What Is It?

Percutaneous nephrostomy (PCN) is a minimally invasive radiological procedure used to drain urine from the kidney when there is obstruction in the urinary tract. This obstruction may be due to various reasons such as kidney stones, tumors, or strictures.

How it the Procedure Performed?

You may be given a mild sedative to help you relax and remain still during the procedure. The interventional radiologist uses imaging techniques such as fluoroscopy (real-time X-ray) and ultrasound to guide the insertion of a drainage catheter (a flexible tube) into the kidney to drain urine.  This is done through a small incision is made in the skin. The catheter is secured to the skin with sutures or adhesive dressing. The tube is connected to a leg bag, which collects the draining urine.

How Do I Prep For The Procedure?

Do not eat or drink anything after midnight (12:00 am) the night before your procedure.  You may take medications with a sip of water in the morning. Bring a list of all prescribed medications with you to the procedure. You should arrange to have someone take you home after the procedure.

What Happens After The Procedure?

After the procedure, the patient will have a drainage bag to collect urine. The patient is monitored for a short period after the procedure complications and given instructions on caring for the catheter. The catheter will need to be maintained and routinely changed.

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