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Therapeutic ureteral occlusion in advanced pelvic malignant tumors

Journal Article · · J. Urol.; (United States)
OSTI ID:5804480

A technique for ureteral occlusion, combining insertion of nylon plugs with injection of polidocanol, is described. The method was used in 15 patients with vesicovaginal fistulas after operation and irradiation for advanced gynecological malignancy, or with severe malfunction and fibrosis of the bladder after radiotherapy for bladder carcinoma. The urinary leakage ceased in 11 patients, was greatly diminished in 2 and was unchanged in 2. Migration of plugs to the renal pelvis was the most serious complication and may have been the cause of pyelonephritis in 1 case. The technique is recommended for patients with a short life expectancy and uncontrolled, distressing leakage of urine.

Research Organization:
Karolinska Hospital, Stockholm, Sweden
OSTI ID:
5804480
Journal Information:
J. Urol.; (United States), Journal Name: J. Urol.; (United States) Vol. 1; ISSN JOURA
Country of Publication:
United States
Language:
English