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Doctor insights on: Percutaneous Nephrostomy

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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What is percutaneous nephrolithotomy?

What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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Is lithotripsy better or percutaneous nephrolithotomy better?

Is  lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material. Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

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Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Stone size determine: Shockwave lithotripsy minimally invasive, but not very effective for stones larger than 1 cm in diameter, and can not be used for branching "staghorn" stones. Can be used for larger stones if infectious in origin because they break up more easier. Percutaneous is more invasive, but usually a "one shot" procedure to clean out all the stone material.Swl requires minimal to no skill, pcnl needs skill. ...Read more

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How is a percutaneous nephrolithotomy done?

How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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Complications from kidney stone operation stent?

Complications from kidney stone operation stent?

Burn with urination: The stent usually causes some urinary frequency and urgency. Once the stent is removed, these symptoms quickly resolve. ...Read more

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What is percutaneous transluminal coronary angioplasty (ptca)?

What is percutaneous transluminal coronary angioplasty (ptca)?

Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read more

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Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?

Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?

Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more

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How healthy is percutaneous cholecystostomy?

Why?: Percutaneous cholecystostomy is usually reserved for people too ill to have a laparoscopic cholecystectomy. Why can't you have surgery. ...Read more

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What is the procedure for removal of a percutaneous nephrostomy tube?

What is the procedure for removal of a percutaneous nephrostomy tube?

Very simple: Generally the procedure is simple and painless. The doctor will usually cut the catheter on the outside of the body. Once that is done, the locking loop on the inside is "unlocked" which allows the tube to slide right out. ...Read more

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Can you explain percutaneous transluminal coronary angioplasty?

Catheter based: A catheter is placed in an artery leg or arm a ballon expands and dilates the blood vessel to correct the narrowing. ...Read more

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What exactly is peritoneal dialysis catheter manipulation?

What exactly is peritoneal dialysis catheter manipulation?

PD Catheters: This is a procedure that is used to get a malfunctioning catheter to work again. There are many different ways this is done - putting a wire down the catheter or putting other devices down the catheter. Ask you doctor for a more thorough explanation. ...Read more

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What happens during nephrostomy tube insertion?

What happens during nephrostomy tube insertion?

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

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Where are the catheters inserted during a cardiac catheterization procedure?

Where are the catheters inserted during a cardiac catheterization procedure?

Tubes: Catheters are about 100 cms long plastic tubes with one or more holes and preformed flexible tips to make it easy to direct into the openings of the coronary arteries. ...Read more

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Is balloon angioplasty painful?

Is balloon angioplasty painful?

Angioplasty painful: Usually you won't feel a thing but occasionally inflation of the balloon is uncomfortable. ...Read more

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Is laproscopic tubectomy safer than surgical tubectomy?

Is laproscopic tubectomy safer than surgical tubectomy?

Depends. : This depends on many factors. The complications are not quite the same. For many patients laparoscopy is safer but this is not always the case. Laparoscopy generally has a quicker recovery. ...Read more

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Why might someone need a percutaneous nephrostomy tube?

Why might someone need a percutaneous nephrostomy tube?

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

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What is the procedure for removal of a percutaneous nephrostomy tube?

Very simple: Generally the procedure is simple and painless. The doctor will usually cut the catheter on the outside of the body. Once that is done, the locking loop on the inside is "unlocked" which allows the tube to slide right out. ...Read more

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How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!

How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!

Not from pregnancy: U r probably seeing an OB dr.. Best consult with experienced urologist. Management depends upon presence and thickness of kidney cortex (functional part of kidney), may require a temporary percutaneous jj tube between bladder & kidney or nephrostomy tube (placed thru posterior abdominal wall, best by interventional radiologist) for duration of pregnancy. Need BUN & creatinine checked now. ...Read more

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How long should one be on bed rest and obstain from intimate activity after a nephrostomy tube removal, and a percutaneous stone removal?

How long should one be on bed rest and obstain from intimate activity after a nephrostomy tube removal, and a percutaneous stone removal?

48 hrs and pain free: Recovery after tube removal should be fast. Wait couple of days and resume activity provided you are pain free and have no obvious blood in your urine. Advise partner that you will stop if activity causes pain. ...Read more

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Why does'nt my nephrostomy bag drain?

Possibilities: Some possibilities include: - clogged tube (urine will usually drain around the tube to the skin) - displaced tube - decreased urine production from the kidney. ...Read more

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How healthy is percutaneous cholecystostomy?

Why?: Percutaneous cholecystostomy is usually reserved for people too ill to have a laparoscopic cholecystectomy. Why can't you have surgery. ...Read more

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Are there any risks of percutaneous cholangiography?

Are there any risks of percutaneous cholangiography?

Several: Bile may leak out of the bile ducts, infection an bleeding are the most common. ...Read more

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What is the definition or description of: nephrostomy?

What is the definition or description of: nephrostomy?

Opening into kidney: An opening created through skin going to kidney so the urine can be drained when there is blockage and urine can pass normally. Stones are removed sometimes. ...Read more

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What is the definition or description of: percutaneous?

See below: In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access to a blood vessel. ...Read more

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Can you tell me about percutaneous angioplaste with a stint?

It is: a semi-invasive treatment for coronary artery narrowings of certain kinds and locations..A baloon dilates the artery and a stent (small tube) keeps it open. Hope this helps BTW the procedure is a lot more cmplex but will be explained in detail to patients prior to it being done!!! ...Read more

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What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

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What are risks of percutaneous nephrolithotomy?

See list: Bleeding infection (sepsis) damage to internal organs lung collapse/fluid in chest cavity loss of kidney. ...Read more

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How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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How do I stop pain in my nephrostomy ?Tube?

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

Dr. Sewa Legha
43 doctors shared insights

Nephrostomy (Definition)

An opening created through skin going to kidney so the urine can be drained when there is blockage and urine can pass normally. ...Read more