Pyelonephritis interventions: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(4 intermediate revisions by one other user not shown)
Line 4: Line 4:


==Overview==
==Overview==
Different interventions might be used to diagnose or treat pyelonephritis. A [[biopsy]] can be done to confirm the diagnosis of a complex [[renal]] pathology or to check the extent and type of damage to the [[kidney]]. Flexible [[ureteroscopy]] is done for the treatment of obstructive pyelonephritis. Double J [[stenting]], also known as DJ Stenting, is a conservative management method for [[emphysematous pyelonephritis]]. [[Percutaneous]] [[nephrostomy]] is an effective treatment option for [[emphysematous pyelonephritis]] which is characterized by necrotizing damage to the parenchyma of the kidney and its adjoining tissue leading to gas formation. [[Percutaneous]] nephrolithotomy or transperitoneal laparoscopic ureterolithotomy (TLU) are effective surgical treatment options for pyelonephritis.
Different interventions might be used to diagnose or treat pyelonephritis. Flexible [[ureteroscopy]] is done for the treatment of obstructive pyelonephritis. Double J [[stenting]], also known as DJ Stenting, is a conservative management method for [[emphysematous pyelonephritis]]. [[Percutaneous]] [[nephrostomy]] is an effective treatment option for [[emphysematous pyelonephritis]] which is characterized by necrotizing damage to the parenchyma of the kidney and its adjoining tissue leading to gas formation. [[Percutaneous]] nephrolithotomy or transperitoneal laparoscopic ureterolithotomy (TLU) are effective surgical treatment options for pyelonephritis.


==Name of Intervention==
==Name of Intervention==


Different interventions might be used to diagnose or treat pyelonephritis.
Different interventions might be used to diagnose or treat pyelonephritis.
===Renal biopsy===
 
*A [[biopsy]] can be done to confirm the diagnosis of a complex [[renal]] pathology or to check the extent and type of damage to the [[kidney]].
=== Ureteroscopy ===
*It is used specifically in case of xanthogranulomatous pyelonephritis that is confused with renal tumors usually [[Wilms' tumor|Wilm's tumor]].
*The histopathological exam of the [[biopsy]] specimen confirm xanthogranulomatous type of pyelonephritis.
===Ureteroscopy===
Flexible [[ureteroscopy]] is done for the treatment of obstructive pyelonephritis. It is very effective in removing large proximal placed ureteral stones that are greater than 1.5cm. It can be performed after drainage of an infected kidney to effectively remove [[renal stones]]. Flexible [[ureteroscopy]] has a stone free rate of almost 80%. It has advantages over Transperitoneal [[laparoscopic]] ureterolithotomy in that:<ref name="pmid27375691">{{cite journal| author=Sahin S, Resorlu B, Eksi M, Aras B, Atar A, Tugcu V| title=Flexible ureteroscopy versus laparoscopy for the treatment of patients who initially presented with obstructive pyelonephritis. | journal=Pak J Med Sci | year= 2016 | volume= 32 | issue= 3 | pages= 570-4 | pmid=27375691 | doi=10.12669/pjms.323.9938 | pmc=4928400 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27375691  }}</ref>
Flexible [[ureteroscopy]] is done for the treatment of obstructive pyelonephritis. It is very effective in removing large proximal placed ureteral stones that are greater than 1.5cm. It can be performed after drainage of an infected kidney to effectively remove [[renal stones]]. Flexible [[ureteroscopy]] has a stone free rate of almost 80%. It has advantages over Transperitoneal [[laparoscopic]] ureterolithotomy in that:<ref name="pmid27375691">{{cite journal| author=Sahin S, Resorlu B, Eksi M, Aras B, Atar A, Tugcu V| title=Flexible ureteroscopy versus laparoscopy for the treatment of patients who initially presented with obstructive pyelonephritis. | journal=Pak J Med Sci | year= 2016 | volume= 32 | issue= 3 | pages= 570-4 | pmid=27375691 | doi=10.12669/pjms.323.9938 | pmc=4928400 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27375691  }}</ref>
*It causes less post operative pain
*It causes less post operative pain
Line 26: Line 23:
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


