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Persistent urinary leak after partial nephrectomy in a child: Definitive therapy with percutaneous glue. | LitMetric

Persistent urinary leak after partial nephrectomy in a child: Definitive therapy with percutaneous glue.

Urol Case Rep

Departments of Pediatric Surgery and Surgery, Divisions of Urology, Canada.

Published: July 2022

AI Article Synopsis

  • * A case study highlights a child who had a persistent urinary leak following partial nephrectomy, which was treated successfully without further invasive surgery.
  • * This is the first documented use of both cyanoacrylate glue and a vascular occlusion plug for treating a urinary leak, marking a significant advancement in managing pediatric urinary fistulas.

Article Abstract

Urinary fistulas are usually managed with diversion, and persistent fistulas may require nephrectomy. For refractory cases in adults, rare reports have described percutaneous glues as an alternative to nephrectomy. We present the case of a child with persistent urinary leak after partial nephrectomy for recurrent microabscesses. In order to spare the child nephrectomy, the fistula was treated percutaneously with the application of cyanoacrylate glue and a vascular occlusion plug. This is the first report of percutaneous glue treatment with an adjunct vascular occlusion device for a urinary leak, and the first report of percutaneous management of a pediatric urinary fistula.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991176PMC
http://dx.doi.org/10.1016/j.eucr.2022.102078DOI Listing

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