Abstract
Willard Goodwin performed what actually was the first percutaneous nephrostomy in 1955. He and two colleagues had a patient with hydronephrosis and wanted to relieve the pressure, so they inserted a needle [1]. The procedure was considered so extraordinary that their report on it appeared in JAMA. However the technique did not catch on: it was not used again until the 1970s, when it gained popularity because open drainage for bilateral ureteral obstruction was so hazardous. The patients who required the procedure were quite ill, with bleeding tendencies arising from uremia and the underlying problem that caused the obstruction in the first place. Both the ureter and the renal hilum frequently were not accessible because of enlarged lymph nodes; thus the insertion of the needle.
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Smith, A.D. (2018). The Birth of Endourology. In: Patel, S., Moran, M., Nakada, S. (eds) The History of Technologic Advancements in Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-61691-9_7
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DOI: https://doi.org/10.1007/978-3-319-61691-9_7
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