Moreover, technological advancements such as patient positioning, miniaturized access tracts, development of lithotriptors, and postoperative
nephrostomy tube management are fueling adoption of PCNL devices.
However, the dilatation of surrounding tissues due to the
nephrostomy tube placement can cause postoperative pain (1).
Standard PCNL procedure includes placement of a
nephrostomy tube at the completion of the procedure and while, some urologists also practice insertion of ureteral stent for internal drainage.
As those reports may represent a different geographic antibiotic resistance pattern and local bacterial resistance to antibiotics is a major problem in our country, our clinical approach is to keep the patient on i.v antibiotics until the
nephrostomy tube is withdrawn.
In cases of obstructive uropathy, physicians typically opt for percutaneous
nephrostomy tube placement in order to normalize creatinine levels prior to surgical correction.
However, the JJ stent could not be inserted on the left due to angulation and a
nephrostomy tube was placed.
Left percutaneous
nephrostomy tube placement and thoracentesis were performed.
The stent can be placed in a retrograde fashion via cystoscopy by a urogynecologist or urologist or antegrade through a percutaneous
nephrostomy tube by an interventional radiologist.
Simple skin infiltration with local anaesthetic around the
nephrostomy tube doesn't significantly reduce pain.
When the catheter fails to drain the urinoma appropriately, a percutaneous
nephrostomy tube maybe placed to facilitate drainage often with a ureteral stent to promote healing [5, 6].
Precautions to prevent seeding include the use of a large diameter sheath or low-pressure resection with continuous flow and avoiding the long-term implantation of a
nephrostomy tube [10, 11].
A percutaneous
nephrostomy tube (PNT) was immediately placed by intervention radiology (IR) for sepsis management.
