Informed consent and early shared decision making are key to a satisfactory outcome with these complex cases as the failure, both immediate and long-term is well documented but the technique may offer the patient a relief from the unpleasantness of nephrostomy drainage.
Be realistic with your patients if you are contemplating this approach to the ureteric obstruction which has limited indications.
Written by: Stephen R Keoghane, MBBS MS FRCS, Consultant Urological Surgeon, Departments of Urology and Radiology, West Suffolk NHS Foundation Trust, Portsmouth and Bury St Edmunds, Suffolk, UK. SK Deverill, Departments of Urology and Radiology, Portsmouth NHS Trust, Portsmouth, UK.
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