Reasons for Procedure
- Damage to the bladder
Blockage in the ureter, which is the tube that carries urine from the kidney to the bladder, due to:
- Kidney stone
- Scar tissue
- A condition that is present at birth
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- Damage to nearby organs and tissue
- Kidney function loss
- Blood clots
- Reaction to the anesthesia such as lightheadedness, low blood pressure, and wheezing
- Liver failure
- Use of blood thinners
- Long-term illness
What to Expect
Prior to Procedure
At the appointment before the test:
- Your doctor may do tests like a CT scan or ultrasound. You may also have blood and urine tests.
- Questions your doctor may ask include: Are you pregnant? Do you have any allergies to contrast dye?
- Questions you should ask your doctor include: How long will the catheter need to stay in place? What signs should I look for in case there is a problem with the catheter?
- Arrange for a ride home from the hospital.
- Do not eat or drink for eight hours before your procedure. If you are taking medicines, ask your doctor if you should take them the morning of your procedure with a sip of water.
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure like:
- Anti-inflammatory drugs
- Blood thinners
Description of Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
- Your collection bag will be checked to make sure the catheter is draining your kidney well.
- You will be shown how to care for your catheter. You will be sent home with extra collection bags and dressing supplies.
- Ask someone to stay with you for the first 24 hours after the procedure.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Keep the insertion site and dressing dry. Protect it from getting wet when showering. You can use plastic wrap to cover it.
- Do not let the collection bag get too full before emptying it.
- Change your dressing every 2-3 days. If your dressing gets wet, loose, or dirty, change it. Always wash your hands before changing your dressing.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Urine no longer drains
- Catheter is bent or twisted
- Leakage occurs around the catheter
- Signs of infection, including fever or chills
- Urine becomes cloudy, bloody, or smells bad
- Sudden pain
- Redness, swelling, increasing pain, a lot of bleeding, or any discharge from the incision site
- Pain that you cannot control with the medicines you have been given
Urology Care Foundation http://www.urologyhealth.org
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
National Kidney Foundation http://www.kidney.org
Health Canada http://www.hc-sc.gc.ca
The Kidney Foundation of Canada http://www.kidney.ab.ca
Percutaneous nephrostomy tube. University of Virginia Heath System website. Available at: http://www.medicine.virginia.edu/clinical/departments/radiology/divisions/angiography/angio-pted-nephrostomy-page . Updated March 11, 2004. Accessed May 9, 2013.
Practice guideline for the performance of percutaneous nephrostomy. American College of Radiology website. Available at: http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Percutaneous%5FNephrostomy.pdf . Revised 2011. Accessed May 9, 2013.
Professional Guide to Diseases . 9th ed. Ambler, PA: Lippincott Williams & Wilkins; 2009.
Skolarikos A , Alivizatos G , Papatsoris A , Constantinides K , Zerbas A , Deliveliotis C . Ultrasound-guided percutaneous nephrostomy performed by urologists: 10-year experience. Urology . 2006 Sep;68(3):495-9. Epub 2006 Sep 18.
Wen X , Gao X , Li X , Lu M , Cai Y , Qiu J , Xiao C . One-step percutaneous nephrostomy in patients with a history of open nephrolithotomy: comparison with the fascial dilator system. J Endourol . 2007 Nov;21(11):1281-5.
6/2/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.