Pyelonephritis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
PMID: 8126807
Overview
In recurrent infections, additional investigations may identify an underlying abnormality. Occasionally, surgical intervention is necessary to improve chances of recurrence.
Surgery
Pyelonephritis is usually managed medically. Surgery may be necessary in case of continuous worsening of pyelonephritis, recurrent disease, renal failure or development of complications Pyelonephritis. Xanthogranulomatous Pyelonephritis is confused with renal tumour and is usually diagnosed after resection of the kidney and performing microscopic examination. The following kinds of surgeries can be associated with the management of Pyelonephritis.[1] [2]
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. It is used specifically in case of xanthogranulomatous pyelonephritis that is confused with renal tumours usually Wilm's tumour.
- The histopathological exam of the biopsy specimen confirm xanthogranulomatous type of pyelonephritis.
Partial Nephrectomy
- A partial nephrectomy is performed in case of a localised renal pathology. It can also be done in case of low grade real disease that is resistant to medical management.
- Partial Nephrectomy involves excising only the involved segment of the kidney leaving behind the healthy part of the kidney.
Nephrectomy
- Nephrectomy is considered in case the renal involvement is diffuse or the damage to the kidney is in an advanced stage.
Vacuum Sealing Drainage
Emphysematous pyelonephritis can be treated with a Vacuum Sealing drainage.[3]
References
- ↑ Malek RS, Elder JS (1978). "Xanthogranulomatous pyelonephritis: a critical analysis of 26 cases and of the literature". J Urol. 119 (5): 589–93. PMID 660725.
- ↑ Libre Pathology https://librepathology.org/wiki/Medical_kidney_diseases#cite_note-Ref_Sternberg5_1729-75 Accessed in Jan 24,2017
- ↑ Wang HD, Zhu XF, Xu X, Li GZ, Liu N, He F; et al. (2017). "Emphysematous Pyelonephritis Treated with Vacuum Sealing Drainage". Chin Med J (Engl). 130 (2): 247–248. doi:10.4103/0366-6999.198021. PMID 28091422.