Nephroscopy in chronic unilateral XXXX .

@entity1 @entity548 @entity2695 @entity5 @entity811
Thirteen @entity1 underwent renal exploration with nephroscopy to localize and to treat chronic unilateral gross @entity811 . Recurrent episodes of clot colic were noted in 6 @entity1 , 1 required multiple transfusions and persistent fears of @entity5 or problems with insurability prompted several @entity1 to seek referral. All @entity1 had undergone @entity548 studies, urine culture, cytology, excretory urograms, retrograde pyelograms and selective renal angiography. These studies either were normal or failed to identify the @entity548 source. Nephroscopy was recommended after failure of conservative treatments. At operative nephroscopy, done after preliminary cytoscopy to confirm active @entity548 , the @entity548 sites were identified in all our @entity1 . Discrete @entity2695 were found in 5 @entity1 and the @entity548 could be localized to 1 calix in 7 others. Of our @entity1 12 underwent partial nephrectomy and 1 had a nephrectomy. To date there has been no recurrence of @entity548 in any of these @entity1 . Despite careful histological examination microscopic @entity2695 could be found in only 6 of our specimens. Chronic gross @entity811 can be disabling physically and emotionally. In most, if not all, such cases judicious renal exploration with nephroscopy is warranted and cure can be expected with conservative partial nephrectomy.
