Percutaneous nephrostomy versus retrograde ureteral stent for acute upper urinary tract obstruction with urosepsis - PubMed (original) (raw)
. 2021 Feb;27(2):323-328.
doi: 10.1016/j.jiac.2020.11.022. Epub 2020 Dec 10.
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- PMID: 33309627
- DOI: 10.1016/j.jiac.2020.11.022
Free article
Percutaneous nephrostomy versus retrograde ureteral stent for acute upper urinary tract obstruction with urosepsis
Zi-Hao Xu et al. J Infect Chemother. 2021 Feb.
Free article
Abstract
Purpose: We aimed to compare the efficacy of percutaneous nephrostomy (PCN) versus retrograde ureteric stent (RUS) for acute upper urinary tract obstruction with urosepsis.
Materials and methods: We performed a random study, comparing PCN to RUS, for the treatment of patients requiring emergency drainage due to acute upper urinary tract obstruction with urosepsis between January 2019 to March 2020. Data collected included patient characteristics, stone material, microbiological characteristics, and laboratory data. Statistical analysis was performed by the student's t-test or Mann-Whitney U test or chi-squared test and Fisher exact test.
Results: At first, a total of 75 patients were eligibly assessed for enrollment. Among them, 3 cases were excluded for declining to participate and 7 cases were failed treated with RUS. At last, 35 PCN (53.85%) and 30 RUS (46.15%) patients were analyzed. There were 24 (36.92%) men and 41 (63.08%) women. The median age was 65 years. Emergency decompression was achieved by PCN in 35 (53.85%) patients and by RUS in 30 (46.15%). Urine culture was positive in 32 (49.23%) patients, of which 17 (53.13%) had E. coli. Postoperative C-reactive protein value and normal temperature recovery time in the PCN group were significantly lower than in the RUS group(P < .05).
Conclusion: PCN had a better outcome than RUS in emergency drainage with urosepsis, especially for patients with severe inflammation and fever.
Keywords: Acute upper urinary tract obstruction; Emergency drainage; Percutaneous nephrostomy; Retrograde ureteral stent; Urosepsis.
Copyright © 2020 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Conflict of interest statement
Declaration of competing interest There is no conflict of interest associated with this study.
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