THE ROLE OF VARIOUS METHODS OF KIDNEY DRAINAGE IN OBSTRUCTIVE PYELONEPHRITIS

Authors:

Abstract:

The study is devoted to the analysis of methods for drainage of the renal pelvis in the presence of a symptom complex of acute purulent obstructive pyelonephritis, comparison of various drainage methods (internal and external), analysis of the severity of inflammatory changes in the blood and urine, dynamics of laboratory parameters. In two groups of patients, the corresponding indicators were analyzed when performing internal (stenting) and external (nephrostomy) drainage of the urinary tract. According to the results, a more rapid decrease in blood and urine leukocytosis in the external drainage group was noted, the hyperthermic reaction of the body was also reduced faster, and there were more positive changes in the ultrasound picture. According to the results of the study, we can say that both methods of drainage are indicated in the presence of obstructive pyelonephritis as one of the components of treatment, and the method of external drainage is more effective than internal stenting.

Keywords:

urethral stent pyelonephritis inflammation infection nephrostomy

References:

1. Batura D, Gopal Rao G. A systematic review of the clinical significance of nephrostomy urine cultures. World J Urol. 2020 Jan;38(1):45–55. doi: 10.1007/s00345–019–02663–4.
2. Chen SJ, Huang CP, Chiu KY, Chen HY, Chen YH, Chen WC. Association of acute pyelonephritis with double–J ureteral stenting: a nationwide population–based case control study. Scand J Urol. 2021 Feb;55(1):61–6. doi: 10.1080/21681805.2020.1817142.
3. Das D, Pal DK. Double J stenting: A rewarding option in the management of emphysematous pyelonephritis Urol Ann. 2016 Jul–Sep;8(3):261–4. doi: 10.4103/0974–7796.184881.
4. Ivashchenko DM, Dudchenko MO, Kravtsiv MI. Evaluation of the role of application of contact lithotripsy in large occlusing ureteral stones. World of Medicine and Biology 2020: №4(74):59–63. Doi 10.26724/2079-8334-2020-4-74-59-63
5. Katarzyna A, Kamila P, Andrzej H, Adam H. Surface analysis of ureteral stent before and after implantation in the bodies of child patients. Urolithiasis. 2021; 49(1): 83–92. doi: 10.1007/s00240-020-01211-9.
6. Kyung-Wuk K, Young HC, Seung BL, Yasutaka B, Hyoung-Ho K, Sang-HS. Analysis of Urine Flow in Three Different Ureter Models. Comput Math Methods Med. 2017: 5172641. Published online 2017 Jun 4. doi: 10.1155/2017/5172641.
7. Magdalena A, Janusz S, Joanna J, Katarzyna J, Kamil J, Bożena G, et. al. Functional Properties of Polyurethane Ureteral Stents with PLGA and Papaverine Hydrochloride Coating. Int J Mol Sci. 2021 Jul; 22(14): 7705. doi: 10.3390/ijms22147705.
8. Makoto T, Kenji Y, Motohiko S, Hidefumi K, Tadashi M. Simplified method using kidney / ureter / bladder x-ray to determine the appropriate length of ureteral stents. Int Braz J Urol. 2018 Nov-Dec; 44(6): 1224–33. doi: 10.1590/S1677-5538.IBJU.2017.0620.
9. Marien T, Miller NL. Treatment of the Infected Stone. Urol Clin North Am. 2015 Nov;42(4):459–72. doi: 10.1016/j.ucl.2015.05.009. Epub 2015 Jul 26.
10. Yoo MJ, Bridwell RE, Inman BL, Henderson JD, Long B. Approach to nephrostomy tubes in the emergency department. Am J Emerg Med. 2021 Sep 22(50):592–6. doi: 10.1016/j.ajem.2021.09.034.

Publication:

«World of Medicine and Biology» Vol. 17 No. 78 (2021) , с. 66-70
УДК 616.61–002–085

DOI:

https://doi.org/10.26724/2079-8334-2021-4-78-66-70