link
Bookmarks
Percutaneous Genitourinary Interventions
Matthew T. Heller, MD, FSAR; Ashraf Thabet, MD; Zachary B. Jenner, MD
To access 4,300 diagnoses written by the world's leading experts in radiology.Try it free - 15 days

KEY FACTS

  • Preprocedure

    • Procedure

      • Post Procedure

        • Outcomes

          TERMINOLOGY

          • Definitions

            • Percutaneous nephrostomy (PCN): External drainage catheter placement into renal collecting system
            • Nephroureteral catheter: PCN with catheter also extending from renal collecting system to bladder
            • Ureteral stent: Internalized catheter extending from renal pelvis to bladder
            • Suprapubic cystostomy: Percutaneous drainage catheter that enters bladder superior to pubic symphysis

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Procedure Steps

                      • Findings and Reporting

                        • Alternative Procedures/Therapies

                          POST PROCEDURE

                          • Expected Outcome

                            • Maintenance Considerations

                              • Issues to Consider

                                • Postprocedure Imaging

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      Selected References

                                      1. Long CJ et al: Percutaneous nephrolithotomy and ureteroscopy in children: evolutions. Urol Clin North Am. 42(1):1-17, 2015
                                      2. Johnston RB et al: The Whitaker test. Urol J. 11(3):1727-30, 2014
                                      3. Antonelli JA et al: Advances in percutaneous nephrolithotomy. Urol Clin North Am. 40(1):99-113, 2013
                                      4. Jepperson MA et al: Dual-energy CT for the evaluation of urinary calculi: image interpretation, pitfalls and stone mimics. Clin Radiol. 68(12):e707-14, 2013
                                      5. Li Y et al: One-shot versus gradual dilation technique for tract creation in percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis. 41(5):443-8, 2013
                                      6. Rodrigues PL et al: Kidney targeting and puncturing during percutaneous nephrolithotomy: recent advances and future perspectives. J Endourol. 27(7):826-34, 2013
                                      7. Sountoulides P et al: Is computed tomography mandatory for the detection of residual stone fragments after percutaneous nephrolithotomy? J Endourol. 27(11):1341-8, 2013
                                      8. Tefekli A et al: An update on percutaneous nephrolithotomy: lessons learned from the CROES PCNL Global Study. Minerva Med. 104(1):1-21, 2013
                                      9. Goyal NK et al: Safe percutaneous suprapubic catheterisation. Ann R Coll Surg Engl. 94(8):597-600, 2012
                                      10. Lipkin ME et al: Risk reduction strategy for radiation exposure during percutaneous nephrolithotomy. Curr Opin Urol. 22(2):139-43, 2012
                                      11. Stravodimos KG et al: Renal transplant lithiasis: analysis of our series and review of the literature. J Endourol. 26(1):38-44, 2012
                                      12. Kumar S et al: Efficacy and outcome of percutaneous nephrolithotomy in patients with calculus nephropathy. Urol Res. 39(2):111-5, 2011
                                      13. Montvilas P et al: Single-centre review of radiologically guided percutaneous nephrostomy using "mixed" technique: success and complication rates. Eur J Radiol. 80(2):553-8, 2011
                                      14. Veenboer PW et al: Antegrade pressure measurement as a diagnostic tool in modern pediatric urology. World J Urol. 29(6):737-41, 2011
                                      15. Barnacle AM et al: Nephro-urology interventions in children. Tech Vasc Interv Radiol. 13(4):229-37, 2010
                                      16. Lupton EW et al: The Whitaker test: 35 years on. BJU Int. 105(1):94-100, 2010
                                      17. Semins MJ et al: Management of stone disease in pregnancy. Curr Opin Urol. 20(2):174-7, 2010
                                      18. Aungst MJ et al: Ureteral stents and retrograde studies: a primer for the gynecologist. Curr Opin Obstet Gynecol. 21(5):434-41, 2009
                                      19. Saad WE et al: Percutaneous nephrostomy: native and transplanted kidneys. Tech Vasc Interv Radiol. 12(3):172-92, 2009
                                      20. Stecker MS et al: Guidelines for patient radiation dose management. J Vasc Interv Radiol. 20(7 Suppl):S263-73, 2009
                                      21. Hausegger KA et al: Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications. Eur Radiol. 16(9):2016-30, 2006
                                      22. Khoo L et al: Success and short-term complication rates of percutaneous nephrostomy during pregnancy. J Vasc Interv Radiol. 15(12):1469-73, 2004
                                      23. Dyer RB et al: Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics. 22(3):503-25, 2002
                                      24. Zagoria RJ et al: Do's and don't's of percutaneous nephrostomy. Acad Radiol. 6(6):370-7, 1999
                                      25. Lee MJ et al: Fluoroscopically guided percutaneous suprapubic cystostomy for long-term bladder drainage: an alternative to surgical cystostomy. Radiology. 188(3):787-9, 1993
                                      26. Papanicolaou N et al: Percutaneous, large-bore, suprapubic cystostomy: technique and results. AJR Am J Roentgenol. 152(2):303-6, 1989
                                      Related Anatomy
                                      Loading...
                                      Related Differential Diagnoses
                                      Loading...
                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Preprocedure

