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Nephrostomy Workup

  • Author: Stefan H Hautmann, MD, PhD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
 
Updated: Oct 22, 2015
 

Laboratory Studies

See the list below:

  • Bleeding time, as indicated
  • Prothrombin time
  • Platelet count
  • Activated partial thromboplastin time (aPTT)
  • CBC count
  • Urine culture
  • Electrolyte assessment
  • Creatinine assessment
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Imaging Studies

Any of the following studies can be used to assess patient anatomy:

  • Intravenous pyelography (IVP)
  • Abdominal CT scanning, shown in the images below
  • Renal ultrasonography
    CT scan of bilateral hydronephrotic kidneys withouCT scan of bilateral hydronephrotic kidneys without intravenous contrast medium.
    CT scan with dilated right ureter without intravenCT scan with dilated right ureter without intravenous contrast medium.
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Contributor Information and Disclosures
Author

Stefan H Hautmann, MD, PhD Professor of Urology, Director, Department of Urology and Pediatric Urology, Luedenscheid Hospital, Academic Hospital of the University of Bonn, Germany

Disclosure: Nothing to disclose.

Coauthor(s)

Raymond J Leveillee, MD, FRCS(Glasg) Professor of Clinical Urology, Radiology and Biomedical Engineering, Department of Urology, University of Miami Miller School of Medicine; Chief, Division of Endourology/Laparoscopy and Minimally Invasive Surgery, Department of Urology, Jackson Memorial Hospital

Raymond J Leveillee, MD, FRCS(Glasg) is a member of the following medical societies: American Urological Association, Endourological Society, Sigma Xi, Society of Laparoendoscopic Surgeons

Disclosure: Received honoraria from ACMI/Gyrus for speaking and teaching; Received honoraria from Boston Scientific for speaking and teaching; Received honoraria from Applied Medical for speaking and teaching; Received honoraria from Intuitive Surgical for speaking and teaching; Received grant/research funds from Intio for other.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Shlomo Raz, MD Professor, Department of Surgery, Division of Urology, University of California, Los Angeles, David Geffen School of Medicine

Shlomo Raz, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, California Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Bradley Fields Schwartz, DO, FACS Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine

Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, Society of Laparoendoscopic Surgeons, Society of University Urologists, Association of Military Osteopathic Physicians and Surgeons, American Urological Association, Endourological Society

Disclosure: Nothing to disclose.

Additional Contributors

Raymond R Rackley, MD Professor of Surgery, Cleveland Clinic Lerner College of Medicine; Staff Physician, Center for Neurourology, Female Pelvic Health and Female Reconstructive Surgery, Glickman Urological Institute, Cleveland Clinic, Beachwood Family Health Center, and Willoughby Hills Family Health Center; Director, The Urothelial Biology Laboratory, Lerner Research Institute, Cleveland Clinic

Raymond R Rackley, MD is a member of the following medical societies: American Urological Association

Disclosure: Nothing to disclose.

References
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Renal anatomy.
Positioning of nephrostomy tube into the lower pole of the kidney.
Outside appearance of a nephrostomy tube from the flank after stone removal.
CT scan of bilateral hydronephrotic kidneys without intravenous contrast medium.
CT scan with dilated right ureter without intravenous contrast medium.
 
 
 
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