 55 received a nephrostomy, compared to 9 45 without hematuria, though this difference was not statistically significant p0.811. Conclusion: Percutaneous nephrostomy appears to be an effective intervention for managing hematuria in patients undergoing antegrade double j stent placement. However, the study did not find a statistically significant difference in hematuria incidence with nephrostomy placement, indicating the need for further research with larger sample sizes to confirm these findings and optimize postoperative management strategies.

 Purpose: This study aims to evaluate the clinical outcomes of percutaneous nephrostomy in patients who develop hematuria during percutaneous antegrade double j stent placement. Materials and methods: We conducted a multicenter retrospective cross-sectional study, reviewing medical records from January 2016 to June 2024, to identify patients who underwent percutaneous antegrade double j stent placement and developed hematuria. Percutaneous antegrade double j stent and nephrostomy procedures were performed under ultrasound and fluoroscopic guidance. Results: The study included 151 patients with a mean age of 65.9  15.3 years; 46 30.5 were female, and 105 69.5 were male. Hematuria was observed in 20 8.9 of the 225 antegrade double j stent procedures. Hematuria was significantly more common in patients with benign conditions 35 compared patients with malignant tumors 9.2 p0.003. Postoperative nephrostomy was performed in 118 52.4 of the procedures. Among patients who developed hematuria, 11 55 received a nephrostomy, compared to 9 45 without hematuria, though this difference was not statistically significant p0.811. Conclusion: Percutaneous nephrostomy appears to be an effective intervention for managing hematuria in patients undergoing antegrade double j stent placement. However, the study did not find a statistically significant difference in hematuria incidence with nephrostomy placement, indicating the need for further research with larger sample sizes to confirm these findings and optimize postoperative management strategies.

 Purpose: This study aims to evaluate the clinical outcomes of percutaneous nephrostomy in patients who develop hematuria during percutaneous antegrade double j stent placement. Materials and methods: We conducted a multicenter retrospective cross-sectional study, reviewing medical records from January 2016 to June 2024, to identify patients who underwent percutaneous antegrade double j stent placement and developed hematuria. Percutaneous antegrade double j stent and nephrostomy procedures were performed under ultrasound and fluoroscopic guidance. Results: The study included 151 patients with a mean age of 65.9  15.3 years; 46 30.5 were female, and 105 69.5 were male. Hematuria was observed in 20 8.9 of the 225 antegrade double j stent procedures. Hematuria was significantly more common in patients with benign conditions 35 compared patients with malignant tumors 9.2 p0.003. Postoperative nephrostomy was performed in 118 52.4 of the procedures. Among patients who developed hematuria, 11 55 received a nephrostomy, compared to 9 45 without hematuria, though this difference was not statistically significant p0.811. Conclusion: Percutaneous nephrostomy appears to be an effective intervention for managing hematuria in patients undergoing antegrade double j stent placement. However, the study did not find a statistically significant difference in hematuria incidence with nephrostomy placement, indicating the need for further research with larger sample sizes to confirm these findings and optimize postoperative management strategies.

 Amaç: Bu çalışmada perkütan antegrad double j stent yerleştirilmesi sırasında hematüri gelişen hastalarda perkütan nefrostominin klinik sonuçlarının değerlendirilmesi amaçlandı. Gereç ve yöntem: Perkütanöz antegrad double j stent yerleştirilen ve hematüri gelişen hastaları belirlemek için Ocak 2016dan Haziran 2024e kadar tıbbi kayıtları gözden geçiren, çok merkezli, retrospektif, kesitsel bir çalışma gerçekleştirdik. Perkütan antegrad double j stent ve nefrostomi işlemleri ultrason ve floroskopi rehberliğinde gerçekleştirildi. Bulgular: Çalışmaya yaş ortalaması 65,9  15,3 yıl olan 151 hasta dahil edildi; 46sı 30,5 kadın, 105i 69,5 erkekti. Yapılan 225 antegrad double j stent işleminin 20sinde 8,9 hematüri görüldü. Hematüri malignitesi olmayan hastalarda 35 malign tümörlü olanlara 9,2 göre anlamlı olarak daha fazla görüldü p0,003. İşlemlerin 118ine 52,4 postoperatif nefrostomi uygulandı. Hematüri gelişen hastaların 11ine 55 nefrostomi uygulanırken, hematürisi olmayan 9 hastaya 45 rağmen bu fark istatistiksel olarak anlamlı değildi p0,811. Sonuç: Perkütan nefrostomi, antegrad double j stent yerleştirilen hastalarda hematürinin tedavisinde etkili bir girişim gibi görülmektedir. Ancak bu çalışma, nefrostomi yerleştirilmesiyle hematüri insidansında istatistiksel olarak anlamlı bir fark bulamadı. Bu da, bulguları doğrulamak ve perioperatif yönetim stratejilerini optimize etmek için daha büyük örneklem boyutlarıyla daha fazla araştırmaya ihtiyaç olduğunu gösteriyor.

Makale detayları

Evaluating the efficacy of percutaneous nephrostomy in managing hematuria following antegrade double j ureteral stent placement

Yazarlar:

Muhammet Arslan | Halil Serdar Aslan | Kadirhan Alver | Mahmut Demirci | Mehmet Alpua | Sinan Çelen

Yayıncı:

Pamukkale University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.682-688

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315063

pISSN:

1308-0865

Percutaneous

Nephrostomy

Stents

HematuriaPerkütan

Nefrostomi

Stent

Hematüri

Sayı

Makale detayları

Yazarlar: Muhammet Arslan | Halil Serdar Aslan | Kadirhan Alver | Mahmut Demirci | Mehmet Alpua | Sinan Çelen

Yayıncı: Pamukkale University

Ana Başlıklar: Radyoloji ve Organ Görüntüleme

Dergi: Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.682-688

Belge Tipi: Makale

Yayın Tarihi: 9/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001315063

pISSN: 1308-0865

Sayı

Yazarlar:

Muhammet Arslan | Halil Serdar Aslan | Kadirhan Alver | Mahmut Demirci | Mehmet Alpua | Sinan Çelen

Yayıncı:

Pamukkale University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.682-688

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315063

pISSN:

1308-0865