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Functional: Urinary Fistulae
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==== Management ==== * '''Depends on the cause of the fistula and the associated clinical manifestations''' ** '''Patients with severe hemorrhage on removal of the nephrostomy tube can be temporized in some instances by replacing the tube, or, in large mature tracts, by placing a Foley catheter to tamponade the bleeding.''' ** '''In patients with ongoing bleeding, transcatheter angiographic embolization of the lacerated vessel is recommended.''' ** '''β70% of fistulae occurring after needle biopsy of the kidney close spontaneously within 18 months, thus, expectant management is an appropriate first step''' ** '''Fistulae due to renal cell carcinoma warrant nephrectomy'''
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