THE EFFICACY OF DOUBLE J STENTING IN THE MANAGEMENT OF EMPHYSEMATOUS PYELONEPHRITIS

Abstract

Introduction: EPN is a severe infection of the renal parenchyma, which can be severe and life-threatening condition characterized by the presence of gas in the renal parenchyma, or perinephric tissues. In this study, we wanted to study the efficacy of double J stenting vs conservative management in cases of EPN. 30 cases of EPN Material and methods: were admitted in our institute in respect to age, sex, co-morbidities, urinalysis and ICU stay, antibiotics used and outcomes were analyzed following conservative management vs double J stenting with medical management. Results: All patients improved in both medical and surgical plus medical management; however, it was seen that patients undergoing double j stenting had lesser morbidity and mortality in terms of ICU stay, Antibiotic use and better outcome in comparison to patients undergoing conservative management alone. There was no mortality reported in our study Conclusion: Emphysematous pyelonephritis is a condition associated with high mortality of almost 13-25%, therefore it requires an aggressive management and our study has shown that patients managed with double J stenting along with medical management can be recommended over medical management alone