DJ stent and nephrostomy drainage outcomes for upper urinary tract obstruction and determinative factors for drainage selection

dc.contributor.authorGuler, Yavuz
dc.date.accessioned2022-03-15T11:52:10Z
dc.date.available2022-03-15T11:52:10Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: To compare drainage outcomes from double J stent and percutaneous nephrostomy stent for upper urinary tract obstruction and to research factors determining the stent method to be used. Upper urinary tract obstruction may be caused by ureter and kidney stones internally or by local advanced-stage pelvic organ cancers externally and this may lead to sepsis or obstructive uropathy. It is necessary to drain the kidney immediately before definitive treatment of stone patients and prevent increased morbidity and mortality in cancer patients. Materials and Methods: A total of 213 patients with upper urinary tract obstruction and drainage using double J stent and percutaneous nephrostomy catheter were retrospectively assessed. Demographic, operative-postoperative data and predictive factors for stent selection were assessed.Results: The groups were different in terms of age and gender demographically, as well as disease duration before the procedure, comorbid diseases, causative factors, hydronephrosis degree and stone size (p 0.05). The groups were different in terms of operational data, operation time, auxiliary time, complications and definitive treatment for stones (p 0.05). Independent predictive factors for stent selection were stone size (Odds ratio:1.3), obstructive duration before the procedure (Odds ratio:1.1), causative factors (Odds ratio:38.1), and hydronephrosis degree (Odds ratio:10.5). Conclusion: For patients with long duration of obstruction and high degree of hydronephrosis, with obstruction caused by local advanced pelvic cancer and large ureter stones and with sepsis, percutaneous nephrostomy drainage should be chosen instead of double J stent drainage.en_US
dc.identifier.citationGuler, Y. (2021). DJ stent and nephrostomy drainage outcomes for upper urinary tract obstruction and determinative factors for drainage selection . Annals of Medical Research,en_US
dc.identifier.urihttps://hdl.handle.net/11616/55682
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleDJ stent and nephrostomy drainage outcomes for upper urinary tract obstruction and determinative factors for drainage selectionen_US
dc.typeArticleen_US

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