TY - JOUR
T1 - Renal carbuncle
T2 - Comparison between surgical open drainage and closed percutaneous drainage
AU - Fernandez, Joseph A.
AU - Miles, Brian J.
AU - Buck, Alfred S.
AU - Robert, M. D.
AU - Gibbons, P.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 1985/2
Y1 - 1985/2
N2 - This article represents a retrospective study of 12 patients with renal carbuncle treated at the combined urological services of The Mason Clinic in Seattle, Washington, and Madigan Army Medical Center in Tacoma, Washington. All patients were initially treated with antibiotics. Two recovered without further treatment. Of the 10 patients who failed to respond, 2 underwent nephrectomy for nonfunctioning kidneys, 4 underwent closed percutaneous drainage, and 4 underwent surgical open drainage. All patients treated with open surgical drainage recovered and retained functioning kidneys. Of the 4 patients who underwent closed percutaneous drainage, 2 failed to respond and required subsequent emergency nephrectomy because of sepsis. The authors believe that renal exploration and open drainage should be the initial definitive mode of surgical treatment of renal carbuncle in those patients who fail antibiotic therapy alone.
AB - This article represents a retrospective study of 12 patients with renal carbuncle treated at the combined urological services of The Mason Clinic in Seattle, Washington, and Madigan Army Medical Center in Tacoma, Washington. All patients were initially treated with antibiotics. Two recovered without further treatment. Of the 10 patients who failed to respond, 2 underwent nephrectomy for nonfunctioning kidneys, 4 underwent closed percutaneous drainage, and 4 underwent surgical open drainage. All patients treated with open surgical drainage recovered and retained functioning kidneys. Of the 4 patients who underwent closed percutaneous drainage, 2 failed to respond and required subsequent emergency nephrectomy because of sepsis. The authors believe that renal exploration and open drainage should be the initial definitive mode of surgical treatment of renal carbuncle in those patients who fail antibiotic therapy alone.
UR - http://www.scopus.com/inward/record.url?scp=0022223563&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0022223563&partnerID=8YFLogxK
U2 - 10.1016/0090-4295(85)90530-8
DO - 10.1016/0090-4295(85)90530-8
M3 - Article
C2 - 3881871
AN - SCOPUS:0022223563
SN - 0090-4295
VL - 25
SP - 142
EP - 144
JO - Urology
JF - Urology
IS - 2
ER -