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Percutaneous nephrostomy is also used to treat hydronephrosis caused by kidney stones, pregnancy, stricture of the urinary tract, urinary tract/cervical/prostate tumours. Besides, infections such as urosepsis and pyonephrosis can also be drained by nephrostomy tube insertion. [ 6 ]
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.
The gold standard of treatment for these types of stones is surgical removal. However, some patients have an infected stone and are simply too ill for an operative surgical removal. In these instances, the mainstay of IR treatment is a percutaneous nephrostomy tube. [24]
(B) The pigtail catheter is placed in the dilated calyx. The tube in (A) and the pigtail in (B) are marked with white arrows. [1] Sonography is the modality of choice for guidance when performing intervention in the kidney, whether it is kidney biopsy, percutaneous nephrostomy or abscess drainage. Historically, thermal ablation of renal tumors ...
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.
Nephrostomy · Ureterostomy · Cystostomy (Suprapubic cystostomy) · Urostomy: Nephrotomy: Nephropexy · Urethropexy · Lithotripsy · Kidney transplantation · Renal biopsy: Male reproductive: Phalloplasty · Scrotoplasty: Vasectomy · Penectomy · Orchidectomy · Prostatectomy · Posthectomy · Gonadectomy
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With creation of a urinary diversion it is possible for the ureters to become obstructed preventing the drainage of urine from the kidneys. If this occurs, another procedure to insert a percutaneous nephrostomy tube may be need to allow drainage of urine from the body. Obstruction of the ureter most commonly occurs at the site where the ureters ...