ArticleUrology annals
Renal salvage, an achievable goal in patients with emphysematous pyelonephritis: Outcomes of an algorithmic renal preserving strategy.
Article in Urology annals. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Prevalence and Risk Factors of Mortality in Emphysematous Pyelonephritis Patients: A Meta-Analysis.World journal of surgery · 2022Pooled it
- A systematic review and meta-analysis of risk factors and treatment choices in emphysematous pyelonephritis.International urology and nephrology · 2022Pooled it
- Timely diagnosis of emphysematous pyelitis by point-of-care ultrasound in an outpatient setting prevented infection spread: a case report and review of the literature.Journal of medical case reports · 2025Review
- Identifying predictors of in-hospital mortality in patients with emphysematous pyelonephritis: insights from a large retrospective cohort.World journal of urology · 2025Article
- Emphysematous pyelonephritis: eight case reports and literature review.Frontiers in medicine · 2025Article
- Emphysematous Pyelonephritis at 29 Weeks of Gestation: A Case Report and Review of the Literature.Cureus · 2024Article
- A case of emphysematous pyelonephritis in an older man with poorly controlled type 2 diabetes mellitus.CEN case reports · 2024Article
- Emphysematous Urinary Tract Infections in DiabeticsBalkan medical journal · 2024Article
- Comparative study of the bacterial distribution and antimicrobial susceptibility of uropathogens in older and younger patients with urinary stones.BMC geriatrics · 2022Article
- Case report: Bilateral emphysematous pyelonephritis with pneumatosis intestinalis.Urology case reports · 2022Article
- Is there still a role of nephrectomy in management of emphysematous pyelonephritis in today's era?Journal of postgraduate medicineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEmergency nephrectomy has been the time-honored treatment of choice for emphysematous pyelonephritis (EPN), a fatal gas-forming necrotizing infection. Recent years have seen a shift toward nonextirpative approach aimed to achieve higher rates of renal salvage, limiting the indications for nephrectomy to severe grades of the disease. This study aimed at analyzing the role of initial renal preserving measures algorithmically applied across grades of EPN. MATERIALS AND
methodsWe prospectively analyzed the clinical data and outcome of 36 consecutive patients of EPN in 5 years' study period, treated by renal preserving measures, which include aggressive resuscitation, parenteral antibiotics, effective drainage of infected fluid/gas, and relieving the urinary tract obstruction. Huang-Tseng computed tomography-based classification system was used to categorize the patients as well as to employ suitable treatment modality.
resultsThe mean age of the patients was 57.5 ± 12 years with female preponderance (2:1). Diabetes mellitus (97%) was the most common associated factor.
conclusionOur hospital-based algorithmic renal preserving strategy not only improved the survival but also decreased the need for nephrectomy.
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