Audit of percutaneous nephrostomy in Rabat Urological Centre

Abstract

Objectives: To audit and compare the different techniques for percutaneous nephrostomy (PCN) and assess the indication of each.
Methods: Between March 2009 and November 2009, the records of 27 patients who underwent percutaneous nephrostomy were retrospectively reviewed. PCN procedures were performed under ultrasonography (US), computed tomography (CT) guidance or blindly according to the grade of
hydronephrosis. Results: US guided PCN were done for 15, CT guided PCN for 10 and blindly PCN for two patients. Overall success rate was 25 (92.6%). US guided PCN had success rate of 13 (86.6%), CT guided PCN eight (80%) while blindly PCN 2(100%). The overall complications were minimal.
Conclusions: The success of PCN procedures depend mainly on the degree of hydronephrosis and selection of the appropriate image guidance.

Key Words: Blind PCN, CT guided PCN, Ultrasound guided PCN,  Hydronephrosis