Percutaneous Nephrostomy Tube Placement

Using imaging guidance, fluid collections can be aspirated or drained for diagnostic and/or therapeutic purposes. VIVA’s drainage services include Abscess Drainage, Nephrostomy Tube Placement, Paracentesis, and Thoracentesis.


What is Percutaneous Nephrostomy Tube Placement?

Percutaneous nephrostomy (PCN) tube placement, also known as nephro-pyelostomy, is an interventional procedure to temporarily divert urine from the kidney. During the minimally invasive procedure, a catheter is inserted into the lower back in order to drain urine directly from your kidney. The catheter is then connected to a collection bag.

Am I a candidate for percutaneous nephrostomy tube placement?

When there is a blockage in the pathways that dispose urine from your body, you may need to have a percutaneous nephrostomy tube placement procedure. When those pathways or ureters are blocked by stones or blood clots, urine remains trapped in your kidneys which can lead to serious side effects.

Other common reasons for nephro-pyelostomy include:

Treatment of complications related to renal transplants

Treatment of nondilated obstructive uropathy

Treatment of urinary tract obstruction related to pregnancy

Healing of fistulas or leaks due to traumatic or iatrogenic injury, malignant or inflammatory fistulas, or hemorrhagic cystitis

Access for interventions such as direct infusion of substances for dissolving stones, chemotherapy, and antibiotic or antifungal therapy

Access for interventions such as direct infusion of substances for dissolving stones, chemotherapy, and antibiotic or antifungal therapy

Access for other procedures (for example, benign stricture dilatation, antegrade ureteral stent placement, stone retrieval, pyelo-ureteroscopy, or endopyelotomy)

Decompression of nephric or perinephric fluid collections (for example, abscesses, urinomas)

What can I expect during my procedure?

During your nephrostomy tube placement, you’ll be in good hands with our Board Certified Fellowship, Trained Interventional Radiologists. Most procedures at the hospital and the patient is sedated. After the area is cleaned, a local anesthetic will be administered. Through the use of image-guided technology, your interventional radiologist will place a catheter into the kidney(s). The collection system is then put in place. The tube is secured at the surface of the skin with a stitch. Some patients report feeling some pressure but no pain during the procedure. The procedure will last about one hour.

What can I expect after the procedure?

After your nephrostomy tube placement, your blood pressure, pulse, and breathing will be monitored. After this brief observation, most patients are able to resume normal activities.

To schedule your percutaneous nephrostomy tube placement at VIVA, call our office at (540) 654-9118.

Our high level of expertise offers greater assurances than most vein centers can provide. Our physicians will evaluate your specific needs and select the appropriate therapy.

Schedule an Appointment