Urolithiasis pp 1039-1040 | Cite as

The Evaluation of Retrograde Nephrostomy in Over 200 Procedures

  • D. H. Hosking
  • R. I. Reid

Abstract

In order to remove a renal calculus by percutaneous techniques, it is necessary to establish a percutaneous nephrostomy tract. In most centers, this is done by a radiologist using antegrade techniques, in which a specific calyx is punctured from the outside. Retrograde nephrostomy involves urologists creating their own nephrostomy tract, by first positioning a catheter in the appropriate calyx using a steerable wire passed up the ureter and then puncturing the renal parenchyma from the inside out. The advantages of retrograde nephrostomy placement by the urologist are that multi-specialist involvement is avoided, facilitating the scheduling of patient treatment, and the insertion of the nephrostomy tract and stone removal can be carried out under the same anesthetic.

Keywords

Patient Treatment Renal Pelvis Renal Parenchyma Fluoroscopy Time Successful Attempt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    RK Lawson, JB Murphy, AJ Taylor, and SC Jacobs, Retrograde method for percutaneous access to kidney, Urology 22:580 (1983).PubMedCrossRefGoogle Scholar
  2. 2.
    DH Hosking, Retrograde nephrostomy: experience with 2 techniques, J. Urol. 135:1146 (1986).PubMedGoogle Scholar
  3. 3.
    PT Hunter, IF Hawkins, B Finlayson, G Nanni, and DF Senior, Hawkins-Hunter retrograde transcutaneous nephrostomy: a new technique, Urology 22:583 (1983).PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • D. H. Hosking
    • 1
  • R. I. Reid
    • 1
  1. 1.Department of Surgery (Urology), Health Sciences CenterUniversity of ManitobaWinnipegCanada

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