Future and Controversies
Medicolegal Pitfalls
- Failure to obtain informed consent on the indications and complications
- Removal of the nephrostomy tube
- Fluoroscopic guidance may be necessary, especially to ensure proper drainage of urine through the ureter into the bladder prior to nephrostomy removal.
- A thorough inspection of the catheter is necessary to ensure complete removal.
- Retained fragments of a catheter predispose the patient to infection and calculi formation.
Acknowledgment
The authors thank E. Russel, MD, and H. Huson, MD, from the Department of Radiology and J. Posey, MD, from the Department of Urology of the University of Miami for their help.
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References
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Further Reading
Keywords
nephrostomy, nephrostomy tube, percutaneous renal access, renal drainage, percutaneous endourology, urinary drainage, ureter obstruction, ureteral obstruction, intracorporeal lithotripsy, chemical stone dissolution, double-J stent placement, Ormond disease, ovarian tumors, sarcomas, intraperitoneal tumors, vascular surgery, aortofemoral bypass, ureteropelvic junction obstruction, UPJ obstruction, flexible antegrade pyeloureteroscopy, upper urinary tract obstruction, percutaneous nephrostomy, horseshoe kidneys
Follow-up: Nephrostomy