eMedicine Specialties > Urology > Infections and Related Inflammatory Conditions

Xanthogranulomatous Pyelonephritis: Follow-up

Author: Joe D Mobley III, MD, MPH, Resident Physician, Department of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine/University of Tennessee Medical Center
Coauthor(s): Scott Rutchik, MD, Assistant Professor, Department of Surgery, Division of Urology, University of Connecticut School of Medicine
Contributor Information and Disclosures

Updated: Jun 11, 2008

Outcome and Prognosis

The overall prognosis for xanthogranulomatous pyelonephritis (XGP) is good. Death from this entity is exceedingly rare, although morbidity is substantial.

Future and Controversies

  • Nephron-sparing surgery will continue to be explored, provided that viable renal parenchyma is demonstrated.
  • Now that laparoscopic nephrectomy is the criterion standard in many regions, this approach can be entertained depending on the individual surgeon's skill level.
  • Further investigation is necessary to determine the underlying pathophysiologic mechanism responsible for the formation of xanthogranulomatous pyelonephritis (XGP).
 


More on Xanthogranulomatous Pyelonephritis

Overview: Xanthogranulomatous Pyelonephritis
Workup: Xanthogranulomatous Pyelonephritis
Treatment: Xanthogranulomatous Pyelonephritis
Follow-up: Xanthogranulomatous Pyelonephritis
Multimedia: Xanthogranulomatous Pyelonephritis
References
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References

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Further Reading

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Keywords

xanthogranulomatous pyelonephritis, XGP, infectious renal phlegmon, long-term renal obstruction, renal cell carcinoma, nephrectomy, pyelocutaneous fistulae, ureterocutaneous fistulae, pyeloenteric fistulae

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Contributor Information and Disclosures

Author

Joe D Mobley III, MD, MPH, Resident Physician, Department of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine/University of Tennessee Medical Center
Joe D Mobley III, MD, MPH is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, Endourological Society, and Tennessee Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Scott Rutchik, MD, Assistant Professor, Department of Surgery, Division of Urology, University of Connecticut School of Medicine
Scott Rutchik, MD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Medical Editor

Gamal Mostafa Ghoniem, MD, FACS, Fellowship Program Director, Clinical Professor of Surgery, Head, Section of Voiding Dysfunction, Female Urology and Reconstruction, Cleveland Clinic Florida
Gamal Mostafa Ghoniem, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Society for Urology and Engineering, and Society of University Urologists
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf, Jr, MD, FACS, David A Bloom Professor of Urology, Director, Division of Minimally Invasive Urology, Department of Urology, University of Michigan Medical Center
J Stuart Wolf, Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, and Society of University Urologists
Disclosure: Terumo Corporation Consulting fee Consulting; Omeros Corporation Consulting fee Consulting

Chief Editor

Bradley Fields Schwartz, DO, FACS, Associate Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine
Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Association of Military Osteopathic Physicians and Surgeons, Endourological Society, Society of Laparoendoscopic Surgeons, and Society of University Urologists
Disclosure: Nothing to disclose.

 
 
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