Obstructive renal failure in bilharziasis

Abstract

The management is considered of 10 patients who presented in advanced uraemia due to ureteric strictures consequent upon schistosomal infestation, 4 of whom recovered. In view of the length of ureter involved in the disease process it is highly probable that definitive by-pass of the obstruction will require a replacement procedure, such as an ileal loop. It seems likely that improved survival rates will be obtained where energetic measures are pursued aimed at the support of the patient and early relief of the obstruction, even if this can only be performed under local anaesthesia owing to the condition of the patient.