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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
PubMed
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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.

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  • 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.