Our Experiences with Percutan Nephrostomy by Seldinger Technique

Aim: We aimed to asses the success, complications, ease of application and advantages of percutaneous nephostomy procedure with seldinger tehcnique which can be life saving for most patients with our clinical experience. Material and Method: 692 patients which we applied percutaneous nephrostomy with Seldinger technique between 2010–2015 are included in this study. Demographic information, etiology of obstruction, success rate and duration of procedure are retrospectively studied. Results: A total of 692 patients, 394 male and 298 female in the study (M/F: 1.3). Mean age of the patients was 56.6±5.4 years (16–87). 448 (59.49%) of the patients had been applied percutaneous nephrostomy becasue of oncologic obstruction-related hydronephrosis. 6 (0.79%) patients were not treated due to retrorenal colon. 10 (1.32%) patients could not be applied percutaneous nephrostomy. Technical success was 97.87%. The mean procedure time was 8.4 minutes. Mortality were not seen during the procedure. 14 (2.42%) patients were followed up for hematuria and 4 (0.71%) for fever after the procedure. Conclusion: Ultrasound guided percutaneous nephrostomy procedure is a safe, rapid, effective, and dramatic way to improve the patient’s clinical condition, which causes minimal complications and morbidity in experienced hands. Especially, it is a more advantageous method than Computed Tomography guided percutaneous nephrostomy in terms of cost, not exposed to radiation and practicable in polyclinic. We believe that this practice rescued a serious morbidite such as dialysis in especially patient with obstructive uropathide and eliminated the risk of a possible uremic syndrome is an indispensable part of urology practice and education