Urinoma

An encapsulated accumulation of URINE in the retroperitoneal area. It has the appearance of a cyst (CYSTS). Urinoma is usually caused by URETERAL OBSTRUCTION, renal trauma or perforation of the renal collecting system.

Also Known As:

Networked: 240 relevant articles (6 outcomes, 6 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Fistula
2.	Ascites
3.	Solitary Kidney
4.	Hematoma
5.	Wounds and Injuries (Trauma)

Experts

1.	Shin, Ji Hoon: 2 articles (01/2021 - 12/2019)
2.	Cannon, Glenn M: 2 articles (08/2014 - 04/2008)
3.	Smaldone, Marc C: 2 articles (02/2010 - 04/2008)
4.	Hoznek, Andras: 2 articles (12/2008 - 04/2006)
5.	Salomon, Laurent: 2 articles (12/2008 - 04/2006)
6.	Vordos, Dimitri: 2 articles (12/2008 - 04/2006)
7.	de la Taille, Alexandre: 2 articles (12/2008 - 04/2006)
8.	Farhat, Walid A: 2 articles (10/2008 - 10/2005)
9.	Farhat, W: 2 articles (04/2003 - 09/2000)
10.	Abbou, C C: 2 articles (12/2001 - 05/2000)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Urinoma:

1.	CreatinineIBA 10/01/2008 - "Creatinine decreased similarly in patients with and without urinoma after the obstruction was relieved. " 02/01/2010 - "This population-based study of PUV boys demonstrates that urinomas reduce nadir creatinine and significantly protect long-term global renal function." 02/01/2021 - "Urinoma was confirmed by fluid biochemical analysis, which demonstrated that fluid creatinine was markedly raised as compared to the serum creatinine. " 01/01/2020 - "Follow-up imaging demonstrated resolution of the urinomas with stabilization of creatinine. " 07/01/2018 - "Elevated serum creatinine levels are a common finding in patients with urinoma (i.e. "
2.	Fibrin Tissue Adhesive (Fibrin Sealant)IBA 01/01/2020 - "Percutaneous application of fibrin sealant may be considered as an alternative treatment for recalcitrant urinomas prior to surgical intervention, though more studies are required to confirm its effectiveness and safety." 09/01/2000 - "Of the 7 chronic fibrin glue group 4 animals had urinomas and 2 had unobstructed pressure flow studies. " 01/01/2020 - "Percutaneous application of fibrin sealant in surgically recalcitrant urinomas following oncocytoma resection." 01/01/2008 - "A urinoma caused by a urinary fistula emerged 6 months after the trauma and was treated by percutaneous drainage, ureteral stenting, and percutaneous occlusion with fibrin sealant. "
3.	Pentetic Acid (DTPA)FDA LinkGeneric 07/01/1990 - "Technetium-99m DTPA renal transplant imaging in the diagnosis of urinoma." 10/01/1989 - "Technetium-99m DTPA renal transplant imaging in the diagnosis of urinoma." 12/01/1986 - "A renopleural fistula was detected on a Tc-99m DTPA renal study during evaluation for possible post-traumatic urinoma." 05/01/2015 - "Comparing the two techniques of pyeloplasty with or without internal drainage, there was no significant difference between groups regarding extravasation and anastomosis complications, such as leakage, stenosis, urinoma formation or evidence of obstruction on postoperative IVP or DTPA scan. "
4.	Contrast MediaIBA 11/01/2019 - "An abdominopelvic CT scan was carried out and revealed a flow of contrast agent at the left ureteral lumbar level and a left urinoma. " 11/01/1997 - "A distinctive pattern of contrast material extravasation at CT termed "circumrenal urinoma" was present in five patients and was found to be specific for UPJ injury. " 03/01/2009 - "Determination of renal neoplasms, hematoma, infarct, urinoma, cysts, and pyelonephritis may require contrast material administration following unenhanced CT in patients with flank pain. "
5.	Anti-Bacterial Agents (Antibiotics)IBA 01/01/2004 - "Antibiotic therapy was performed successfully and we then examined the cause of the urinoma. " 11/01/2023 - "The patient received antibiotic therapy and percutaneous drainage catheters were placed in the rectus and pelvis, resolving the urinoma. " 04/01/2007 - "prolonged acute tubular necrosis/chronic renal insufficiency and urinary leakage/urinoma, but two patients had urosepsis not associated with perirenal fluid collection and that required targeted antibiotic therapy. "
6.	KetorolacIBA 01/01/2018 - "After intravenous ketorolac injection, bilateral perirenal urinoma developed. " 06/01/2006 - "Median hospitalization was 3 days for group 1 and 2 days for group 2. Mean analgesic requirement was 2.3 doses of opioids and 2 doses of ketorolac for group 1, and 3.2 doses of opioids for group 2. Acetaminophen only was used in 3 of 20 patients in group 1 and 5 of 14 in group 2. There were 2 complications in each group, namely 1 case of ureteral bleeding and 1 lower pole ureteral injury in group 1, and 1 omental hernia and 1 urinoma in group 2. Laparoscopic PN is feasible even in small infants, and the results are comparable to the open procedure. "
7.	SteroidsIBA 03/01/2006 - "After steroid therapy under the diagnosis of idiopathic retroperitoneal fibrosis (IRPF), the fibrotic mass reduced in size and the urinoma disappeared. " 04/01/1999 - "Steroid therapy was selected under the diagnosis of idiopathic retroperitoneal fibrosis with subcapsular urinoma of the right kidney. " 04/01/1999 - "[A case of idiopathic retroperitoneal fibrosis with renal subcapsular urinoma resolved by steroid therapy]."
8.	Proteins (Proteins, Gene)FDA Link 03/16/2016 - "959 proteins (28%) in exosome and 1478 proteins (43%) in urinoma were exclusively present in only one group. " 03/16/2016 - "3429 proteins were present, with minimal overlapping among exosome and urinoma. " 07/01/2018 - "Cystatin C, a 13 kDA molecular mass protein ubiquitously expressed by nucleated cells, offers superior accuracy in the setting of an urinoma, since unlike creatinine, it is essentially absent in excreted urine and poorly reabsorbed from the peritoneum and retroperitoneal space. "
9.	GalliumIBA 04/01/1981 - "Gallium accumulation in a urinoma secondary to ureteral trauma." 11/01/1977 - "Its mode of presentation, the recent pyeloplasty and the known biologic distribution of gallium suggested that it represented gallium-67 concentration within a postoperatively created urinoma. "
10.	EnbucrilateIBA 01/01/2021 - "An Amplatzer vascular plug (AVP) was used to block the fistula and N-butyl-2-cyanoacrylate (NBCA) was used to obliterate the urinoma cavity. " 12/01/2019 - "Percutaneous Obliteration of Urinary Leakage after Partial Nephrectomy Using N-Butyl-Cyanoacrylate Obliteration of the Urinoma with or without Coil Embolization of the Fistula Tract."