                                        • Procedure

                                          • Post Procedure

                                            • Outcomes

                                              TERMINOLOGY

                                              • Definitions

                                                • Percutaneous nephrostomy (PCN): External drainage catheter placement into renal collecting system
                                                • Nephroureteral catheter: PCN with catheter also extending from renal collecting system to bladder
                                                • Ureteral stent: Internalized catheter extending from renal pelvis to bladder
                                                • Suprapubic cystostomy: Percutaneous drainage catheter that enters bladder superior to pubic symphysis

                                              PREPROCEDURE

                                              • Indications

                                                • Contraindications

                                                  • Preprocedure Imaging

                                                    • Getting Started

                                                      PROCEDURE

                                                      • Patient Position/Location

                                                        • Procedure Steps

                                                          • Findings and Reporting

                                                            • Alternative Procedures/Therapies

                                                              POST PROCEDURE

                                                              • Expected Outcome

                                                                • Maintenance Considerations

                                                                  • Issues to Consider

                                                                    • Postprocedure Imaging

                                                                      OUTCOMES

                                                                      • Problems

                                                                        • Complications

                                                                          Selected References

                                                                          1. Long CJ et al: Percutaneous nephrolithotomy and ureteroscopy in children: evolutions. Urol Clin North Am. 42(1):1-17, 2015
                                                                          2. Johnston RB et al: The Whitaker test. Urol J. 11(3):1727-30, 2014
                                                                          3. Antonelli JA et al: Advances in percutaneous nephrolithotomy. Urol Clin North Am. 40(1):99-113, 2013
                                                                          4. Jepperson MA et al: Dual-energy CT for the evaluation of urinary calculi: image interpretation, pitfalls and stone mimics. Clin Radiol. 68(12):e707-14, 2013
                                                                          5. Li Y et al: One-shot versus gradual dilation technique for tract creation in percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis. 41(5):443-8, 2013
                                                                          6. Rodrigues PL et al: Kidney targeting and puncturing during percutaneous nephrolithotomy: recent advances and future perspectives. J Endourol. 27(7):826-34, 2013
                                                                          7. Sountoulides P et al: Is computed tomography mandatory for the detection of residual stone fragments after percutaneous nephrolithotomy? J Endourol. 27(11):1341-8, 2013
                                                                          8. Tefekli A et al: An update on percutaneous nephrolithotomy: lessons learned from the CROES PCNL Global Study. Minerva Med. 104(1):1-21, 2013
                                                                          9. Goyal NK et al: Safe percutaneous suprapubic catheterisation. Ann R Coll Surg Engl. 94(8):597-600, 2012
                                                                          10. Lipkin ME et al: Risk reduction strategy for radiation exposure during percutaneous nephrolithotomy. Curr Opin Urol. 22(2):139-43, 2012
                                                                          11. Stravodimos KG et al: Renal transplant lithiasis: analysis of our series and review of the literature. J Endourol. 26(1):38-44, 2012
                                                                          12. Kumar S et al: Efficacy and outcome of percutaneous nephrolithotomy in patients with calculus nephropathy. Urol Res. 39(2):111-5, 2011
                                                                          13. Montvilas P et al: Single-centre review of radiologically guided percutaneous nephrostomy using "mixed" technique: success and complication rates. Eur J Radiol. 80(2):553-8, 2011
                                                                          14. Veenboer PW et al: Antegrade pressure measurement as a diagnostic tool in modern pediatric urology. World J Urol. 29(6):737-41, 2011
                                                                          15. Barnacle AM et al: Nephro-urology interventions in children. Tech Vasc Interv Radiol. 13(4):229-37, 2010
                                                                          16. Lupton EW et al: The Whitaker test: 35 years on. BJU Int. 105(1):94-100, 2010
                                                                          17. Semins MJ et al: Management of stone disease in pregnancy. Curr Opin Urol. 20(2):174-7, 2010
                                                                          18. Aungst MJ et al: Ureteral stents and retrograde studies: a primer for the gynecologist. Curr Opin Obstet Gynecol. 21(5):434-41, 2009
                                                                          19. Saad WE et al: Percutaneous nephrostomy: native and transplanted kidneys. Tech Vasc Interv Radiol. 12(3):172-92, 2009
                                                                          20. Stecker MS et al: Guidelines for patient radiation dose management. J Vasc Interv Radiol. 20(7 Suppl):S263-73, 2009
                                                                          21. Hausegger KA et al: Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications. Eur Radiol. 16(9):2016-30, 2006
                                                                          22. Khoo L et al: Success and short-term complication rates of percutaneous nephrostomy during pregnancy. J Vasc Interv Radiol. 15(12):1469-73, 2004
                                                                          23. Dyer RB et al: Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics. 22(3):503-25, 2002
                                                                          24. Zagoria RJ et al: Do's and don't's of percutaneous nephrostomy. Acad Radiol. 6(6):370-7, 1999
                                                                          25. Lee MJ et al: Fluoroscopically guided percutaneous suprapubic cystostomy for long-term bladder drainage: an alternative to surgical cystostomy. Radiology. 188(3):787-9, 1993
                                                                          26. Papanicolaou N et al: Percutaneous, large-bore, suprapubic cystostomy: technique and results. AJR Am J Roentgenol. 152(2):303-6, 1989