La nefrostomía percutánea en el carcinoma cérvico-uterino avanzado con uropatía obstructiva

Abstract

Background

To describe our experience with emergency percutaneous nephrostomy in patients with advanced cervical cancer accompanied by obstructive uropathy.

Material and methods

A descriptive study was conducted that evaluated 12 patients diagnosed with advanced cervical cancer, obstructive uropathy, and kidney function damage.

Results

Two study groups were formed: group A (with previous cancer-specific treatment) and group B (without previous cancer-specific treatment). Eight patients (66.7%) presented with bilateral ureteral obstruction and only 4 (33.3%) with unilateral obstruction. A total of 41.7% had obstructive anuria, with elevated levels of serum creatinine, and 33.3%, in addition to presenting with anuria, had associated symptoms of sepsis and fluid and electrolyte imbalance. A significant decrease was more remarkable when bilateral percutaneous nephrostomy was carried out over a 7-day period. The procedure caused minor complications in 75% of the patients, the most frequent of which was catheter obstruction.

Conclusions

Percutaneous nephrostomy was more effective as a temporary measure for saving kidney function than retrograde catheterization or surgical diversion.