Endourological interventions in the diagnosis and management of upper urinary tract fungal infections - our experience

Objectives: We have analyzed the incidence and man-agement options of upper urinary tract obstructions caused by fungal infections during January 2000-December 2001. Methods: Four patients with upper urinary tract fun-gal infections underwent endourological interventions and received antifungal ther...

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Bibliographic Details
Published in:Indian journal of urology 2003, Vol.20 (1), p.50-53
Main Authors: Philipraj, SJoseph, Thomas, MJoseph, Bhat, Sudha
Format: Article
Language:English
Subjects:
Antifungal agents
Complications and side effects
Diagnosis
Dosage and administration
Drug therapy
endourological interventions
Fungal infections
Mycoses
Obstructions
Ureters
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Summary:Objectives: We have analyzed the incidence and man-agement options of upper urinary tract obstructions caused by fungal infections during January 2000-December 2001. Methods: Four patients with upper urinary tract fun-gal infections underwent endourological interventions and received antifungal therapy. Results: All 4 patients underwent double J stenting, of which one patient underwent bilateral stenting. Percuta-neous nephrostomv to irrigate was done in one patient in whom the filling defect caused by the fiungal ball persisted even after 4 weeks of oral antifungal therapy. Nephroureterectomy was done in 1 patient as the renal function did not recover even after 4 weeks of appropriate therapy. Three patients had good recovery of renal func-tion. Conclusions: Endourological interventions help in re-lieving and treating obstructions caused by fungal infec-tions.
ISSN:0970-1591
1998-3824
DOI:10.4103/0970-1591.37125