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

Abstract

BackgroundTo describe our experience with emergency percutaneous nephrostomy in patients with advanced cervical cancer accompanied by obstructive uropathy. Material and methodsA descriptive study was conducted that evaluated 12 patients diagnosed with advanced cervical cancer, obstructive uropathy, and kidney function damage. ResultsTwo 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. ConclusionsPercutaneous nephrostomy was more effective as a temporary measure for saving kidney function than retrograde catheterization or surgical diversion.