{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T23:03:35Z","timestamp":1784070215157,"version":"3.55.0"},"reference-count":21,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2015]]},"abstract":"<b><i>Introduction:<\/i><\/b> To evaluate therapeutic results till 5 years after therapy of obstructive pyelonephritis (OPN) emphasizing regular follow-up. <b><i>Material and Methods:<\/i><\/b> During 5 years, 57 patients with OPN were treated. The patients' charts were reviewed retrospectively for clinical data. These were completed by a questionnaire. <b><i>Results:<\/i><\/b> In the group of 57 patients (average age 56 years), about two third were women. Urolithiasis (65%) and tumors (21%) were the main causes of obstruction; fever (91%) and loin pain (86%) the main symptoms. Three fourth of the patients showed renal insufficiency and nearly 50% anemia. <i>E. coli<\/i> and <i>Proteus<\/i> spp. were the dominating organisms. Sonography detected obstruction in 93% cases. In one third of cases, CT scan was added; 81% percutaneous nephrostomy and 19% ureteral stenting were the initial methods of urinary drainage. During therapy, 23% nephrectomies (19% complete, 4% partial) were performed. Long-term follow-up showed 11% recurrent OPN and 33% recurrent UTI. <b><i>Conclusions:<\/i><\/b> After diagnosis of OPN, primary nephrostomy or ureteral stenting and antibiotic therapy are the first measures. If recurrent urinary tract infections or OPN occur, long-term follow-up and low-dose antibiotic prophylaxis may be discussed.<\/jats:p>","DOI":"10.1159\/000368051","type":"journal-article","created":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T07:22:04Z","timestamp":1423034524000},"page":"436-441","source":"Crossref","is-referenced-by-count":16,"title":["Long-Term Results after Acute Therapy of Obstructive Pyelonephritis"],"prefix":"10.1159","volume":"94","author":[{"given":"Winfried","family":"Vahlensieck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Friess","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Fabry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2698-5058","authenticated-orcid":false,"given":"Raphaela","family":"Waidelich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bschleipfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2015,2,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1148\/50.5.632"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-007-0591-3"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-013-1166-4"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-003-2050-1"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.171.3.2655002"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-013-1140-1"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/BF00255937"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2012.03.010"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60178-0"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.07.009"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-005-0002-x"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1159\/000360741"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159\/000358493"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1086\/657071"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2000.00578.x"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1159\/000353798"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199810000-00013"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0361"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.09.088"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1326932"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-011-0725-9"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/368051","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/368051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:45:30Z","timestamp":1745430330000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000368051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2015,5,1]]},"published-print":{"date-parts":[[2015,6,2]]}},"URL":"https:\/\/doi.org\/10.1159\/000368051","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}