Sometimes a stone may obstruct the urinary collection system, which may be followed by a urinary tract infection and sepsis.
Patient selection: obstructing stone with urinary tract infection and sepsis
Management steps:
(1) Decompress the obstructed collecting system, either by:
(1a) percutaneous drainage
(1b) ureteral stent placement
(2) Treat the urinary tract infection and sepsis, adjusting the initial antibiotic regimen based on the antibiotic susceptibility of the causative organism(s).
(3) Once the infection has been adequately treated then the obstructing stone can be removed.
(4) Once the obstructing stone has been removed then the diverting drains can be removed.
(5) Steps should then be taken to prevent recurrence of future stones.
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