Nephrostomy
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Nephrostomy is a common urologic or interventional radiology procedure in which a tube/catheter is introduced into the kidneyrenal collecting system (usually the renal pelvis).
Nephrostomies can either be
- "open" nephrostomy: after a urological surgical procedure, such as a UPJ stone removal
- these tend to be larger caliber catheters and the open approach is less common now for initial access to the collecting system
-
percutaneous nephrostomy: performed with a needle
over a wire-over-wire (Seldinger technique) using under ultrasound or fluoroscopic guidance
They can be used to relieve pressure in a hydronephrotic kidney, drain purulent material in pyonephrosis, or obtain access/reaccess for upper tract stone removal.
Radiographic features
The upper collecting system can be fluoroscopy by introducing water soluble contrast through the nephrostomy catheter (nephrostogram / antegrade pyelogram). This can be useful to determine tube position or assess for residual stones in the upper collecting system.
Complications
- catheter dislodgement or kinking
- catheter obstruction (clot, purulent material, stone)
History and etymology
"Nephrostomy" is a combination of "nephros" (kidney) and "stoma" (mouth), i.e. an opening into the kidney.
-<p><strong>Nephrostomy </strong>is a common urologic or interventional radiology procedure in which a tube/catheter is introduced into the kidney collecting system (usually the renal pelvis).</p><p>Nephrostomies can either be</p><ul>- +<p><strong>Nephrostomy </strong>is a common urologic or interventional radiology procedure in which a tube/catheter is introduced into the renal collecting system (usually the <a title="renal pelvis" href="/articles/renal-pelvis">renal pelvis</a>).</p><p>Nephrostomies can either be</p><ul>
-<a href="/articles/percutaneous-nephrostomy">percutaneous nephrostomy</a>: performed with a needle over a wire using under ultrasound or fluoroscopic guidance</li>- +<a href="/articles/percutaneous-nephrostomy">percutaneous nephrostomy</a>: performed with a needle-over-wire (<a title="Seldinger technique" href="/articles/seldinger-technique">Seldinger technique</a>) using under ultrasound or fluoroscopic guidance</li>
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