#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

EXTRA-ANATOMIC STENTS AS AN ALTERNATIVE OF NEPHROSTOMY


Authors: Josef Košina;  Michal Balík;  Lukáš Holub;  Petr Hušek;  Jaroslav Pacovský;  Miloš Broďák
Authors‘ workplace: Urologická klinika FN a LF UK Hradec Králové
Published in: Ces Urol 2015; 19(3): 188-193
Category: Review article

Overview

Extra-anatomic stents represent an alternative to the nephrostomic tube for patients with ureteric obstruction in whom the ureteral stenting failed. They are designed for patients with extramural obstruction of ureters caused by abdominal or pelvic tumors or severe form of retroperitoneal fibrosis. The main advantage of extra-anatomic stents is that they do not require use of nephrostomic tube and urine bag. The introduction is not difficult and all currently available extra-anatomic stents have all the necessary components for implementation included in the package. Quality of life improvement and the amelioration of renal insufficiency are the main goals for insertion of the extra-anatomic kidney stent. The aim of this article was to review and assess the published literature.

Key words:
Extra-anatomic stent, nephrostomy, extramural obstruction of ureter.


Sources

1. Desgrandchamps F, Cussenot O, Bassi S, et al. Percutaneous extra-anatomic nephrovesical diversion: preliminary report. J Endourol. 1993; 7: 323–326.

2. Lingam K, Paterson PJ, Lingam MK, et al. Subcutaneous urinary diversion: an alternative to percutaneous nephrostomy. J Urol. 1994; 152: 70–72.

3. Nakada SY, Gerber AJ, Wolf JS Jr, et al. Subcutaneous urinary diversion utilizing a nephrovesical stent: a superior alternative to long-term external drainage? Urology. 1995; 45: 538–541.

4. Paterson PJ, Forrester A. Extra-anatomic urinary diversion. J Endourol. 1997; 11: 411–412.

5. Nissenkorn I, Gdor Y. Nephrovesical subcutaneous stent: an alternative to permanent nephrostomy. J Urol. 2000; 163: 528–530.

6. Minhas S, Irving HC, Lloyd SN, et al. Extra-anatomic stents in ureteric obstruction: experience and complications. BJU Int. 1999; 84: 762–764.

7. Jabbour ME, Desgrandchamps F, Angelescu E, et al. Percutaneous implantation of subcutaneous prosthetic ureters: long-term outcome. J Endourol. 2001; 15: 611–614.

8. Němec D, Krhut J, Mika D, Havránek O. Využití extraanatomického stentu (EAS) u pacientů s pokročilým maligním onemocněním. Ces Urol 2012; 16: 241–246.

9. Lloyd SN, Tirukonda P, Biyani CS, et al. The detour extra-anatomic stent – a permanent solution for benign and malignant ureteric obstruction? Eur Urol. 2007; 52: 193–198.

10. Olsburgh J, Dorling A, Tait P, Williams G. Extraanatomic stents for transplant ureteric stenosis. Br J Radiol. 2007; 80: 216–218.

11. Tahir W, Hakeem A, White A, et al. Extra-anatomic stent (EAS) as a salvage procedure for transplant ureteric stricture. Am J Transplant. 2014; 14: 1927–1930.

12. Liatsikos EN, Karnabatidis D, Katsanos K, et al. Ureteral metal stents: 10-year experience with malignant ureteral obstruction treatment. J Urol. 2009; 182: 2613–2617.

13. Liu JS, Hrebinko RL. The use of 2 ipsilateral ureteral stents for relief of ureteral obstruction from extrinsic compression. J Urol. 1998; 159: 179–181.

14. Pike TW, Pandanaboyana S, Hope-Johnson T, et al. Ureteric reconstruction for the management of transplant ureteric stricture: a decade of experience from a single centre. Transpl Int. 2015; 28: 529–534.

15. Allen DJ, Longhorn SE, Philp T, et al. Percutaneous urinary drainage and ureteric stenting in malignant disease Clin Oncol (R Coll Radiol) 2010; 22: 733–739

16. Bell DG, Fischer MA. Palliative Subcutaneous Tunneled Nephrostomy Tube (PSTN): a simple and eff ective technique for management of malignant extrinsic ureteral obstruction Can J Urol 2002; 9: 1470–1474

17. Mishra VC, Rao AR, Desai AR, Charig M, Karim OM. A unique extra‑anatomic urinary diversion! J Endourol 2004; 18: 57–58

18. Pérez Sanz P, Pozo Mengual B, Marcén Letosa R, et al. Extra‑anatomic urinary diversion by subcutaneous catheter Actas Urol Esp 2004; 28: 314–317

Labels
Paediatric urologist Nephrology Urology
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#