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Ultrasonically guided percutaneous nephrostomy.

O S Nielsen1, E Grossmann

  • 1Department of Urology, Bispebjerg Hospital, Denmark.

Scandinavian Journal of Urology and Nephrology
|January 1, 1990
PubMed
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Ultrasonically guided percutaneous nephrostomy achieved over 90% success in 98 patients. While complications occurred, this nephrostomy procedure offers benefits for specific palliative cases.

Area of Science:

  • Urology
  • Interventional Radiology

Background:

  • Percutaneous nephrostomy is a common procedure for urinary tract obstruction.
  • Ultrasonic guidance offers real-time visualization during nephrostomy placement.

Purpose of the Study:

  • To evaluate the success rate and complication profile of ultrasonically guided percutaneous nephrostomy.
  • To identify patient categories benefiting from palliative nephrostomy.

Main Methods:

  • Retrospective analysis of 128 percutaneous nephrostomies in 98 patients.
  • Utilized ultrasound for guidance during all procedures.
  • Monitored catheter dwell times, complications, and outcomes.

Main Results:

  • Success rate exceeded 90%.

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  • Median catheter duration was 13 days; 26% required replacement due to displacement.
  • Major complications included gallbladder perforation and hemorrhage necessitating nephrectomy. Sepsis occurred in two patients.

    • Conclusions:

    • Ultrasonically guided percutaneous nephrostomy is a highly successful procedure.
    • Careful patient selection is crucial, particularly for palliative indications like untreated prostatic carcinoma and ureteral tumors.