Renal papillary necrosis (RPN) is an under-recognised
complication of acute pyelonephritis (APN), especially in high-risk populations
like diabetics. This chapter explores the vascular and infectious
pathophysiology underlying RPN, describes its classic and atypical
presentations, and highlights the emerging role of relook flexible
ureterorenoscopy (F-RURS) in identifying and removing necrosed papillae. Recent
case reports and small series suggest that timely endoscopic removal of
necrotic debris reduces recurrence and improves renal outcomes. This chapter aims
to equip clinicians with a structured approach to suspect, investigate, and
intervene upon RPN in the APN setting.
Author(s) Details
Suryaram Aravind
Department of Urology, Sri Ramachandra Institute of Higher Education and
Research, Chennai, India.
Punith Jain
Department of Urology, Sri Ramachandra Institute of Higher Education and
Research, Chennai, India.
Hariharasudhan Sekar
Department of Urology, Sri Ramachandra Institute of Higher Education and
Research, Chennai, India.
Velmurugan
Palaniyandi
Department of Urology, Sri Ramachandra Institute of Higher Education and
Research, Chennai, India.
Vivek Meyyappan
Department of Urology, Sri Ramachandra Institute of Higher Education and
Research, Chennai, India.
Sriram Krishnamoorthy
Department of Urology, Sri Ramachandra Institute of Higher Education and
Research, Chennai, India.
Please see the book here :- https://doi.org/10.9734/bpi/mono/978-93-47485-68-8/CH8
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