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Percutaneous nephrostomy using hospital modified catheters for cost containment
East African Medical Journal
|June 1, 1995
Summary
Self-fabricated percutaneous nephrostomy (PCN) catheters offer a cost-effective alternative. This approach achieves comparable success rates and low complication rates, making it ideal for resource-limited settings.
Area of Science:
- Urology
- Medical Devices
- Health Economics
Background:
- Percutaneous nephrostomy (PCN) is a common urological procedure.
- Commercially available PCN sets can be expensive, limiting access in certain regions.
- There is a need for cost-effective alternatives in healthcare settings with limited resources.
Purpose of the Study:
- To evaluate the feasibility and outcomes of using self-fabricated PCN catheters.
- To compare the cost-effectiveness of self-fabricated versus commercially available PCN sets.
- To assess the safety and efficacy of this modified approach.
Main Methods:
- 175 PCN procedures were performed on 152 patients using self-fabricated catheters made from polyethylene material.
- Simple tools were employed for catheter insertion.
- Outcomes including success rate and complication rates were recorded and analyzed.
Main Results:
- A high success rate of 96% was achieved.
- Major and minor complication rates were reported at 2.3% and 6.3%, respectively.
- The variable cost was less than one-third of using commercial sets.
Conclusions:
- Self-fabricated PCN catheters provide a viable, cost-effective solution for performing nephrostomy.
- This method yields outcomes comparable to standard procedures.
- It is particularly beneficial for developing countries and resource-scarce environments.