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Submitted: 04 Oct 2022
Accepted: 26 Jul 2023
ePublished: 11 Aug 2023
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J Prev Epidemiol. 2023;8(2): e33192.
doi: 10.34172/jpe.2023.33192
  Abstract View: 242
  PDF Download: 133

Review

Modes of drainage of kidneys with bilateral malignant obstruction

Esrafil Mansouri 1,2 ORCID logo, Saeed Azandeh 1,2 ORCID logo, Samaneh Karimi 3 ORCID logo, Fereshtesadat Fakhredini 1,2* ORCID logo

1 Cellular and Molecular Research Center, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Department of Anatomical Sciences, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Department of Anatomical Sciences, Faculty of Medicine, Abadan University of Medical Sciences, Abadan, Iran
*Corresponding Author: Fereshtesadat Fakhredini, Email: ffakhredini_aot@yahoo.com, University email: , Email: fakhredini-f@ajums.ac.ir

Abstract

Malignant ureteral obstruction (MUO) is an unpleasant finding resulting from a wide range of malignancies with limited survival prognosis. Its presentation and progression show that it can resist treatment with some stents, including single polymer ureteral stents. With most treatment failures, several treatments are available for the initial management and treatment of benign ureteral obstruction, including therapy with percutaneous nephrostomy (PCN), metallic stents, tandem stents, and other stents. Considering the variety of methods and the heterogeneous population of patients, evaluating the merit of each approach is challenging and needed. Due to the lack of significant studies in this field, these methods leave their performance up to the individual provider. This review aims to provide a framework for urologists to use for individual care and apply it appropriately to patients with MUO. Prospective clinical studies are needed to empower patients with MUO to receive evidence-based treatment and recommendations.

Citation: Mansouri E, Azandeh S, Karimi S, Fakhredini F. Modes of drainage of kidneys with bilateral malignant obstruction. J Prev Epidemiol. 2023;8(2):e33192. doi: 10.34172/ jpe.2023.33192.
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