Percutaneous nephrostomy in infants and children

Area of Science:

• Pediatric Urology
• Interventional Radiology
• Nephrology

Background:

• Ureteric obstruction is a common cause of renal dysfunction in children.
• Percutaneous nephrostomy provides essential urinary drainage.
• Indications for drainage include infection and renal failure.

Purpose of the Study:

• To evaluate the efficacy and safety of percutaneous nephrostomy in pediatric patients.
• To assess the indications and outcomes of the procedure in children.

Main Methods:

• Sonographically guided antegrade examination using a 22-gauge needle.
• Posterolateral approach for pigtail catheter placement (6 or 8.3 French).
• Catheter insertion over a guide wire via an 18-gauge needle.

Main Results:

• Successful catheter placement in all 28 pediatric patients.
• 15 children required no further procedures post-catheterization.
• Complications were infrequent and generally minor.

Conclusions:

• Percutaneous nephrostomy is a highly successful intervention for pediatric ureteric obstruction.
• The procedure demonstrates a favorable safety profile with minimal complications in children.
• It effectively manages urinary drainage, preventing further renal compromise.