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Semin intervent Radiol 2011; 28(4): 424-437
DOI: 10.1055/s-0031-1296085
© Thieme Medical Publishers

Percutaneous Nephrostomy: Technical Aspects and Indications

Mandeep Dagli1 , Parvati Ramchandani1
  • 1University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
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Publication History

Publication Date:
03 January 2012 (online)

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ABSTRACT

First described in 1955 by Goodwin et al as a minimally invasive treatment for urinary obstruction causing marked hydronephrosis, percutaneous nephrostomy (PCN) placement quickly found use in a wide variety of clinical indications in both dilated and nondilated systems. Although the advancement of modern endourological techniques has led to a decline in the indications for primary nephrostomy placement, PCNs still play an important role in the treatment of multiple urologic conditions. In this article, the indications, placement, and postprocedure management of percutaneous nephrostomy drainage are described.

KEYWORDS

Nephrostomy - interventional radiology - kidney - hydronephrosis - nephroureterostomy

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Parvati RamchandaniM.D. 

University of Pennsylvania Medical Center

Philadelphia, PA 19104

Email: ramchanp@uphs.upenn.edu