Doctor insights on:
Nephrostomy Tube Complications
Hello my mum was nephrostomy because of breast cancer and her ureter obstacle so she is under chemioterapy . 2 days ago she did chemo I saw some white particles in her urin tub . Please help me .
A percutaneous nephrostomy is the placement of a small, flexible rubber catheter (tube) through your skin into your kidney to drain your urine. Percutaneous nephrostolithotomy (or nephrolithotomy) is the passing of a special medical instrument through your skin into your kidney. This is done to get ...Read more
Infection and pain: Nephrostomy tubes are used to allow drainage of urine from the kidney if there is an obstruction preventing urine from draining through the ureters and bladder. The main risks of a nephrostomy tube are bleeding from the procedure, infection and pain where the tube sits. An alternative may be a ureteral stent. The pros & cons should be discussed with your OB and urologist. ...Read more
Good question: Good question without a clear answer without knowing more about the reason the tube is in, how long it's been in, and the particular access. Also, if the pain is "new" the tube may simply be slightly dislodged and needs to be repositioned. You should consult with the ir doctor who put it in. ...Read more
Be aware of blockage:
Nephrostomy tube ia a tube that goes through the skin and into the kidney for purposes of draining a kidney that has a blocked drainage tract.
It is important that the nephrostomy tube be able to freely drain. Be sure that he tube is not kinked. Be sure that the tube is not pulled too hard or it can dislodge from the kidney. The tube can clog from blood, mucous, stones or debris. ...Read more
I was intimate with my husband and I have a nephrostomy tube, how can I tell if it has been dislodged?
I just got a nephrostomy tube put in yesterday. There is now white flake/string like stuff floating around in the bag (not a lot). Is that normal?
Nephrostomy tube: A percutaneous nephrostomy tube is indicated to drain an obstructed kidney. Decision to place a nephrostomy tube is usually selected when placement of a ureteral stent bridging the ureteral obstruction is not possible and / or one wants to minimize urine draining into the bladder. Another reason for a nephrostomy tube is to provide access to treat a very large kidney stone. www.peedoc.com @drhtay. ...Read more
Several steps.: Nephrostomy tubes are most often placed by interventional radiologists (ir). First, you may receive a mild sedative. Ir uses fluoroscopes to find the kidney. The skin at the site of the tube is numbed with local anesthetic. A needle is placed through the skin and into the kidney's urinary space. A wire is guided into the kidney, the needle removed, and then the nephrostomy tube is deployed. ...Read more
Nephrons tony tube : Flushing the tube w 10 cc sterile 0.9% Normal Saline daily will reduce blockage. Changing your nephrostomy tube as scheduled (usually 2-3 mth). Cleaning the site with some peroxide and applying some antibiotic ointment. Make sure tubing has enough slack so it doesn't kink. Increase fluid intake (if ok w your doctor). ...Read more
Had a Nephrostomy tube placed. I am now having blood in the tube here and there. It's not a lot. Is that normal?
I have a right Nephrostomy tube In. Can I sleep on my right side if it dose not cause pain. I usually sleep on my right and haven't slept. ?
Have a Nephrostomy tube for two weeks now. Can I lift heavy things? I need to put an ac in. Live alone no one to help no family or friends around here
Not a good idea: Surely you must have a friend who could help. If you grunt, groan, stoop, squat, push, pull etc you may disrupt the tube and that would create emergency to put back quickly. And, not every ER DOC can do it. Check with your Urologist for explicit instructions ...Read more
I have A nephrostomy tube and I noticed what looks like bloody chunks of tissue in the tube. Does. It happen all time but will clog the tube sometimes?
Bleeding, infection: A percutaneous (through the skin) nephrostomy tube is generally placed when there is obstruction to the flow of urine into the bladder such as a large kidney stone. It is usually placed by a radiologist with the aid of xray equipment. Bleeding may occur during placement and if left for a long period of time, the tube may become infected. ...Read more
A drainage bag.: A nephrostomy tube is placed through the skin of the flank, to drain urine from the kidney. This is usually due to some kind of obstruction of the kidney or ureter. This tube leads out and drains to a drainage bag. Several types of bags exist, usually with a "luer-lock" connector that fastens to the tube. Other bags used by interventional radiology such as bile bags may be used. ...Read more
Use dressings: You should have been given dressings to keep it dry during showering. ...Read more
Had a Nephrostomy tube and stent placed on Thursday. The site is still pussing. Is that normal? Not tons.
Had a nephrostomy tube replaced on Tuesday.still in a lot of pain can't even yawn without it hurting my side. Is this normal?
Could be normal: If you don't have fever, and also the nephrostomy tube is draining the urine properly without being blocked you are safe. Pain could be significant in nephrostomy ube placed patients. If not draining well, if the urine is bloody, pus like, have any fever/nausea/chills etc, need to be concerned and consult your urologist immediately. Till then pain medications can be used per dr's prescription. ...Read more
Since a nephrostomy tube just slides out when removed can I do it at home if the doctor says it can come out? I live 2hours away from my doc.
I have a nephrostomy tube just placed on my right. How do I sleep with it? Secure it to my leg, or hang it off the bed? Also can I sleep on my back?
Sleep on left: You will likely be most comfortable sleeping on your left side if possible. Sleeping on your back may be possible if extra dressings are placed to pad the area around the tube. It is not a good idea to hang the tube off the bed as it this tension might dislodge the tube internally and/or cause pain. Best to lay bag beside you in bed and do not anchor to anything in case you turn in your sleep ...Read more
Who takes out A nephrostomy tube a radiologist or my urologist. Also do they give me medicine like they did to put it in or just pull it out?
Either one: Either one can do it. Usually the urologist is the one who decides when is the proper time for removal, so he or she usually does it. It usually just slides out, no medicine is needed. ...Read more
Have a nephrostomy tube. The doctor wants to do a test in the tube to see if I have a blockage. What is the test called?
Dye: I believe that a dye(contrast) will be injected into the nephrostomy tube and then images will be taken to see if there is a blocked tube and,if possible,to outline kidney structures(nephrogram or pylegram). Your urologist is best qualified to explain the procedure and inform you of the information that is to be obtained. ...Read more
Hi dr..I have a friend that have ovarian cancer but I don't kno what stage.she have nephrostomy tube placed in.what is life expectancy for her?
You are so good to be worried about your friend.
if she has a nephrostomy tube, it means that the cancer is likely stage 3 at least. Ovarian cancer is bad, but it can be beaten by a really aggressive surgery and chemo before or after. Life expectancy really depends on how a person responds to the treatment. As docs we really hate to give life expectancy numbers ( since then it proves wrong often) ...Read more
I have a nephrostomy tube and when I lay down I get pain severe pain.Pain just started.In right place.waiting for doc to call tomorrow. ideas why?
Can be painful: Just presence of nephrostomy tube can cause pain, especially if it was recently placed. Failure of tube to drain properly as result of tube migration, blockage or partial blockage cab be painful. We usually preform stone removal same day as nephrostomy tube placement & hardly ever later than next day. Is there some kind of scheduling problem or was tube placed for other reasons that stone removal? ...Read more