Document Detail

Reflux anuria after prophylactic ureteral catheter removal: A case description and review of the literature.
MedLine Citation:
PMID:  22192094     Owner:  NLM     Status:  Publisher    
In an attempt to reduce iatrogenic ureteral injury, urologists are frequently called upon for placement of prophylactic ureteral catheters in difficult pelvic surgeries. Reflux anuria, which may be more appropriately termed catheter-induced obstructive anuria, has been reported as a complication of ureteral catheter placement and is characterized by the absence of urine output following ureteral manipulation due to edema and obstruction. We report a case of obstructive anuria following bilateral ureteral catheter removal and review the literature regarding this rare complication. Medline was searched for all relevant case reports, case series, and trials which included prophylactic ureteral catheters and described complications of their use. Published series report varying incidence of obstructive anuria following prophylactic ureteral catheter removal from 0-7.6%. There are no proven strategies for prevention of obstructive anuria following prophylactic ureteral catheter removal but staged removal has shown a trend towards reduced incidence. When encountered, most cases of anuria following catheter removal resolved with medical management alone, however indwelling stent placement has been advocated while ureteral edema resolves.
Jared M Bieniek; Paul G Meade
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-22
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Geisinger Medical Center, Urology, 100 North Academy Ave, Danville, Pennsylvania, United States, 17822;
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