Nephrostomy of the kidney. Prices, reviews, ratings
General information
The most common reasons for nephrostomy are:
- pelvic tumor, malignant or benign;
- diseases ureter;
- hydronephrosis;
- neoplasms in one or both kidneys;
- urolithiasis;
Nephrostomy is also performed as a preventive measure against diseases such as hydronephrosis and pyelonephritis.
With hydronephrosis, a large amount of urine accumulates in the kidneys, which causes its cavity to expand. Nephrostomy helps prevent these serious diseases. This procedure is also performed when a more detailed examination of the upper genital tract is necessary. These studies may be necessary in preparation for kidney surgery, chemotherapy, and when crushing stones.
The process of the operation
Preparation
First of all, the patient must pass the necessary tests (blood, urine). The blood is checked for sugar content, coagulability and a biochemical analysis is performed. After blood tests, an ultrasound of the kidneys is done and, if necessary, a tomography or urography may be sent. Before the operation, a thorough examination of the patient is carried out by an anesthesiologist to determine how much anesthesia the patient needs, how the heart muscle reacts to anesthesia and what drugs the patient is allergic to.
Nephrostomy procedure
Surgical intervention is divided into two types:
- open nephrostomy;
- puncture nephrostomy.
Open nephrostomy involves the introduction of drainage into the kidney through an open wound, which is made with one longitudinal incision. The incision will be quite deep, almost to the kidney itself. Next, the surgeon sews the fatty membrane around the kidney to the skin with several stitches and makes a small incision on the kidney itself. Next, a rubber tube is inserted into this incision, which is then tightly fixed and sewn. With puncture nephrostomy, drainage is inserted by puncturing. For this, the process is monitored using an ultrasound machine. A puncture is made on the lumbar side where the kidney is located. Then, a drainage tube is inserted through this puncture. This type of nephrostomy is the most convenient for both the doctor and the patient, since there is no need to make additional incisions, and therefore there will be no unsightly scars.
Rehabilitation period
Most often, after the nephrostomy is applied, the patient can be sent home on the same day. The patient is not recommended to engage in heavy physical activity or sports.
Indications
An indication for nephrostomy is the need to drain urine from one or both kidneys at the same time. This procedure is performed when urine drainage is impossible in other ways or the patient has contraindications against other procedures.
Contraindications
Nephrostomy is prohibited if the patient has the following:
- poor blood clotting, as well as if the patient has ever had thrombocytopenia or hemophilia;
- excessively high blood pressure that cannot be controlled;
If the patient is taking anticoagulants, they should be discontinued no later than a week before the surgery.
Complications
The presence of a stoma in the kidney is usually necessary for the first three weeks after surgery. In the first three days, some blood may come out with urine. If the bleeding continues for a week, you should immediately contact a doctor who will conduct an additional examination.
Prices and clinics
The operation is performed by an experienced surgeon in the urology department. Such an operation can be successfully performed both in a regular hospital and in a specialized clinic. In order to quickly choose a clinic that will meet your requirements, you can use the medical portal .
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