| Idiopathic retroperitoneal fibrosis: the case for nonsurgical treatment. | |
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MedLine Citation:
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PMID: 16831158 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To review a 10-year experience of medical treatment for idiopathic retroperitoneal fibrosis (RPF), a rare condition of unknown causes, which may obstruct the ureter and for which treatment includes ureterolysis and relief of obstruction, and medical treatment with steroids with or without immunosuppressive medication. PATIENTS AND METHODS: Of 31 patients with RPF treated between 1996 and 2004, 28 had idiopathic disease. Ureteric stents were used to relieve the obstruction in all patients, 12 had previous nephrostomies, 16 were given steroids and only one was treated with ureterolysis. RESULTS: In all, 28 patients were followed for a mean of 51.17 months; the symptoms were relieved in all cases. Renal function, where impaired, improved dramatically in all patients. Fifteen patients (54%) are free of stents and medication after a mean (range) follow-up of 60.9 (24-110) months. CONCLUSION: Idiopathic RPF responds well to conservative management consisting of relief of urinary tract obstruction and steroids. |
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Authors:
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Cristian P Ilie; Richard J Pemberton; David A Tolley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJU international Volume: 98 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-07-11 Completed Date: 2006-07-25 Revised Date: 2007-01-16 |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 137-40 Citation Subset: IM |
Affiliation:
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Department of Urology, Central Military Hospital, Bucharest, Romania. cristi2575@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Male Middle Aged Pain / etiology Retroperitoneal Fibrosis / drug therapy*, pathology Retrospective Studies Stents Steroids / therapeutic use* Ureteral Obstruction / drug therapy*, pathology |
| Chemical | |
Reg. No./Substance:
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0/Steroids |
| Comments/Corrections | |
Comment In:
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BJU Int. 2006 Nov;98(5):1123-4
[PMID:
17034618
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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