Percutaneous Nephrostomy: Experience in 101 Cases

Kim, Kap Brung; Rhew, Hyun Yul

Abstract

Percutaneous nephrostomy was done on 101 cases with advanced malignancy and benign conditions in the Department of Urology, Kosin Medical College during the period of March, 1985 to August 1988. We were successful in using percutaneous nephrostomy as urinary diversion to ureteral obstruction or urinary leakage in 96 cases(95.1%). In four fives of patients obstruction was due to neoplasm, with the cervical cancer the leading cause. The post-nephrostomy complications were renocolon fistula in 1 case, perinephric abecess in 2 cases, severe bleeding in 3 cases. percutaneous nephrotomy proved to be ideally suited in azotemic patients and urine leakage. Its use can obviate surgical nephrostomy and prolonged ureteral catheter drainage. We also are encouraged by our early experience with extensions of percutaneous nephrostomy, including percutaneous ureteral, renal stone dissolution.