Literature DB >> 7490896

Minimally invasive treatment of renal abscess.

J F Siegel1, A Smith, R Moldwin.   

Abstract

PURPOSE: We critically evaluated the most appropriate management of renal abscesses, and identified the set of patients that most benefits from conservative treatment.
MATERIALS AND METHODS: We retrospectively reviewed charts regarding discharge diagnoses, radiological studies, pathological specimens, epidemiology factors and outcomes. Statistical analysis was performed using loglinear and covariant analysis.
RESULTS: Nine years of experience (1984 to 1993) at 2 affiliated hospitals (1 public and 1 private) were reviewed. A total of 52 patients with renal abscesses was identified with a followup rate of 98%. In immunocompetent patients 100% of small abscesses (less than 3 cm.) managed by antibiotics and observation alone resolved. Of medium abscesses (3 to 5 cm.) treated with percutaneous abscess drainage alone 92% resolved. Large abscesses (greater than 5 cm.) often required more than 1 percutaneous drainage procedure (33%) or adjunct open surgical intervention (37%). Statistical analysis revealed that no single treatment modality yielded a superior resolution rate or shorter hospitalization for abscesses stratified by size, patient age or treatment instituted early (1984 to 1993) or late (1992 and 1993) in the study period.
CONCLUSIONS: Our series suggests that percutaneous drainage is as effective as open surgery for large and medium renal abscesses. Small abscesses may be effectively treated with a course of intravenous antibiotic therapy. A treatment algorithm is reported.

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Year:  1996        PMID: 7490896

Source DB:  PubMed          Journal:  J Urol        ISSN: 0022-5347            Impact factor:   7.450


  18 in total

Review 1.  Percutaneous drainage of abdominal and pelvic abscesses in children.

Authors:  Colin Brown; Lisa Kang; Stanley T Kim
Journal:  Semin Intervent Radiol       Date:  2012-12       Impact factor: 1.513

Review 2.  Prevention and management of infectious complications of percutaneous interventions.

Authors:  Steven Y Huang; Asher Philip; Michael D Richter; Sanjay Gupta; Mark L Lessne; Charles Y Kim
Journal:  Semin Intervent Radiol       Date:  2015-06       Impact factor: 1.513

3.  Renal and perinephric abscesses: analysis of 65 consecutive cases.

Authors:  Rafael Ferreira Coelho; Edison D Schneider-Monteiro; José Luís Borges Mesquita; Eduardo Mazzucchi; Antonio Marmo Lucon; Miguel Srougi
Journal:  World J Surg       Date:  2007-02       Impact factor: 3.352

Review 4.  [Diagnosis and treatment of retroperitoneal abscesses].

Authors:  B M Winter; M Gajda; M-O Grimm
Journal:  Urologe A       Date:  2016-06       Impact factor: 0.639

5.  Perinephric abscesses in the pediatric population: case presentation and review of the literature.

Authors:  Dustin Jacobson; Jonathan Gilleland; Brian Cameron; Ehud Rosenbloom
Journal:  Pediatr Nephrol       Date:  2014-01-04       Impact factor: 3.714

6.  Renal abscesses measuring 5 cm or less: outcome of medical treatment without therapeutic drainage.

Authors:  Seung Hwan Lee; Hyun Jin Jung; Sang Yol Mah; Byung Ha Chung
Journal:  Yonsei Med J       Date:  2010-07       Impact factor: 2.759

7.  Recent clinical overview of renal and perirenal abscesses in 56 consecutive cases.

Authors:  Bong Eun Lee; Hee Yun Seol; Tae Kyung Kim; Eun Young Seong; Sang Heon Song; Dong Won Lee; Soo Bong Lee; Ihm Soo Kwak
Journal:  Korean J Intern Med       Date:  2008-09       Impact factor: 2.884

8.  Risk factors for treatment failure in renal suppurative infections.

Authors:  Miroslav M Stojadinović; Sava R Mićić; Dragan R Milovanović; Slobodan M Janković
Journal:  Int Urol Nephrol       Date:  2008-08-15       Impact factor: 2.370

9.  Immediate percutaneous drainage compared with surgical drainage of renal abscess.

Authors:  Ching-Hui Hung; Jyh-Dar Liou; Meng-Yi Yan; Chia-Chu Chang
Journal:  Int Urol Nephrol       Date:  2006-10-17       Impact factor: 2.266

10.  Effect of diabetes on mortality and length of hospital stay in patients with renal or perinephric abscess.

Authors:  Ming-Chung Ko; Allen Wen-Hsiang Chiu; Chih-Ching Liu; Chih-Kuang Liu; Lin-Chung Woung; Lai-King Yu; Chung-Yi Li
Journal:  Clinics (Sao Paulo)       Date:  2013       Impact factor: 2.365

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