ABSTRACT

To determine the success and complication rates of preferred percutaneous nephrostomies (PCNs) performed in our clinics over a one-year period by different physicians.

During 2008, a total of 79 PCNs were performed in 65 patients by two different techniques. We employed two different techniques: a “Seldinger” technique (by guide-wire insertion and track dilatation), with ultrasonography guidance, and “one-stab” technique. Selection of technique was according to physicians’ experience and preference.

There were 36 using the one-stab technique and 43 procedures using the Seldinger technique. The direct one-stab and Seldinger technique were compared: primary technical success rate was 97.3% versus 97.7%. There was no major complication or mortality. Procedure time (time from skin incision to application of urinary bag to nephrostomy catheter) was found as 5 and 9 minutes, respectively.

The ultrasound-guided direct one-stab and Seldinger techniques are safe PCN procedures. These techniques can be applied successfully with minimal complications in outpatient clinics if performed by experienced operators. We recommend PCN applications as successful procedures for obstructive uropathy and/or in prevention of organ loss in addition to their good results.

Keywords: Hydronephrosis, nephrostomy, Seldinger technique