Percutaneous Nephrostomy

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Percutaneous Nephrostomy A kidney or a ureter (tube leading from the kidney to the bladder) can become blocked. This may be due to kidney stones, tumors, or other causes. The blockage can cause a backup of urine in the kidney. Percutaneous nephrostomy is a procedure that drains the urine from the kidney to prevent pain, infection, and kidney damage. The procedure is done by a specially trained doctor called an interventional radiologist. During the Procedure • You change into a hospital gown. • An IV (intravenous) line is put into your hand or arm to give you fluids and medications. You will then lie on your stomach on an x-ray table. You may be given medication to help you relax and make you feel sleepy. • The skin on your lower back is numbed with an injection of local anesthetic. • Using ultrasound or x-ray images as a guide, the radiologist inserts a needle through your lower back into your kidney. Contrast medium (x-ray dye) may be injected through this needle into the kidney. This fluid makes the kidney easier to see on x-ray images. The x- ray images can show exactly where the kidney or ureter is blocked. • The needle is then replaced with a drainage catheter (thin tube). The catheter is attached to a drainage bag, which collects the urine that drains from the kidney. • The entire procedure takes about 1 to 2 hours. After the Procedure The catheter will stay in place until the problem that caused the buildup of urine is treated. This may be as little as a day or as long as weeks to months. The bag is taped to your leg so you can walk around. During the time the catheter is in place: • Keep the skin around the catheter clean and dry. • Be careful not to move or dislodge the catheter. Make sure that the drainage bag is taped securely to your leg. • Empty the drainage bag often. This keeps the weight of the bag from pulling on the catheter. Call your doctor if the urine becomes cloudy or smells bad. .

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Percutaneous Nephrostomy and Sclerotherapy with 96% Ethanol for the Treatment of Simple Renal Cysts: Pilot Study Mustafa Kadıhasanoğlu1, Mete Kilciler2, Özcan Atahan3
İstanbul Med J 2016; 17: 20-3 Original Article DOI: 10.5152/imj.2016.20981 Percutaneous Nephrostomy and Sclerotherapy with 96% Ethanol for the Treatment of Simple Renal Cysts: Pilot Study Mustafa Kadıhasanoğlu1, Mete Kilciler2, Özcan Atahan3 Introduction: The objectives of this study was to evaluate the safety and efficacy of aspiration with percutaneous nephrostomy tube and sclerotherapy with 96% ethanol for simple renal cyst. Methods: Between 2011-2014, 34 patients with symptomatic renal cysts were included in the study. Mean age was 52.3±4.6 years (range, 39-72 years). The Abstract patients had only flank pain. Procedure was performed with ultrasound guidance and under fluoroscopic control. After puncture with 18 G angiography needle, guide-wire was advanced to the collecting system. An 14Fr nephrostomy catheter was then advanced over the guide wire. After taking cystography 96% ethyl alcohol was injected into the cyst and drained amount 10%. We continued daily to inject same amount of alcohol postoperatively until the drainage was less than 50 mL. 6th months and yearly follow-up were performed with ultrasound.. Results: Percutaneous access was achieved in all patients. Cysts were unilateral, single and with a mean diameter 9.1±3.2 cm (range, 7-16 cm). Median drained volume was 212 mL (200-1600 mL) and median the injected ethanol volume was 54 mL (20- 160 mL). Radiological improvement at the end of the 6th month was amount 94.1% and 91.1% at the end of the 1st year while 83.3% of patients had symptomatic decline. There was no major complication after the procedure.
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Marmara Medical Journal Volume 3 No 4 October 1990 PERCUTANEOUS NEPHROSTOMY AND ANTEGRADE PYELOGRAPHY MAkinci, MD.** / A.Kadioglu, M.D.* * * * / I.Nane, M.D.* * * / COzsoy. M.D.* / A.R.Ersay MD.* * * * * Professor, Department o f Urology, Istanbul Medical Faculty, University o f Istanbul, Istanbul, Turkey. ** Associate Professor, Department o f Urology, Istanbul Medical Faculty, University o f Istanbul, Istanbul, Turkey *** Specialist, Department o f Urology, Istanbul Medical Faculty, University o f Istanbul, Istanbul, Turkey **** Research Assistant, Department o f Urology, Istanbul Medical Faculty, University o f Istanbul, Istanbul, Turkey SUMMARY Between October 1986 and January 1989, 66 per cases in our clinic. The ages o f the patients varied cutaneous nephrostomy (PCN) were performed in 47 from 4 to 43 years and 9 patients were in the pediatric patients in our clinic. Nine cases were children and group The indications for PCN in our series are shown the remainder were adults. Seven of nine children had in table I. bilateral vesico-ureteric reflux and the other two cases had idiopathic megaureter 19 of our adult patients had Basic haematologic parameters were obtained in all bladder tumor, nine patients had cervix ca. three cases patients before the procedure. W e used antibiotic pro had carcinoma of the prostate, two cases had tuber phylaxis routinely in our patients. Ultrasonic scann culosis pyenephrose, two patients had stone-way, ing was used to localise renal pelvis, the appropriate three cases had lymphoma and another two cases caliyx for nephrostomy tract and to measure the tumor of the ureter. Local anesthesia was used in all distance from skin to renal pelvis and caliyx.
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Obstruction of the Urinary Tract 2567
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