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[Experiences with sonographically guided percutaneous nephrostomy].

M Roth

    Zeitschrift Fur Urologie Und Nephrologie
    |March 1, 1986
    PubMed
    Summary
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    Sonographically guided percutaneous nephrostomy is a minimally invasive kidney procedure. This technique offers effective treatment for postrenal anuria and urosepsis, even in patients with poor general health.

    Area of Science:

    • Nephrology
    • Urology
    • Interventional Radiology

    Context:

    • Percutaneous nephrostomy is an established urological procedure.
    • Sonographic guidance offers improved accuracy and safety in nephrostomy placement.
    • Minimally invasive techniques are preferred for patients with compromised health status.

    Purpose:

    • To describe the technique and outcomes of sonographically directed percutaneous nephrostomies.
    • To evaluate the efficacy and safety of this procedure in a patient cohort.
    • To highlight the advantages of specific technical elements, including rigid bouginage and local anesthesia.

    Summary:

    • The study reports on 65 sonographically directed percutaneous nephrostomies in 47 patients.
    • Key technical aspects include a rigid bouginage system, precise local anesthesia, and transparenchymal access to the renal pelvis.

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  • Complications were observed in 4 patients. The procedure successfully treated 10 cases of postrenal anuria and 9 out of 10 patients with urosepsis due to urinary obstruction.

    • Impact:

    • Percutaneous nephrostomy is a low-trauma approach to the renal collecting system.
    • It is a viable and recommended option for patients unable to undergo open surgery due to poor general condition.
    • This minimally invasive technique provides effective management for obstructive uropathy and associated complications.