Nephrostomy with coaxial balloon occlusion of the ureters for the treatment of a patient with multiple post-radiation vesicovaginal and vesicorectal fistulas


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Abstract

Post-radiation fistulas are one of the most severe complications of radiotherapy performed for pelvic malignant tumours. A method of coaxial nephrostomy with a putting an occlusive balloon has been proposed for palliative treatment, preparation to surgical treatment or improving the quality of life of patients with contraindications for surgical procedures. A clinical case of a patient with multiple post-radiation vesicovaginal and vesicorectal fistulas who was successfully treated using the proposed method, is presented in the article.

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About the authors

N. V Zaytsev

Central State Medical Academy of Management Department of the President of Russian Federation; Center of urology of Federal State Budgetary Institution «Clinical Hospital» of Management Depаrtment of the President of Russian Federation

Email: endourolog@yandex.ru
PhD in Medical Sciences, Head of the 2nd urological unit Moscow, Russia

D. V Sachkov

Central State Medical Academy of Management Department of the President of Russian Federation; Center of urology of Federal State Budgetary Institution «Clinical Hospital» of Management Depаrtment of the President of Russian Federation

Email: denissachkov@yandex.ru
Urologist of the 2nd urological unit Moscow, Russia

V. S Petov

Central State Medical Academy of Management Department of the President of Russian Federation; Center of urology of Federal State Budgetary Institution «Clinical Hospital» of Management Depаrtment of the President of Russian Federation

Email: pettow@mail.ru
Resident of Department Moscow, Russia

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