Dérivation du haut appareil urinaire par une sonde JJ : indications et résultats dans une étude rétrospective et monocentrique

ConclusionLa montée de sonde JJ est une technique efficace et mini-invasive de dérivation du haut appareil urinaire en vue d’une préservation de la fonction rénale. Sa réalisation sans guidage fluoroscopique est possible mais au prix d’une rigoureuse sélection des malades.AbstractObjectivesThe purpose of the study was to report the indications and results of the upper urinary tract diversion with JJ stent at the Urology department of Grand Yoff General Hospital (HOGGY)Patients and methodsThis was a retrospective mono-centric descriptive study from January 1st, 2014 to December 31st, 2015 concerning patients’ files that had a JJ stent as a type of upper urinary tract diversion.ResultsForty-four patient files had been included. The average age of patients was 47.9 years with extremes of 20 and 75 years. Women accounted for 68% of cases. The sex-ratio was 0.47. Uretero-hydronephrosis was the main indication of JJ stent rise in 95.5% of patients. It was bilateral in 42, 86% of cases, and complicated with renal failure in 47.73% of patients. Renal colic accounted for 22.73% of indications. The etiologies were dominated by urolithiasis with 29.55% of cases, followed by tumor etiologies with 27.27% of cases including cervical tumors in 18.18% of cases. The procedure was performed without fluoroscopic control (blind) in 54.55% of cases, there were 66.67% case of success. The overall success rate was 65.1%. The renal function of patients with preoperative renal failur...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research