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Maintaining quality of life after palliative diversion for malignant ureteral obstruction

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Urologic radiology

Abstract

The records of 71 consecutive patients who underwent percutaneous nephrostomy for malignant ureteral obstruction were reviewed. The average post-nephrostomy survival time was seven months, of which 25% was spent in the hospital. When comparing these figures to older studies of open nephrostomy, the percutaneous procedure is associated with less morbidity and an increased percentage of time spent at home (75% compared to 36%). Long-term survival, however, is still poor, with only 25% of patients alive at one year. We suggest that the criteria previously adopted for open nephrostomy generally remain appropriate for patients being considered for percutaneous urinary diversion.

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References

  1. Brin EN, Schiff M Jr, Weiss RM: Palliative urinary diversion for pelvic malignancy.J Urol 113:619–622, 1975

    PubMed  CAS  Google Scholar 

  2. Holden S, McPhee M, Grabstald H: The rationale of urinary diversion in cancer patients.J Urol 121:19–21, 1979

    PubMed  CAS  Google Scholar 

  3. Grabstald H, McPhee M: Nephrostomy and the cancer patient.South Med J 66:217–220, 1973

    PubMed  CAS  Google Scholar 

  4. Sharer W, Grayhack JT, Graham J: Palliative urinary diversion for malignant ureteral obstruction.J Urol 120:162–164, 1978

    PubMed  CAS  Google Scholar 

  5. Finney RP: Experience with new double J ureteral catheter stent.J Urol 120:678–681, 1979

    Google Scholar 

  6. Hepperlen TW, Mardis HK, Kammandel H: The pigtail ureteral stent in the cancer patient.J Urol 121:17–21, 1979

    PubMed  CAS  Google Scholar 

  7. Mitty HA, Dan SJ, Train JS: Antegrade ureteral stents; technical and catheter related problems with polyethylene and polyurethane.Radiology 165:439–443, 1987

    PubMed  CAS  Google Scholar 

  8. Stables DP, Ginsberg NJ, Johnston ML: Percutaneous nephrostomy: a series and review of the literature.AJR 130:75–82, 1978

    PubMed  CAS  Google Scholar 

  9. Sadra JA, Jewett MS, Keresteci AG, Rankin JT, St. Louis E, Grey RR, Pereira JT: Nonoperative urinary diversion for malignant ureteral obstruction.Cancer 60:1353–1357, 1987

    Article  Google Scholar 

  10. Bixon R, Laffey KJ, Martin EC: Retrograde urinary drainage — A combined approach.J Endourol 1:333–340, 1987

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, College of Physicians and Surgeons of Columbia University, USA

    D. M. Markowitz, K. J. Laffey, R. Bixon & E. C. Martin M.D.

  2. Department of Urology, College of Physicians and Surgeons of Columbia University, USA

    K. T. Wong & H. M. Nagler

  3. Department of Radiology, Columbia-Presbyterian Medical Center, 622 West 168th Street, 10032, New York, NY, USA

    D. M. Markowitz, K. T. Wong, K. J. Laffey, R. Bixon, H. M. Nagler & E. C. Martin M.D.

Authors
  1. D. M. Markowitz
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  2. K. T. Wong
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  3. K. J. Laffey
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  4. R. Bixon
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  5. H. M. Nagler
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  6. E. C. Martin M.D.
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Markowitz, D.M., Wong, K.T., Laffey, K.J. et al. Maintaining quality of life after palliative diversion for malignant ureteral obstruction. Urol Radiol 11, 129–132 (1989). https://doi.org/10.1007/BF02926495

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  • DOI: https://doi.org/10.1007/BF02926495

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