Type of Surgery
Last updated: 11/24/2009
Outpatients are usually expected to stay in the clinic or hospital for eight to 12 hours after the procedure to make sure the nephrostomy tube is functioning properly. They should plan to have someone drive them home and stay with them for at least...
the first 24 hours after the procedure. Inpatients may stay in the hospital several days. Generally, people feel sore where the catheter is inserted for about a week to 10 days.
Care of the nephrostomy tube is important. It is located on the patient's back, so it may be necessary to have someone help with its care. The nephrostomy tube should be kept dry and protected from water when taking showers. The skin around it should be kept clean, and the dressing over the area changed frequently. It is the main part of the urine drainage system, and it should be treated very carefully to prevent bacteria and other germs from entering the system. If any germs get into the tubing, they can easily cause a kidney infection. The drainage bag should not be allowed to drag on the floor. If the bag should accidentally be cut or begin to leak, it must be changed immediately. It is not recommended to place the drainage bag in a plastic bag if it leaks.
Type 2 diabetes, when poorly controlled, can directly damage several organs and tissues like the kidney, the retina of the eye, and the nerves. Type 2 diabetes also leads to increased risk of heart disease and arterial disease and makes it harder for wounds to heal (delays healing).
A nephrostomy is an artificial opening created between the kidney and the skin which allows for the drainage of urine directly from the upper part of the urinary system (renal pelvis).
Nephrostomies are created by surgeons or interventional radiologists and typically consist of a catheter which pierces the skin and rests in the urinary tract. It is performed under ultrasound guidance or under image intensifier. Local anesthetic infiltration is used to numb the area where the needle would pass through to make the puncture on the kidney.
Urine is collected in an external bag which can be emptied as often as necessary.
As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.
-Dr. Evan Vapnek
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