E-ISSN 1305-3612
Interventional Radiology - Technical Note
Percutaneous application of fibrin sealant in surgically recalcitrant urinomas following oncocytoma resection
1 Department of Radiology, University of California San Diego, San Diego, CA, USA  
Diagn Interv Radiol ; : -

Abstract

 

Surgical application of fibrin sealant is well established as a hemostatic agent.  However, reports of its percutaneous application and its uses within the urinary tract are limited. Presented below are two patients with recalcitrant urinomas despite diversion therapy following partial nephrectomy for oncocytomas.  Both patients were successfully treated with percutaneous application of fibrin sealant via a sheath at the time of percutaneous perinephric drain removal. Follow up imaging demonstrated resolution of the urinomas with stabilization of creatinine. Percutaneous application of fibrin sealant may be considered as an alternative treatment for recalcitrant urinomas prior to surgical intervention, though more studies are required to confirm its efficacy and safety.

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