Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience

Radosław Starownik; Tomasz Golabek; Krzysztof Bar; Kamil Muc; Paweł Płaza; Piotr Chlosta

doi:10.5114/wiitm.2014.44168

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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Original paper

Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience

Radosław Starownik, Tomasz Golabek, Krzysztof Bar, Kamil Muc, Paweł Płaza, Piotr Chlosta

Videosurgery Miniinv 2014; 9 (4): 501–504

DOI: https://doi.org/10.5114/wiitm.2014.44168

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AMA

Starownik R, Golabek T, Bar K, Muc K, Płaza P, Chlosta P. Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience. Videosurgery and Other Miniinvasive Techniques. 2014;9(4):501-504. doi:10.5114/wiitm.2014.44168.

APA

Starownik, R., Golabek, T., Bar, K., Muc, K., Płaza, P.,  & Chlosta, P. (2014). Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience. Videosurgery and Other Miniinvasive Techniques, 9(4), 501-504. https://doi.org/10.5114/wiitm.2014.44168

Chicago

Starownik, Radosław, Tomasz Golabek, Krzysztof Bar, Kamil Muc, Paweł Płaza,  and Piotr Chlosta. 2014. "Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience". Videosurgery and Other Miniinvasive Techniques 9 (4): 501-504. doi:10.5114/wiitm.2014.44168.

Harvard

Starownik, R., Golabek, T., Bar, K., Muc, K., Płaza, P.,  and Chlosta, P. (2014). Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience. Videosurgery and Other Miniinvasive Techniques, 9(4), pp.501-504. https://doi.org/10.5114/wiitm.2014.44168

MLA

Starownik, Radosław et al. "Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience." Videosurgery and Other Miniinvasive Techniques, vol. 9, no. 4, 2014, pp. 501-504. doi:10.5114/wiitm.2014.44168.

Vancouver

Starownik R, Golabek T, Bar K, Muc K, Płaza P, Chlosta P. Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience. Videosurgery and Other Miniinvasive Techniques. 2014;9(4):501-504. doi:10.5114/wiitm.2014.44168.

Introduction: Symptomatic hypermobile kidney is treated with nephropexy, a surgical procedure through which the floating kidney is fixed to the retroperitoneum. Although both open and endoscopic procedures have a high success rate, they can be associated with risk of complications, relatively long hospital stay and high cost.

Aim: We describe our percutaneous technique for fixing a hypermobile kidney and evaluate the efficacy of the percutaneous nephrostomy insertion in management of symptomatic nephroptosis.

Material and methods: Between January 2005 and December 2011, 11 patients diagnosed with a symptomatic right nephroptosis of at least 1 year duration were treated with a single point percutaneous nephrostomy technique. All data were retrieved from patients’ medical records and then retrospectively analysed.

Results: Nephropexy through a single point percutaneous nephrostomy technique was successfully accomplished in 11 women. The mean operative time was 20 min. The intraoperative estimated blood loss was minimal in all cases. No major or minor intraoperative complications were noted. The average postoperative hospital stay was 2 days. Women returned to their usual activities 14 days following the surgery. Nine women had complete resolution of their pain, and 2 patients continued to complain of discomfort in their lumbar area. One patient was re-operated upon with satisfactory subjective and objective outcomes achieved. One patient refused re-operation.

Conclusions: Percutaneous nephropexy is simple, inexpensive and effective for treatment of symptomatic hypermobile kidney. It remains a valuable alternative to open, laparoscopic, and robotic methods for fixing a floating kidney.

keywords:

Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience

Radosław Starownik, Tomasz Golabek, Krzysztof Bar, Kamil Muc, Paweł Płaza, Piotr Chlosta

nephropexy, percutaneous nephrostomy, floating kidney