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Related Experiment Videos

[Retrograde percutaneous nephrostomy: a case report].

Kazuyoshi Shigehara1, Yasuhide Kitagawa, Takao Nakashima

  • 1The Department of Urology, Ishikawa Prefectural Central Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|June 15, 2007
PubMed
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Retrograde percutaneous nephrostomy offers a safe and effective alternative for kidney access when antegrade approaches are not feasible. This technique, demonstrated in a pyelonephritis patient, allows precise access for stone removal.

Area of Science:

  • Urology
  • Nephrology
  • Minimally Invasive Surgery

Background:

  • Recurrent acute pyelonephritis necessitates effective renal drainage.
  • Percutaneous nephrostomy is a common urological procedure for kidney access.
  • Patient positioning limitations can preclude standard antegrade percutaneous nephrostomy.

Observation:

  • A 79-year-old female presented with recurrent right acute pyelonephritis, mild hydronephrosis, and renal stones.
  • Antegrade percutaneous nephrostomy was deemed impossible due to the patient's inability to tolerate the prone position.
  • Initial management involved urgent ureteral catheter placement in the lithotomy position.

Findings:

  • Retrograde percutaneous nephrostomy was successfully performed after pyelonephritis resolution.

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  • The procedure provided precise, complication-free access to the desired renal calyx.
  • Subsequent percutaneous nephrolithotomy successfully removed renal stones.

    • Implications:

    • Retrograde percutaneous nephrostomy is a safe and valuable technique for percutaneous renal access.
    • Careful preoperative evaluation is crucial for successful implementation.
    • This method expands treatment options for patients with challenging anatomy or positioning constraints.