Urethral Trauma/Benign Obstruction/Urine Leakage
Urethral trauma can be caused by externally-induced injuries such as motor vehicular accidents or accidental trauma or can occur as a result of urethral catheterization. When significant urethral trauma occurs, urine leakage can develop and may result in life-threatening side effects. Catheterization of the urethra (tube responsible for allowing urine to pass from the body) is often recommended to allow the urethra to heal. Depending on the nature of the trauma, catheterization may not be possible by traditional means. Catheterization can be performed with image-guidance and can allow for bypass of the urethra. If catheterization is not possible, a tube can be placed percutaneously (through the skin) into the bladder to allow for stabilization and temporary drainage of urine.
Benign or Malignant Effusions
Fluid can accumulate in the chest and abdominal cavities for a myriad of reasons. Drainage of that fluid is often necessary and this can now be performed minimally-invasively and percutaneously (through the skin) through the use of image-guidance. Additionally, long-term drains can often be placed as well in a similar fashion. A similar procedure can also be performed for air accumulation in the chest.
Chyle is a fluid that is normally generated in the body and returned via a system of ducts to the blood system. When chyle is inappropriately processed in the body and begins to leak into the chest, the disease is known as chylothorax. Chylothorax is an uncommon disease process and generally the cause is unknown. There are several surgical options that can be conisdered in the treatment of chylothorax, although outcomes can be variable. If the traditional surgical options are not elected or not successful, alternative options such as the injection of a medical glue into the major chyle duct (thoracic duct) is possible.