Nephrostomy for Urinary Drainage

A nephrostomy is needed when a blockage develops that hinders urine from exiting the kidneys through the ureter and into the urinary bladder.  If this problem is not resolved, the pressure of the fluid would rise within the urinary system and ultimately the kidneys would be impaired.

Nephrostomies may also be used to remove or dissolve kidney stones. They may also be used if a hole has developed in the ureter and will be needed until this hole heals.

Fluoroscopy “real-time” image guidance or CT guidance can be used to view exactly where the nephrostomy needs to be placed.  Once you have been taken to the procedure room and changed, the area where the nephrostomy will be placed will be cleaned and clean sheets will be put into place.  A numbing agent will be injected into the site and you also be given a medication for the pain and to help you relax.  A needle will be inserted through the skin into the kidney.  A contrast dye will then be injected to ensure the needle is in the exact location where the nephrostomy catheter needs to be placed. A catheter will then be placed in the kidney to create the artificial passage for drainage.  The nephrostomy catheter site will be cleaned once more and a dressing applied.

The urine will be collected in an external storage, or drainage bag, that can be emptied when appropriate.  This bag can be attached to your leg with two rubber straps to keep it out of your way.

Following the procedure, you will be moved to a recovery area to be monitored.

You may not go swimming and sponge baths are suggested to keep the dressing dry and clean.  You may take a shower if you can cover the area with plastic, such as Saran Wrap.  The dressing should be changed every three days or when it becomes spoiled.  Empty the bag before it becomes completely full.

For further care directions please consult your physician.