Arterio-ureteral fistula: a nationwide cross-sectional questionnaire analysis
Lock, Tycho M.T.W.; Kamphorst, Kyara; van den Bergh, Roderick C.N.; Moll, Frans L.; de Vries, Jean Paul P.M.; Lo, Rob T.H.; de Kort, Gérard A.P.; Bruijnen, Rutger C.G.; Dik, Pieter; Horenblas, Simon; de Kort, Laetitia M.O.
(2022) World Journal of Urology, volume 40, issue 3, pp. 831 - 839
(Article)
Abstract
Purpose: Arterio-ureteral fistula (AUF) is an uncommon diagnosis, but potentially lethal. Although the number of reports has increased over the past two decades, the true incidence and contemporary urologists’ experience and approach in clinical practice remains unknown. This research is conducted to provide insight in the incidence of AUF in
... read more
The Netherlands, and the applied diagnostic tests and therapeutic approaches in modern practice. Methods: A nationwide cross-sectional questionnaire analysis was performed by sending a survey to all registered Dutch urologists. Data collection included information on experience with patients with AUF; and their medical history, diagnostics, treatment, and follow-up, and were captured in a standardized template by two independent reviewers. Descriptive statistics were used. Results: Response rate was 62% and 56 AUFs in 53 patients were reported between 2003 and 2018. The estimated incidence of AUF in The Netherlands in this time period is 3.5 AUFs per year. Hematuria was observed in all patients; 9% intermittent microhematuria, and 91% presenting with, or building up to massive hematuria. For the final diagnosis, angiography was the most efficient modality, confirming diagnosis in 58%. Treatment comprised predominantly endovascular intervention. Conclusion: The diagnosis AUF should be considered in patients with persistent intermittent or massive hematuria.
show less
Download/Full Text
Keywords: Arterio-ureteral fistula, Endovascular procedures, Hematuria, Incidence, Stents, Vascular Fistula/diagnosis, Cross-Sectional Studies, Humans, Urinary Fistula/etiology, Hematuria/epidemiology, Stents/adverse effects, Surveys and Questionnaires, Ureteral Diseases/diagnosis, Urology, Journal Article
ISSN: 0724-4983
Publisher: Springer-Verlag
Note: Publisher Copyright: © 2022, The Author(s). © 2022. The Author(s).
(Peer reviewed)