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Percutaneous nephrostomies
E O Kehinde1, C J Newland, T R Terry
1Department of Urology, Leicester General Hospital.
British Journal of Urology
|June 1, 1993
Summary
Percutaneous nephrostomy (PCN) is a safe and effective procedure for urinary diversion in patients with benign or malignant urinary tract obstruction. The decision for PCN in pelvic malignancy should consider the potential for meaningful long-term palliation.
Area of Science:
- Urology
- Nephrology
- Interventional Radiology
Background:
- Urinary tract obstruction is a common clinical problem with both benign and malignant causes.
- Percutaneous nephrostomy (PCN) is a minimally invasive procedure used for urinary diversion.
- Effective management strategies are crucial for patient outcomes.
Purpose of the Study:
- To review the efficacy and safety of percutaneous nephrostomy (PCN).
- To analyze data on etiology, complications, and management of PCN in patients with urinary tract obstruction.
- To evaluate the long-term outcomes of PCN.
Main Methods:
- A retrospective review of 127 percutaneous nephrostomies (PCN) performed in 106 patients.
- Patients included those with benign (74) and malignant (32) urinary tract obstruction.
- Data collected included etiology, complications, and short-term/long-term management.
Main Results:
- Percutaneous nephrostomy (PCN) was confirmed as an effective and safe method for urinary diversion.
- The procedure provided temporary or prolonged urinary diversion for various causes of obstruction.
- Complications and management strategies were analyzed across the patient cohort.
Conclusions:
- Percutaneous nephrostomy (PCN) is a valuable tool for managing urinary tract obstruction.
- Its application in malignant obstruction requires careful consideration of palliative goals.
- PCN offers a safe and effective option for temporary or long-term urinary diversion.