Percutaneous application of fibrin sealant in surgically recalcitrant urinomas following oncocytoma resection

Diagn Interv Radiol. 2020 Jan;26(1):58-60. doi: 10.5152/dir.2019.19317.

Abstract

Surgical application of fibrin sealant is well established as a hemostatic agent. However, reports of its percutaneous application and its uses within the urinary tract are limited. Presented below are two patients with recalcitrant urinomas despite diversion therapy following partial nephrectomy for oncocytomas. Both patients were successfully treated with percutaneous application of fibrin sealant via a sheath at the time of percutaneous perinephric drain removal. Follow-up imaging demonstrated resolution of the urinomas with stabilization of creatinine. Percutaneous application of fibrin sealant may be considered as an alternative treatment for recalcitrant urinomas prior to surgical intervention, though more studies are required to confirm its effectiveness and safety.

Publication types

  • Case Reports

MeSH terms

  • Adenoma, Oxyphilic / diagnostic imaging
  • Adenoma, Oxyphilic / surgery*
  • Adult
  • Aged
  • Female
  • Fibrin Tissue Adhesive / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Tissue Adhesives / therapeutic use*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Urinary Tract / diagnostic imaging
  • Urinary Tract / surgery
  • Urinoma / diagnostic imaging
  • Urinoma / therapy*
  • Urologic Neoplasms / diagnostic imaging
  • Urologic Neoplasms / surgery*

Substances

  • Fibrin Tissue Adhesive
  • Tissue Adhesives