Type of Surgery
Information

Last updated: 11/24/2009
A nephrostomy is an established and generally safe procedure. As with all operations, there is always a risk of allergic reaction to anesthesia, bleeding, and infection.
Bruising at the catheter insertion site occurs in about half of people who...
have a nephrostomy. This is a minor complication. Major complications include the following:
- injury to surrounding organs, including bowel perforation, splenic injury, and liver injury
- infection, leading to septicemia
- significant loss of functioning kidney tissue (<1%)
- delayed bleeding, or hemorrhage (<0.5%)
- blocking of a kidney artery (<0.5%)
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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).
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Other Information
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.
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A significant drop in libido in a young male raises serious questions about hormone levels, as well as other problems; if all is normal, the most common non-physical causes are stress, exhaustion, worry and depression.
-Charlie MacCormack
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