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Year : 2003  |  Volume : 20  |  Issue : 1  |  Page : 50-53

Endourological interventions in the diagnosis and management of upper urinary tract fungal infections - our experience

1 Department of Urology, Kasturba Medical College, Manipal, India
2 Department of Pathology, Kasturba Medical College, Manipal, India

Correspondence Address:
S Joseph Philipraj
Department of Urology, KMC, Manipal - 576 119
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Source of Support: None, Conflict of Interest: None

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Objectives: We have analyzed the incidence and man­agement options of upper urinary tract obstructions caused by fungal infections during January 2000-December 2001. Methods: Four patients with upper urinary tract fun­gal infections underwent endourological interventions and received antifungal therapy. Results: All 4 patients underwent double J stenting, of which one patient underwent bilateral stenting. Percuta­neous nephrostomv to irrigate was done in one patient in whom the filling defect caused by the fiungal ball persisted even after 4 weeks of oral antifungal therapy. Nephroureterectomy was done in 1 patient as the renal function did not recover even after 4 weeks of appropriate therapy. Three patients had good recovery of renal func­tion. Conclusions: Endourological interventions help in re­lieving and treating obstructions caused by fungal infec­tions.

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