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Surgery Kidney & Ureturs 4e2cd1a9

A 50 years old female is admitted with abdominal pain and anuria. Radiological studies revealed: bilateral impacted ureteric stones with hydronephrosis. Urine analysis showed RBCs with pus cells in urine. Serum creatinine level was 16 mg/dL and urea level was 200 mmol/L. Which of the following should be the immediate treatment?

A
Hemodialysis
B
'j' stent drainage
C
Lithotripsy
D
Ureteroscopic removal of stones
High-Yield Explanation
Ans. (b) 'j' stent drainage* Prompt drainage of the obstructed urinary system by double) stent is the TOC in patients with renal failure.* Hemodialysis is advised only if the renal recovery is prolonged.

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