[Percutaneous nephrostomy in childhood].

Area of Science:

• Pediatric Urology
• Interventional Radiology

Context:

• Percutaneous nephrostomy is a crucial procedure in pediatric urology.
• Managing urinary diversion and urostasis in children presents unique challenges.
• Established techniques require careful consideration for optimal outcomes.

Purpose:

• To analyze the indications, technique, complications, and results of percutaneous nephrostomy in pediatric patients.
• To evaluate a modified cannulation technique combining echography and X-ray.
• To determine the efficacy and safety of percutaneous nephrostomy as a primary treatment option.

Summary:

• This study reviewed 18 pediatric cases of percutaneous nephrostomy (7 bilateral).
• An adapted echographic and X-ray guided cannulation method was employed.
• Analysis focused on operative indications, technique, postoperative complications, and outcomes, highlighting method advantages.

Impact:

• Percutaneous nephrostomy is a valuable first-line option for temporary or permanent urinary diversion in children.
• The modified technique offers potential advantages in safety and efficacy.
• This approach can effectively manage emergency urostasis and supravesical diversion requirements.