49. Results of retrograde intrarenal surgery for ureteral stones on patients after percutaneous nerphrostomy because of hydronephrosis infection

Tran Quoc Hoa, Nguyen Ngoc Anh, Dang Duc Trung

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Abstract

The study was conducted on 102 patients diagnosed with infectious hydronephrosis due to ureteral stones with indications for emergency percutaneous nephrostomy at Hanoi Medical University Hospital from January 2022 to May 2025. The results showed that of the 102 patients, all patients underwent percutaneous nephrostomy, treated with antibiotics before lithotripsy and then 73.5% of patients were treated with endoscopic retrograde lithotripsy and 26.4% of patients were treated with flexible ureterscopy. There were no complications of shock or severe progression in patients who were treated with percutaneous nephrostomy and antibiotics before surgery. The bacteria isolated in the urine were mainly E. coli (68.3%). The average of hospital stay was 11.6 ± 7.8 days. Conclusion: percutaneous nephrostomy helps reduce disease symptoms and resolve infections. Retrograde ureter lithotripsy surgery on patients after percutaneous nephrostomy because of hydronephrosis infection is a safe and highly effective treatment method.

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