Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jun 15;26(5):e5633.
doi: 10.5812/ijp.5633. eCollection 2016 Oct.

A 5-Fr Externalized Nephroureteral Catheter as the Sole Protective Device for Pediatric Pyeloplasty: The Experiences of 142 Patients

Mansour Mollaeian  1 , Maryam Ghavami-Adel  1 , Farid Eskandari  1 , Arash Mollaeian  2
Affiliations

A 5-Fr Externalized Nephroureteral Catheter as the Sole Protective Device for Pediatric Pyeloplasty: The Experiences of 142 Patients

Mansour Mollaeian et al. Iran J Pediatr. .

Abstract

Background: Pyeloplasty for ureteropelvic junction obstruction correction is a common procedure, but the optimal method for protective diversion after pyeloplasty is still a matter of debate.

Objectives: Here, we present our clinical trial experience using a single percutaneous externalized nephroureteral (NU) 5-Fr catheter (infant feeding tube) with multiple side holes as the sole instrument of drainage to provide a protective mechanism.

Materials and methods: In this prospective study, we analyzed the charts of 142 patients who underwent pyeloplasty from August 2001 through October 2008. We used a single externalized NU 5-Fr catheter with multiple side holes for postoperative upper tract diversion. The catheter was removed in the office after 10 - 14 days. Complications from the use of this catheter, including poor catheter function, premature dislodgement, urinary tract infection, leakage, urinoma, and anastomotic stenosis, were evaluated. The operations were performed by two surgeons at two separate centers.

Results: In all, 148 pyeloplasty procedures were performed on 142 patients. The mean hospital stay length was 2 (1 - 3) days. A contrast study through a catheter demonstrated excellent drainage with no leakage in all patients. Immediately after catheter removal, febrile urinary tract infection and transient obstructive symptoms and signs occurred in 15 patients.

Conclusions: Using a percutaneous externalized NU 5-Fr catheter was sufficient as a protective measure after open pyeloplasty. It costs less than other diverting systems, such as DJ, and can be removed in the office. Therefore, it can be a safe and cost effective procedure, especially in developing countries where cystoscopic set ups are not readily available. There were only a few notable complications.

Keywords: Diversion; Nephroureteral Catheter; Percutaneous Catheter; Pyeloplasty; UPJO.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.. Schematic Diagram of a Nephroureteral Catheter and Funnel-Shaped Repair
Figure 2.
Figure 2.. Contrast Study 12 Days Postoperatively Showing a Funnel-Shaped UPJ
See this image and copyright information in PMC

References

    1. Austin PF, Cain MP, Rink RC. Nephrostomy tube drainage with pyeloplasty: is it necessarily a bad choice? J Urol. 2000;163(5):1528–30. - PubMed
    1. Arda IS, Oguzkurt P, Sevmis S. Transanastomotic stents for dismembered pyeloplasty in children. Pediatr Surg Int. 2002;18(2-3):115–8. doi: 10.1007/s003830100660. - DOI - PubMed
    1. Mandhani A, Goel S, Bhandari M. Is antegrade stenting superior to retrograde stenting in laparoscopic pyeloplasty? J Urol. 2004;171(4):1440–2. doi: 10.1097/01.ju.0000116546.06765.d1. - DOI - PubMed
    1. Smith KE, Holmes N, Lieb JI, Mandell J, Baskin LS, Kogan BA, et al. Stented versus nonstented pediatric pyeloplasty: a modern series and review of the literature. J Urol. 2002;168(3):1127–30. doi: 10.1097/01.ju.0000026415.22233.d7. - DOI - PubMed
    1. Braga LH, Lorenzo AJ, Farhat WA, Bagli DJ, Khoury AE, Pippi Salle JL. Outcome analysis and cost comparison between externalized pyeloureteral and standard stents in 470 consecutive open pyeloplasties. J Urol. 2008;180(4 Suppl):1693–8. doi: 10.1016/j.juro.2008.05.084. discussion1698-9. - DOI - PubMed

LinkOut - more resources