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Image-guided urological interventions: What the urologists must know.

Das CJ, Baliyan V, Sharma S - Indian J Urol (2015 Jul-Sep)

Bottom Line: Advances in imaging technology, especially in the last two decades, have led to a paradigm shift in the field of image-guided interventions in urology.Many urologic diseases that were earlier treated surgically are now effectively managed using minimally invasive image-guided techniques, often on a day care basis using only local anesthesia or conscious sedation.This article presents an overview of the technique and status of various image-guided urological procedures, including recent emerging techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.

ABSTRACT
Advances in imaging technology, especially in the last two decades, have led to a paradigm shift in the field of image-guided interventions in urology. While the traditional biopsy and drainage techniques are firmly established, image-based stone management and endovascular management of hematuria have evolved further. Ablative techniques for renal and prostate cancer and prostate artery embolization for benign prostatic hypertrophy have evolved into viable alternative treatments. Many urologic diseases that were earlier treated surgically are now effectively managed using minimally invasive image-guided techniques, often on a day care basis using only local anesthesia or conscious sedation. This article presents an overview of the technique and status of various image-guided urological procedures, including recent emerging techniques.

No MeSH data available.


Related in: MedlinePlus

Percutaneous nephrostomy in an obstructed transplant kidney: Contrast medium administered into the pelvicalyceal system following ultrasonography-guided needle puncture (a). A guide wire left in the bladder (b) and pigtail catheter introduced after serial dilatations over the wire (c)
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Figure 6: Percutaneous nephrostomy in an obstructed transplant kidney: Contrast medium administered into the pelvicalyceal system following ultrasonography-guided needle puncture (a). A guide wire left in the bladder (b) and pigtail catheter introduced after serial dilatations over the wire (c)

Mentions: Percutaneous nephrostomy: A posterolateral sub-costal approach targeting the lower (or middle) calyx prevents entering through the pleural recess and permits access through the Brodel's avascular plane of the kidney [Figures 4 and 5]. A soft tip wire is then inserted into the collecting system and is replaced with a stiff wire using a 6 F fascial dilator. The tract is serially dilated up to 8 or 10 F and a pigtail catheter or Malecot nephrostomy tube is then placed into the renal pelvis [Figure 6]. The latter is a better choice if the collecting system is either small or filled with calculi. PCN has a high success rate, approaching 100%, in dilated systems and around 80% in undilated systems.[18] Complications include bleeding, infection and injury to adjacent organs.


Image-guided urological interventions: What the urologists must know.

Das CJ, Baliyan V, Sharma S - Indian J Urol (2015 Jul-Sep)

Percutaneous nephrostomy in an obstructed transplant kidney: Contrast medium administered into the pelvicalyceal system following ultrasonography-guided needle puncture (a). A guide wire left in the bladder (b) and pigtail catheter introduced after serial dilatations over the wire (c)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495494&req=5

Figure 6: Percutaneous nephrostomy in an obstructed transplant kidney: Contrast medium administered into the pelvicalyceal system following ultrasonography-guided needle puncture (a). A guide wire left in the bladder (b) and pigtail catheter introduced after serial dilatations over the wire (c)
Mentions: Percutaneous nephrostomy: A posterolateral sub-costal approach targeting the lower (or middle) calyx prevents entering through the pleural recess and permits access through the Brodel's avascular plane of the kidney [Figures 4 and 5]. A soft tip wire is then inserted into the collecting system and is replaced with a stiff wire using a 6 F fascial dilator. The tract is serially dilated up to 8 or 10 F and a pigtail catheter or Malecot nephrostomy tube is then placed into the renal pelvis [Figure 6]. The latter is a better choice if the collecting system is either small or filled with calculi. PCN has a high success rate, approaching 100%, in dilated systems and around 80% in undilated systems.[18] Complications include bleeding, infection and injury to adjacent organs.

Bottom Line: Advances in imaging technology, especially in the last two decades, have led to a paradigm shift in the field of image-guided interventions in urology.Many urologic diseases that were earlier treated surgically are now effectively managed using minimally invasive image-guided techniques, often on a day care basis using only local anesthesia or conscious sedation.This article presents an overview of the technique and status of various image-guided urological procedures, including recent emerging techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.

ABSTRACT
Advances in imaging technology, especially in the last two decades, have led to a paradigm shift in the field of image-guided interventions in urology. While the traditional biopsy and drainage techniques are firmly established, image-based stone management and endovascular management of hematuria have evolved further. Ablative techniques for renal and prostate cancer and prostate artery embolization for benign prostatic hypertrophy have evolved into viable alternative treatments. Many urologic diseases that were earlier treated surgically are now effectively managed using minimally invasive image-guided techniques, often on a day care basis using only local anesthesia or conscious sedation. This article presents an overview of the technique and status of various image-guided urological procedures, including recent emerging techniques.

No MeSH data available.


Related in: MedlinePlus