Therapies and Procedures

1.	Catheters 12/01/2014 - "The urinoma resolved completely after trans-abdominal catheter drainage. " 01/01/2000 - "Delayed presentation of a post-traumatic perirenal urinoma is rare in children, and percutaneous catheter drainage was effective in this case." 11/01/2023 - "We conclude that patients who perform intermittent self-catheterization may be more susceptible to formation of urinomas due to improper catheter usage. " 10/01/2021 - "Thirty-four percent of all ER visits after RP are directly due to urine-related issues, such as retention, urinoma, obstruction, leak, and catheter problems. " 07/01/2016 - "Five of the 7 patients with urinoma were treated with drainage procedures (double-J catheter (JJ) in 3, percutaneous drainage (PD) in 1, followed by JJ catheter placement). "
2.	Nephrotomy 01/01/2008 - "No urinoma or urinary leak from the nephrostomy site occurred in the study group. " 08/01/2023 - "A left nephrostomy was placed and the nephrostography detected a filiform leakage at L5-S1 level in communication with the urinoma. " 07/01/2022 - "A nephrostomy tube was urgently inserted followed by computed tomography urography which revealed a large pelvic urinoma secondary to right ureter injury and bilateral ovarian and renal veins thrombi. " 04/01/2021 - "After optimization of the patient's condition, urinoma drainage and upper urinary tract drainage by bilateral nephrostomy, excision of all necrotic tissues and a biopsy of the bladder lesion was performed. " 03/01/2014 - "A nephrostomy tube was normally inserted to prevent urinoma and to provoke renal haemostasis. "
3.	Stents 01/01/2017 - "He underwent emergent stent placement and improved clinically without drainage of the urinoma. " 08/01/2023 - "The patient underwent laparoscopic urinoma drainage, distal left ureterectomy, and Casati-Boari flap ureterocystoneostomy with ureteral double J stent placement. " 03/01/2023 - "The incidence of complications according to the Clavien-Dindo classification did not differ significantly (p=0.351), however, a JJ stent was placed in two patients from the control group due to impaired urine flow and the development of urinoma. " 01/01/2023 - "The third patient (14-year-old) developed urinoma and underwent percutaneous drainage and DJ stent. " 01/01/2023 - "The second patient (6-year-old) developed urinoma and underwent percutaneous drainage of urinoma and double J stent (DJ) with an uneventful result. "
4.	Urinary Diversion (Ileal Conduit) 07/01/1989 - "Treatment must always include drainage of the urinoma, ureteroraphy, and urinary diversion. " 10/01/2005 - "Two patients (one nephrectomy, one partial nephrectomy) developed retroperitoneal urinomas requiring temporary urinary diversion. " 09/01/2021 - "Early ureteric stenting appears to be an effective method of urinary diversion for management of symptomatic urinomas in patients with anomalous solitary kidney." 02/01/1978 - "A case of an ileal conduit volvulus with a retroperitoneal urinoma 14 years after the initial procedure is reported. " 02/01/1978 - "Volvulus of an ileal conduit with retroperitoneal urinoma in a child: first reported case."
5.	Nephrectomy 04/01/2016 - "Recently, a study in sheep showed that partial nephrectomy without closure of the collecting system resulted in urinary leakage and urinoma. " 01/01/2022 - "We present a case of left heminephrectomy complicated by urinoma secondary to residual tissue in the left moiety. " 06/14/2021 - "Page Kidney From a Subcapsular Urinoma Following Contralateral Radical Nephrectomy." 01/01/2020 - "Objectives: To assess the incidence of postoperative arterial malformation (AM) and urine leak/urinoma (UL) after robotic partial nephrectomy (RPN) in a contemporary series and to evaluate risk factors for these complications. " 01/01/2015 - "After drainage of the urinoma, the patient underwent a definitive lower pole heminephrectomy with preservation of the functional upper pole. "