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Chapter 7,641

Percutaneous transrenal ureteral occlusion: indication and technique

Hübner, W.; Knoll, M.; Porpaczy, P.

Urologic Radiology 13(3): 177-180

1992


ISSN/ISBN: 0171-1091
PMID: 1371631
DOI: 10.1007/bf02924616
Accession: 007640251

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Several techniques for achieving palliative ureteral occlusion in cases of underlying malignant diseases are known to exist. We performed nine ureteral occlusions on seven patients, using two different techniques (occlusion by detachable balloon and by "Harzmann Olive"). Initially, complete occlusion of all ureters was attained; in two cases a second occluding intervention had to be carried out after a period of 6 and 14 weeks. Six of seven patients enjoyed a marked improvement of their quality of life after occlusion. Complications were down to a minimum. In comparison with other techniques described in the literature, Harzmann's method seems to be the simplest, as well as the most fully developed one. It may also be recommended for patients in an advanced tumor stage.

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