Related Experiment Video

Updated: Jun 7, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
03:19

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Nephro-urology interventions in children

Alex M Barnacle1, Derek J Roebuck, John M Racadio

  • 1Department of Radiology, Great Ormond Street Hospital, London, UK. barnaa@gosh.nhs.uk

Techniques in Vascular and Interventional Radiology
|November 9, 2010
PubMed

Insights

Pediatric nephro-urological interventions, including renal biopsy and nephrostomy, are safe and effective. These adult-developed techniques, with pediatric adaptations, expand interventional radiology

Area of Science:

  • Pediatric Interventional Radiology
  • Pediatric Urology
  • Nephro-urology

Background:

  • Nephro-urological interventions developed for adults are transferable to pediatric practice.
  • Interventional radiology plays an increasing role in pediatric renal tract pathology, including oncology and urolithiasis.
  • Existing evidence suggests these procedures are safe and effective in children.

Purpose of the Study:

  • To review indications, techniques, aftercare, and complications of key pediatric nephro-urological interventions.
  • To highlight pediatric-specific considerations for minimizing risk and maximizing technical success.
  • To encourage the wider adoption of these procedures in pediatric care.

Main Methods:

  • Review of indications, techniques, aftercare, and complications for renal biopsy, nephrostomy insertion, percutaneous nephrolithotomy, and ureteric stent insertion.
  • Emphasis on pediatric adaptations and 'tips and tricks' for safe and effective application.
  • Discussion of the collaborative role between pediatric urology and interventional radiology.

Main Results:

  • Renal biopsy and nephrostomy insertion are commonly performed in pediatric centers.
  • Percutaneous nephrolithotomy is complex, often requiring joint urology and interventional radiology expertise.
  • Pediatric-specific techniques enhance safety and success rates for these interventions.

Conclusions:

  • Nephro-urological interventions are safe and effective in the pediatric population.
  • Pediatric adaptations are crucial for optimizing outcomes and minimizing risks.
  • Continued use and development of these minimally invasive techniques are encouraged.

More Related Videos

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

An Immature Murine Model of Reversible Unilateral Ureteral Obstruction06:37

An Immature Murine Model of Reversible Unilateral Ureteral Obstruction

Published on: April 4, 2025

Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...