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Outpatient percutaneous nephrostomy

R R Gray1, C B So, R F McLoughlin

  • 1Department of Diagnostic Imaging, Foothills Hospital, Calgary, Alberta, Canada.

Radiology
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Outpatient percutaneous nephrostomy (PCN) is a safe and feasible procedure for select patients. This approach significantly reduces healthcare costs by avoiding hospitalization.

Area of Science:

  • Urology
  • Nephrology
  • Interventional Radiology

Background:

  • Percutaneous nephrostomy (PCN) is a common procedure for urinary tract obstruction.
  • Traditionally performed inpatient, its outpatient feasibility requires evaluation.

Purpose of the Study:

  • To evaluate the feasibility and safety of performing percutaneous nephrostomy (PCN) on an outpatient basis.
  • To assess the cost-effectiveness of outpatient PCN.

Main Methods:

  • A subgroup of 48 patients underwent 60 PCN procedures over 6 years.
  • Careful patient selection excluded those with hypertension, infection, coagulopathy, or staghorn calculi.
  • Indications included calculi, benign strictures, and malignant ureteric obstruction.

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Main Results:

  • 100% technical success rate was achieved.
  • Only 12% of patients required admission within a week; 6% were directly due to PCN complications (sepsis, bleeding, tube management issues).
  • Outpatient management resulted in significant cost savings, avoiding hospitalization for 88% of patients.

Conclusions:

  • Outpatient percutaneous nephrostomy is a safe and feasible option for carefully selected patients.
  • This approach leads to substantial cost savings by eliminating the need for inpatient admission.