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Pediatric Percutaneous Nephrostomy: A Multicenter Experience.

Sphoorti Shellikeri1, Robert Daulton2, Madeleine Sertic3

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Pediatric percutaneous nephrostomy (PCN) is a safe and effective procedure for children of all ages, with a 99% technical success rate and minimal major complications. This study highlights the importance of tailored management for young patients undergoing PCN.

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Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Interventional Radiology

Background:

  • Percutaneous nephrostomy (PCN) is a crucial intervention for pediatric urinary tract conditions.
  • Understanding the safety and efficacy of PCN in diverse pediatric age groups is essential.
  • Large-scale data on pediatric PCN outcomes are needed to guide clinical practice.

Purpose of the Study:

  • To analyze the technique, outcomes, and complications of pediatric percutaneous nephrostomy (PCN) procedures.
  • To evaluate the safety and success rates of PCN in a large cohort of children.
  • To identify specific challenges and management strategies for pediatric PCN.

Main Methods:

  • Retrospective multicenter study of 675 PCN procedures in 441 pediatric patients over 11 years.
  • Data collected on patient demographics, indications, procedural details, and outcomes.
  • Analysis of technical success, complication rates, and follow-up management.

Main Results:

  • 99% technical success rate (668/668 procedures).
  • Low complication rate: 4.5% periprocedural complications (1 major, 29 minor).
  • Common indications included hydronephrosis (57%) and calculus (14%); 31% of patients were under 1 year old.

Conclusions:

  • Pediatric percutaneous nephrostomy (PCN) is a safe and highly successful procedure across all pediatric age groups.
  • PCN in children presents unique technical challenges requiring tailored management for optimal outcomes.
  • The study confirms a low rate of major complications, supporting PCN as a viable option for pediatric patients.