Management of incurable urinary fistulas by percutaneous ureteral occlusion. 1987

J L Stern, and T P Maroney, and C G Lacey
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco School of Medicine.

Women with large urinary tract fistulas in the presence of advanced incurable gynecologic cancer are a difficult problem. In the past, treatment has usually been either inadequate or highly morbid. We have palliated three women with large incurable urinary tract fistulas by occluding the distal ureters with isobutyl-2-cyanoacrylate (Bucrylate) and implanting permanent bilateral percutaneous nephrostomies. This technique is easily performed and effective, and has few complications.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009403 Nephrostomy, Percutaneous The insertion of a catheter through the skin and body wall into the kidney pelvis, mainly to provide urine drainage where the ureter is not functional. It is used also to remove or dissolve renal calculi and to diagnose ureteral obstruction. Percutaneous Nephrostomy,Nephrostomies, Percutaneous,Percutaneous Nephrostomies
D002015 Bucrylate Cyanoacrylate tissue adhesive also used to occlude blood vessels supplying neoplastic or other diseased tissue. Isobutylcyanoacrylate,Bucrilate,Isobutyl Cyanoacrylate,Isobutyl alpha-Cyanoacrylate,Isobutyl-2-cyanoacrylate,Cyanoacrylate, Isobutyl,Isobutyl 2 cyanoacrylate,Isobutyl alpha Cyanoacrylate,alpha-Cyanoacrylate, Isobutyl
D003487 Cyanoacrylates A group of compounds having the general formula CH2 Cyanoacrylate
D005260 Female Females
D005833 Genital Neoplasms, Female Tumor or cancer of the female reproductive tract (GENITALIA, FEMALE). Gynecologic Neoplasms,Female Genital Neoplasms,Neoplasms, Female Genital,Neoplasms, Gynecologic,Female Genital Neoplasm,Genital Neoplasm, Female,Gynecologic Neoplasm,Neoplasm, Female Genital,Neoplasm, Gynecologic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014513 Ureter One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER. Ureters
D014719 Vesicovaginal Fistula An abnormal anatomical passage between the URINARY BLADDER and the VAGINA. Vesico-Vaginal Fistula,Vesico-Vaginal Fistulae,Vesicovaginal Fistulae,Fistula, Vesico-Vaginal,Fistula, Vesicovaginal,Fistulae, Vesico-Vaginal,Fistulae, Vesicovaginal,Fistulas, Vesico-Vaginal,Fistulas, Vesicovaginal,Vesico Vaginal Fistula,Vesico Vaginal Fistulae,Vesico-Vaginal Fistulas,Vesicovaginal Fistulas

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