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Post-percutaneous Nephrolithotomy Drainage

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Surgical Management of Urolithiasis

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Abstract

Percutaneous nephrolithotomy (PCNL) was established as a reliable treatment of large stone burden several decades ago. PCNL technique continues to evolve, with consistent goals of decreasing morbidity and maximizing efficiency and cost-effectiveness. One key aspect of PCNL that has been the subject of debate and investigation is the method of postprocedure drainage. In the chapter to follow we review these modifications including tube size and type, tubeless with various types of internal drainage, and the totally tubeless PCNL. We conclude with a summary of the hemostatic agents used in the PCNL tract instead of external drainage.

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Authors and Affiliations

  1. Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Michelle Jo Semins M.D.

  2. Johns Hopkins Medicine, The James Buchanan Brady Urological Institute, Baltimore, MD, USA

    Brian R. Matlaga M.D., M.P.H.

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  1. Michelle Jo Semins M.D.
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Correspondence to Michelle Jo Semins M.D. .

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Editors and Affiliations

  1. School of Medicine and Public Health, Department of Urology, University of Wisconsin, 1685 Highland Avenue, Madison, 53705, Wisconsin, USA

    Stephen Y. Nakada

  2. Southwestern Medical Center, Department of Urology, University of Texas, 5323 Harry Hines, Blvd, Dallas, 75390, Texas, USA

    Margaret S. Pearle

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Semins, M.J., Matlaga, B.R. (2013). Post-percutaneous Nephrolithotomy Drainage. In: Nakada, S., Pearle, M. (eds) Surgical Management of Urolithiasis. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6937-7_5

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  • DOI: https://doi.org/10.1007/978-1-4614-6937-7_5

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