Adnan GÖCÜK, Göksel GÖKTUĞ, Can TUYGUN, İnan ALIŞIR, Abdurrahim İMAMOĞLU

PERKÜTAN NEFROLİTOTOMİ SONRASI UZAMIŞ İDRAR SIZINTISININ TEDAVİSİNDE FARKLI BİR YÖNTEM

Perkütan nefrolitotomi sonrasında gelişen uzamış idrar sızıntısı oldukça nadir görülen bir komplikasyondur. Bunların çoğu üreteral ödem, darlık ya da artık taşların obtrüksiyonuna bağlıdır. Tedavide J-J stend uygulaması gibi minimal invaziv işlemler genellikle yeterli olmaktadır. Ancak, bu tedaviye dirençli idrar sızıntılarında önerilen tedavi nefrokutanöz traktın ablasyonu ya da eksizyonu gibi oldukça invaziv tedavi yöntemlerdir. Biz burada, perkütan nefrolitotomi ameliyatı sonrasında, standart tedavilere yanıt alamadığımız uzamış idrar sızıntısı gelişen iki olguda uyguladığımız minimal invaziv olan bir yöntemi sunmaktayız

Anahtar Kelimeler:

Böbrek taşı, perkütan nefrolitotomi, uzamış idrar sızıntısı

A New Method for the Treatment of Prolonged Urinary Leakage After Percutaneous Nephrolithotomy

The prolonged urinary leakage after percutaneous nephrolithotomy is a very rarely encountered complication. Mostly it occurs due to ureteral edema, stenosis or obstruction by residual stones. Generally minimal invasive procedures, such as J-J stent application, are satisfactory for the treatment. However, invasive therapy methods such as ablation or excision of nephrocutaneous tract, are recommended for the urinary leakage, which is resistant to this treatment. In this study we are presenting the minimal invasive method, which is applied to two patients with prolonged urinary leakage, who were resistant to the standard treatment methods after percutaneous nephrolithotomy.

Keywords:

Percutaneous nephrolithotomy, prolonged urinary leakage, renal stone,

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