The place of retroperitoneoscopic method in the treatment of acute obstructive calculous pyelonephritis

In the comparative analysis of the methods of patients treatment with acute obstructive calculous pyelonephritis without preliminary drain of renal cavity system (retroperitoneoscopic approach) was submitted the article, transurethral lithotripsy was performed after preliminary drain of renal cavity system by stent (comparative group 1), and percutaneous nephrolithotripsy, performed after nephrostomy (comparative group 2). Retroperitoneoscopic lithotomy was performed on the first day apply in the hospital. Lithotripsy were performed after treatment the attack of acute pyelonephrit. All patients of 3 groups were with hyperthermia, pain, inflammatory symptoms in analysis of urine, blood. By bacteriologica investigation of urine Escherichia coli, Enterococcus faecalis, Klebsiella were determined in all groups. All stones were R-positive. Retroperitoneoscopic method is more effective and safety in the treatment of patients with acute obstructive calculous pyelonephrit. The stone is removed completely, there are not residual fragments and risk of development bacteriotoxic shock, medical load and time of working disability are less than in comparative groups.

уролитиаз, обструктивный, калькулезный пиелонефрит, ретроперитонеоскпопическая литотомия, перкутанная нефролитотрипсия, контактная уретеролитотрипсия, urolithiasis, obstructive calculous pyelonephritis, retroperitoneoscopic lithotomy, percutaneous nephrolithotripsy, transurethral lithotripsy

1. Аляев Ю.Г., Глыбочко П.В., Пушкарь Д.Ю., Урология. Российские клинические рекомендации. - М.: ГЭОТАР-Медиа, 2016. - 492 с.

2. Перепанова Т.С., Козлов Р.С., Руднов В.А., Синякова Л.А. Антимикробная терапия и профилактика инфекций почек, мочевыводящих путей и мужских половых органов // Федеральные клинические рекомендации. - Москва, 2015. - 50 с.

3. Раджабов У.А., Перепанова Т.С. Метафилактика инфекционных камней почек после перкутанной нефролитотрипсии. // Экспериментальная и клиническая урология. 2015. № 2. 80-83.

4. Вощула В.И., Лыш Е.Я., Станкевич С.И. Инфекция в этиопатогенезе мочекаменной болезни //Медицинские новости. - 2007. - № 11. - С. 113-118.

5. Шадеркина В.А., Болотова Е.В. Мочекаменная болезнь в мире // Дайджест урологии. - 2012. - № 2. - С. 60-64.

6. Раджабов У.А., Перепанова Т.С. Метафилактика инфекционных камней почек после перкутанной нефролитотрипсии. // Экспериментальная и клиническая урология. 2015. № 2. 80-83.

7. Cezarino B.N., Park R., Moscardi P.R., Lopes R.I., Denes F.T., SrougiM. Retroperitoneoscopicpyelolithotomy: a good alternative treatment for renal pelvic calculi in children // Int. Braz. J. Urol. - 2016. - Vol. 42 (6). - P. 1248.

8. Chipde S.S., Agrawal S. Retroperitoneoscopic pyelolithotomy: a minimally invasive alternative for the management of large renal pelvic stone // Int. Braz. J. Urol. - 2014. - Vol. 40 (1). - P. 123-124.