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A method for antegrade pyelography and pyelonephrostomy is described using a long, thin needle with a shorter, wider Seldinger cannula. Puncture with a thin needle reduces the risk during antegrade demonstration of the upper urinary tract and can also be used for puncturing collecting systems which are only slightly dilated. When necessary, the Seldinger cannula can be advanced over the needle; subsequently, with the aid of a J-wire, a nephropyelostomy can be performed. The method has been used in 20 patients. In one case of intended bilateral nephropyelostomy the puncture was successful on only one side. There were no serious complications. In only one patient a small perirenal haematoma was found at operation.
R Günther, and
J E Altwein, and
M Georgi
September 1980,
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete,
R Günther, and
J E Altwein, and
M Georgi
August 1980,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
R Günther, and
J E Altwein, and
M Georgi
January 1984,
Fortschritte der Medizin,
R Günther, and
J E Altwein, and
M Georgi
January 1985,
Urologic radiology,
R Günther, and
J E Altwein, and
M Georgi
November 1979,
Nihon Hinyokika Gakkai zasshi. The japanese journal of urology,
R Günther, and
J E Altwein, and
M Georgi
May 1979,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
R Günther, and
J E Altwein, and
M Georgi
August 1981,
The Journal of urology,
R Günther, and
J E Altwein, and
M Georgi
November 1979,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
R Günther, and
J E Altwein, and
M Georgi
February 1956,
A.M.A. archives of surgery,
R Günther, and
J E Altwein, and
M Georgi
September 1979,
Rontgen-Blatter; Zeitschrift fur Rontgen-Technik und medizinisch-wissenschaftliche Photographie,
