Recently developed 3D fluoroscopy guidance systems have demonstrated utility in percutaneous needle interventions, including biopsy, ablation, aspiration and/or drainage, nephrostomy tube
placement, and vertebroplasty (3).
In some cases, patients may have a nephrostomy tube
exiting the surgical site which is used to drain excess fluid from the kidney such as urine and blood.
After treating the urinary tract infection with intravenous antibiotics and inserting a left nephrostomy tube
under ultrasound guidance, a left semi-rigid ureteroscopy for ureteric calculi and percutaneous nephrolithotomy for the renal stones were performed simultaneously (Fig.
6) Our patient's urinothorax was secondary to tract formation from nephrostomy tube
placement as evidenced on CT.
On initial presentation to the emergency room, the patient had fever and flank pain consistent with a ureteral obstruction (due to a bladder tumor) and associated hydronephrosis that had required previous placement of a pericuta-neous nephrostomy tube
Generally, patients stay in the hospital for several days and may have a small tube called a nephrostomy tube
left in the kidney during the healing process.
After all, most urologists will ultimately need or use the nephrostomy tube
for a second- look nephroscopy in the minority of patients.
After completion of the last stage of PCNL, the nephrostomy tube
is placed according to the standard procedure.
At that time, it was found that a 20-cm segment of right ureter was destroyed, and a nephrostomy tube
A recent large study reported on 238 patients who underwent open pyeloplasty drained with preoperative nephrostomy tube
, no stent, an externalized feeding tube brought through the renal pelvis and DJ stent with nephrostomy tube
The authors of recent studies have suggested that the placement of the nephrostomy tube
or its thickness has a role in the postoperative discomfort and pain.
The decision whether to leave a nephrostomy tube
in place and the use of a new double J depends on intraoperative findings.