Abstract
Due to immunosuppressant therapy, post-renal transplantation, renal failure, pregnancy, calculi, indwelling catheter, and endoscopic procedures, pyonephrosis is more common in immunocompromised patients. Diagnosing Percutaneous Nephrostomy (PCN) at an early stage protects the body's natural system. The goal was to discover the most effective method of deflation for individuals with severely infected hydronephrosis. A comparative observational study where adult (either gender) patients with evidence of infective hydronephrosis were randomly divided into two groups. In the 1st group, patients underwent Percutaneous Nephrostomy, while in the 2nd group, Double J stenting was done, and a cystoscope was used to retrogradely insert a 5 or 6 F double J. Prognostic outcomes were assessed to know better modality of treatment. A total of 80 patients were studied. Common sites where stones were observed by Percutaneous Nephrostomy (PCN) included the distal ureter in 40 (16%) patients. The mean time required for the procedure in the Percutaneous Nephrostomy (PCN) and Double J group was 43.52 SD 6.46 min and 38.59 SD 8.76 min and for fluoroscopy was 9.2 SD 5.7 min and 8.3 SD 4.6 min, respectively, which was statistically significant. This study suggests that double J stenting is a safer, faster, and more effective means of treating infective hydronephrosis and pyonephrosis than percutaneous nephrostomy with a lower incidence of complications.
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Singh, S., Sabale, V., Agarwal, P. et al. Outcomes of Percutaneous Nephrostomy vs. Double J Stenting in the Treatment of Infectious Hydronephrosis. Indian J Surg (2023). https://doi.org/10.1007/s12262-023-03995-7
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DOI: https://doi.org/10.1007/s12262-023-03995-7