OBJECTIVES: To present treatments for kidney preservation in the management of @entity2885 ( @entity2885 ), and to evaluate the functional outcome of preserved kidneys during the follow-up. @entity1 AND METHODS: The computerized files of @entity1 with @entity2885 from 2000 to 2010 were reviewed. After initial resuscitation, ultrasonography-guided percutaneous tubes were placed for drainage of infected fluid and gas. A radio-isotopic renal scan was done after stabilization of the @entity1 ' condition. Preservation of the affected kidney was attempted when the differential function was >10%. A renal isotopic scan was taken during the follow-up to evaluate renographic changes in preserved kidneys. RESULTS: The study included 33 kidneys in 30 consecutive @entity1 (mean age 51.7  years, SD 10.9). Kidney preservation was applicable for 23 kidneys (20 @entity1 ). Preservation methods included percutaneous nephrostomy for 12, percutaneous tube drain for two and conservative treatment for nine kidneys (six @entity1 ). Nephrectomy was performed for 10 kidneys (emergency in three and delayed in seven). The frequency of post-treatment @entity326 after kidney preservation (10%) was significantly lower than after nephrectomy (20%, P  =  0.005). The overall mortality rate was 7% (two @entity1 ). The follow-up was completed for 13 @entity1 with 15 preserved kidneys for a mean duration of 21  months. During the follow-up, differential renographic clearance of the affected kidney was stable in 13 of 15 while two kidneys showed improvement. CONCLUSIONS: Kidney preservation should be the primary goal in the treatment of @entity2885 when the differential renal clearance is >10%. It was associated with fewer complications than nephrectomy and the follow-up showed a favourable functional outcome of the preserved kidneys.

Kidney preservation protocol for management of XXXX : Treatment modalities and follow-up.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity2885 :: ('MESH:D011704', 'Disease') :: ['EPN', 'emphysematous pyelonephritis'] @entity326 :: ('MESH:D012772', 'Disease') :: ['septic shock']
@entity2885 :: (MESH:D011704,Disease) :: ['emphysematous pyelonephritis']
