About Percutaneous Nephrostomy
Key Highlights
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Minimally Invasive: Performed through a small skin puncture, avoiding large surgical incisions.Kidney Preservation: Rapidly relieves pressure, preventing permanent damage to kidney function.Diagnostic & Therapeutic: Allows drainage for treatment and enables imaging studies (nephrostograms) to pinpoint the obstruction.listrongBridge to Treatment:/strong Stabilizes the patient for subsequent procedures like stone removal or stent placement./lilistrongImage-Guided Precision:/strong Real-time ultrasound or X-ray guidance ensures accurate and safe catheter placement./li/ul
Who is this surgery for?
- Acute or chronic obstruction of the ureter or kidney pelvis (hydronephrosis).
- Blockage caused by kidney stones, blood clots, or sloughed tissue.
- Obstruction due to malignancies of the urinary tract or surrounding organs.
- Ureteral strictures or injuries.
- Severe kidney infection (pyonephrosis) requiring urgent drainage.
- To gain access for other procedures like antegrade stent placement or stone removal (PCNL).
- Urinary fistula management.
How to prepare
- Comprehensive review of medical history, allergies, and current medications (especially blood thinners).
- Blood tests (coagulation profile, kidney function) and imaging studies (ultrasound, CT scan).
- Fasting for 6-8 hours before the procedure, typically overnight.
- Intravenous (IV) line placement for fluids and sedation/antibiotics.
- Informed consent process explaining the procedure, benefits, and risks.
- Skin preparation at the puncture site on the back/flank.
Risks & possible complications
- Bleeding: Around the kidney or into the urine (hematuria), rarely requiring transfusion.
- Infection: At the skin site or within the kidney (pyelonephritis).
- Injury to Surrounding Organs: Rare risk to colon, liver, spleen, or lung (pneumothorax).
- Catheter-Related Issues: Dislodgement, blockage, or leakage around the tube.
- Contrast Reaction: If contrast dye is used during imaging guidance.
- Failure to Access the Kidney: May require an alternative approach or open surgery.
Recovery & hospital stay
- Initial monitoring in a recovery area for vital signs and urine output.
- Mild pain or discomfort at the puncture site, managed with medications.
- Instructions on caring for the nephrostomy tube and drainage bag, including keeping the area clean and dry.
- Guidance on normal activities; avoiding heavy lifting, strenuous exercise, or tub baths.
- Signs to watch for requiring immediate medical attention: fever, chills, severe pain, tube dislodgement, or no urine output.
- Follow-up appointments for tube management, imaging, and planning of any definitive treatment.
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Typical hospital stay: 1-3 days
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Expected recovery time: 1-2 weeks for routine activities; varies if further procedures are needed
Frequently Asked Questions
If you are considering percutaneous nephrostomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for percutaneous nephrostomy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform percutaneous nephrostomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for percutaneous nephrostomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 25 Thousand – 75 Thousand | 1-3 days | ~ 1-2 weeks for routine activities; varies if further procedures are needed | Know More |
| Turkey | TRY 87.5 Thousand – 263 Thousand | 1-3 days | ~ 1-2 weeks for routine activities; varies if further procedures are needed | Know More |
Top hospitals for Percutaneous Nephrostomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing percutaneous nephrostomy.
John Mehta, a 58-year-old architect, had...
John Mehta, a 58-year-old architect, had been managing his recurrent kidney stones for years. Recently, he developed a severe, unrelenting pain in his right flank, accompanied by a high fever and chills. A CT scan revealed a large, obstructing stone in his right ureter, causing a dangerous infection and hydronephrosis (swelling of the kidney). His urologist explained that his kidney was under severe pressure and infected, and immediate drainage was needed to save the kidney and treat the sepsis. John was terrified; the idea of a tube going into his back was daunting. The procedure, done under local anesthesia and sedation, was uncomfortable but the relief from the intense pressure was almost immediate. In the hospital, he recovered from the infection with antibiotics. The nephrostomy tube drained his kidney for a week until a separate procedure could safely remove the stone. Emotionally, he went from fear and acute distress to profound relief and gratitude. The tube was a temporary nuisance, but it saved his kidney and his health, allowing him to return to his design projects with a new appreciation for his well-being.
Urologists for Percutaneous Nephrostomy
Explore experienced urologists who regularly perform percutaneous nephrostomy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore