Pyonephrosis: a Critical Review of 131 Cases

Authors

  • P. A. ANDROULAKAKIS

    Corresponding author
    1. Department of Urology, Evangelismos Medical Centre, Athens, Greece
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      Hon Senior Registrar, Department of Urology, The Hospital for Sick Children, London.


14a Ioannou Gennadiou Street, Athens 140, Greece.

Abstract

Summary— One hundred and thirty-one patients operated on for pyonephrosis within a 4-year period are reviewed. Male to female ratio was 1∶2 and urolithiasis was the most common aetiological factor (70.2%). Primary nephrectomy proved to be a very satisfactory mode of treatment. Preliminary nephrostomy no longer appears necessary other than in exceptional circumstances. In a selected group of patients with pyonephrosis following acute obstruction of the kidney by a stone, successful management was achieved by prompt relief of the obstruction.

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