{{WS}}
[[Category:Medicine]]
{{WH}}
[[Category:Infectious disease]]
[[Category:Nephrology]]
[[Category:Urology]]
[[Category:Up-To-Date]]
[[Category:Emergency medicine]]
[[Category:Surgery]]

Latest revision as of 23:54, 29 July 2020

Urinary Tract Infections Main Page

Pyelonephritis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pyelonephritis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocaridogram

X Ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pyelonephritis interventions On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pyelonephritis interventions

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pyelonephritis interventions

CDC on Pyelonephritis interventions

Pyelonephritis interventions in the news

Blogs on Pyelonephritis interventions

Directions to Hospitals Treating Pyelonephritis

Risk calculators and risk factors for Pyelonephritis interventions

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

Different interventions might be used to diagnose or treat pyelonephritis. Flexible ureteroscopy is done for the treatment of obstructive pyelonephritis. Double J stenting, also known as DJ Stenting, is a conservative management method for emphysematous pyelonephritis. Percutaneous nephrostomy is an effective treatment option for emphysematous pyelonephritis which is characterized by necrotizing damage to the parenchyma of the kidney and its adjoining tissue leading to gas formation. Percutaneous nephrolithotomy or transperitoneal laparoscopic ureterolithotomy (TLU) are effective surgical treatment options for pyelonephritis.

Name of Intervention

Different interventions might be used to diagnose or treat pyelonephritis.

Ureteroscopy

Flexible ureteroscopy is done for the treatment of obstructive pyelonephritis. It is very effective in removing large proximal placed ureteral stones that are greater than 1.5cm. It can be performed after drainage of an infected kidney to effectively remove renal stones. Flexible ureteroscopy has a stone free rate of almost 80%. It has advantages over Transperitoneal laparoscopic ureterolithotomy in that:[1]

  • It causes less post operative pain
  • Has a lesser hospital stay
  • Early return to daily routine

Double J Stenting

Double J stenting, also known as DJ Stenting, is a conservative management method for emphysematous pyelonephritis. A nephrostomy tube or DJ stent can be used to decompress the urinary tract which may be enlarged secondary to various reasons like a tumor or an obstructing stone.[2][3]

Percutaneous nephrostomy

Percutaneous nephrostomy is an effective treatment option for emphysematous pyelonephritis which is characterized by necrotizing damage to the parenchyma of the kidney and its adjoining tissue leading to gas formation. Percutaneous nephrostomy should be accompanied by adequate hydration and glycemic control.[2]

Nephrolithotomy/Ureterolithotomy

Percutaneous nephrolithotomy or transperitoneal laparoscopic ureterolithotomy (TLU) are effective surgical treatment options for pyelonephritis. TLU is effective in removing large ureteral stones with a very high stone free rate approaching upto 100%.[1]

References

  1. 1.0 1.1 Sahin S, Resorlu B, Eksi M, Aras B, Atar A, Tugcu V (2016). "Flexible ureteroscopy versus laparoscopy for the treatment of patients who initially presented with obstructive pyelonephritis". Pak J Med Sci. 32 (3): 570–4. doi:10.12669/pjms.323.9938. PMC 4928400. PMID 27375691.
  2. 2.0 2.1 Das D, Pal DK (2016). "Double J stenting: A rewarding option in the management of emphysematous pyelonephritis". Urol Ann. 8 (3): 261–4. doi:10.4103/0974-7796.184881. PMC 4944615. PMID 27453644.
  3. Meir DB, Inoue M, Gur U, Livne PM, Yaniv Y, Tiedeman K; et al. (2004). "Urinary diversion in children with pelvic tumors". J Pediatr Surg. 39 (12): 1787–90. PMID 15616930.

Template:WH Template:WS