Department of Urology, San Bassiano Hospital, Bassano del Grappa.
Arch Ital Urol Androl. 2020 Oct 1;92(3). doi: 10.4081/aiua.2020.3.200.
Percutaneous treatment of persistent urinary fistula after partial nephrectomy using N-butyl-2-cyanoacrylate and gelatin sponge (Spongostan®) is an effective and relatively non-invasive procedure that should be considered when a conservative approach fails. Three successful cases of percutaneous embolization by using N-butyl-2-cyanoacrylate have been reported in the literature. To our knowledge, the use of Spongostan for the treatment of urinary fistula after partial nephrectomy has not been previously described.
We present the case of an 82-year old man who underwent percutaneous closure of a urinary fistula following partial nephrectomy by using gelatin sponge (Spongostan®) and N-butyl-2-cyanoacrylate.
We encourage the use of this technique in selected cases. Collaboration amongst urologists and skilled interventional radiologist is strongly recommended.
经皮使用丁基-2-氰基丙烯酸酯和明胶海绵（Spongostan®）治疗部分肾切除术后持续性尿瘘是一种有效且相对非侵入性的方法，当保守治疗失败时应考虑该方法。文献中已有三例经皮使用丁基-2-氰基丙烯酸酯栓塞成功治疗的案例。据我们所知，使用 Spongostan 治疗部分肾切除术后尿瘘尚未有报道。
我们报告了一例 82 岁男性患者，通过使用明胶海绵（Spongostan®）和丁基-2-氰基丙烯酸酯经皮闭合部分肾切除术后尿瘘的案例。
我们鼓励在选择的病例中使用这种技术。强烈建议泌尿科医生和熟练的介入放射科医生之间进行合作。
