Demirtas Two-Step Treatment Model in Hypofunctional-Obstructed Kidneys: An Extended Series and Long-Term Prospective Results

Aim: This study aimed to present the short- and long-term results of Demirtas two-step treatment model in patients with obstructed-hydronephrotic kidneys functioning below 10%, and before deciding on nephrectomy, to evaluate whether this method can contribute to the accurate assessment.Material and...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-06, Vol.14 (6), p.e26128-e26128
Main Authors: Demirtaş, Abdullah, Golbasi, Abdullah, Guleser, Ahmet S, Sönmez, Gökhan, Demirtaş, Türev, GÜR, Ahmet, Tombul, Şevket T
Format: Article
Language:English
Subjects:
Body mass index
Clinical trials
Creatinine
Etiology
Kidneys
Nephrology
Nitrogen
Normal distribution
Patients
Ultrasonic imaging
Urogenital system
Urology
Variables
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Summary:Aim: This study aimed to present the short- and long-term results of Demirtas two-step treatment model in patients with obstructed-hydronephrotic kidneys functioning below 10%, and before deciding on nephrectomy, to evaluate whether this method can contribute to the accurate assessment.Material and methods: This prospective study included patients with unilateral renal obstruction and renal parenchymal loss assessed by computed tomography and whose renal function was found to be below 10% in Tc-99m-dimercaptosuccinic acid. In the first step, percutaneous nephrostomy (PCN) was performed. Two weeks later, the second step was performed, in which patients were offered nephrectomy (if renal function was
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.26128