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Nephrostomy is commonly used for renal decompression in these cases but rarely confers survival benefit. Living with a nephrostomy is associated with complications and a reduced quality of life. The extremely poor mortality ... displayed in this study will aid clinicians in being more selective when offering patients nephrostomy when presenting ...
Percutaneous nephrostomy: A nephrostomy is created when the flow of urine is diverted directly from the kidneys to the abdominal wall. Tubes are placed within the kidney to collect the urine as it is generated, and transport it to the abdominal wall. This procedure is usually temporary; however, it may be permanent for cancer patients.
An Indiana pouch is a surgically-created urinary diversion used to create a way for the body to store and eliminate urine for patients who have had their urinary bladders removed as a result of bladder cancer, pelvic exenteration, bladder exstrophy or who are not continent due to a congenital, neurogenic bladder.
The procedure involves bisecting this tube, usually between the later stage of the small intestine and the large intestine or colon, hence colostomy, and exiting it from the body in the abdominal region. The point of exiting is what is known as the stoma.
The insertion of a drainage tube into the renal pelvis, bypassing the ureters and urinary tract, called nephrostomy, was first described in 1941. Such an approach differed greatly from the open surgical approaches within the urinary system employed during the preceding two millennia. [10]
Everyday care of the catheter and drainage bag is important to reduce the risk of infection. Such precautions include: Urinary catheterization should be done in a sterile aseptic manner. Cleansing the urethral area (the area where the catheter exits body) and the catheter itself. Disconnecting the drainage bag from catheter only with clean hands
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It is done in cases where excretory or retrograde pyelography has failed or contraindicated, or when a nephrostomy tube is in place or delineation of upper tract is desired. It is commonly used to diagnose upper tract obstruction, hydronephrosis, and ureteropelvic junction obstruction.