When is nephrostomy done?

What is meant by nephrostomy?

Nephrostomy consists in making a communication between the kidney cavities and the outside through a tube (percutaneous or nephrostomy or pyelostomy catheter) that comes out of the skin in the lumbar area.

How to clean the nephrostomy?

Keep the skin disinfected with non-alcoholic quaternary ammonium-based products or chlorhexidine-based disinfectant soaps. Avoid disinfectants based on alcohol, ether or hydrogen peroxide, which cause dryness and possible skin damage. It is possible to take a shower with the bag.

What is kidney drainage for?

A nephrostomy catheter is placed to relieve pressure on the kidney and to drain infected urine outward, or to drain urine from the kidney externally when the ureter has a laceration following trauma. Nephrostomy is inserted into the kidney through the skin of the back.

When to remove ureteral stent?

The residence time of the stent depends on the clinical case. In some cases, “long-stay” stents are used, which can remain in place for up to 12 months before being removed or replaced. In most cases, the stent is removed after a few weeks or sometimes after a few days.

Nephrostomy

What can be done with the ureteral stent?

It keeps the ureter free, the tube that passes urine from the kidneys to the urinary bladder. The ureteral stent may be useful in those patients whose ureter is blocked by a kidney stone or whose function is impaired by a tumor, even in another nearby organ.

How to relieve ureteral stent pain?

paracetamol or non-steroidal anti-inflammatory drugs). Furthermore, it has now been shown by several clinical studies that taking alpha-lytic drugs (eg tamsulosin or alfuzosin) significantly reduces pain and urinary symptoms associated with the ureteral stent and increases health in general.

How to drain a kidney?

Kidney drainage can take place by overcoming the obstacle through the placement of a catheter (double curl called J) that goes up from the bladder to the kidney and remains in place until the obstacle is completely removed or corrected.

How long does a ureteral stent last?

Insertion procedure

The double-curled ureteral stent can stay in place for up to 6-8 months, but it must be checked and replaced to prevent or avoid infectious complications.

When should a kidney be removed?

Nephrectomy is performed: When there are kidney cancers, such as hypernephroma. If the kidney is severely affected by benign diseases, such as hydronephrosis. When the kidney is damaged by infection, kidney stones or other problems.

How do you empty the drainage bag?

To wash hands. Close the leg bag drain cock and tighten the strap, making sure the catheter is secure and not pulling. Detach the night bag and empty the urine into the toilet or into a container if clinically indicated (24-hour urine collection).

Where to throw the catheter bag?

The bags that have contained the urine must therefore be disposed of in municipal solid waste containers. It is forbidden to use the yellow containers and bags, supplied by the company in charge, for use other than that for which they are intended.

How do you remove the catheter bag?

To change the bag, first wash your hands very carefully and lift the tube so that all urine flows into the container. Next, remove the cap or clip from the leg bag and fold the catheter upward by wrapping it on itself once to block the flow of urine.

Why is a Nephrostomy done?

Percutaneous nephrostomy is used: In case of acute or chronic ureteral obstruction causing renal failure, when this obstruction cannot be overcome with endoscopic retrograde maneuvers; and particularly when a kidney infection associated with the obstruction is suspected.

How to take a shower with a Nephrostomy?

It is recommended that you do not shower or bathe in the tub for the first 48 hours after surgery. During the first 4-6 weeks, make sure the water from the shower does not run directly onto the hose.

What is Hydronephrosis?

Hydronephrosis is a dilation of the renal excretory passages, or rather of the calyxes and the renal pelvis extended or not even to the ureter which causes renal suffering.

What to do after lithotripsy?

After shock wave lithotripsy: It is important to drink more than usual to get rid of stone fragments. If you have kidney colic you should consult your doctor about how much you need to drink. The urine may need to be filtered to obtain the fragments to be analyzed later.

How long does the bombardment of calculations last?

The shock waves generated by the lithotripter pass through the human body and crush the stones. The procedure, which lasts an average of 30 minutes, is normally carried out on an outpatient basis, only in the event of complications may the transition to ordinary hospitalization be necessary.

How long can a coronary stent last?

Its validity has an infinite duration. If no problems arise within the first six months or within a year of its application - this is the period necessary for its "absorption" by the tissues of the artery - it can be assumed that the stent will remain operational for life.

What not to eat so as not to tire the kidneys?

Consume common and whole grains at every meal; include legumes (chickpeas, beans, broad beans, lentils, lupins, peas, soy) and fish in the diet at least twice a week; reduce the weekly frequency of foods that contain proteins, species of animal origin (meat, cold cuts, eggs, cheeses and dairy products) and ...

How to recover from chronic kidney failure?

To date, there is no cure (therapy) to cure chronic kidney failure. Proper therapy, however, can slow down or even prevent it from worsening by limiting the discomfort for the affected person. Treatment depends on the degree of renal failure and the original condition that caused it.

When does a kidney hurt?

The most frequent cause of kidney pain is the formation of stones in the urinary tract, although there may be other factors: stress, pre-menstrual syndrome, colon problems, hydronephrosis, nephritis, renal infarction, kidney cysts, pregnancy , trauma, drug abuse, ect.

How to relieve kidney pain?

1. Ketorolac tromethamine (es. Toradol)
2. Paracetamol or acetaminophen (es. ...
3. Diclofenac (es.

When is the stone in the bladder?

Symptoms of bladder stones may become evident when they irritate the bladder wall and include: blood in the urine, further difficulty in urinating, frequent urination, pain in the lower abdomen and sometimes radiating down the penis.

How does lithotripsy take place?

This technique does not involve any invasive maneuver on the patient, who only has to lie down on the machine resting his side on a pillow filled with water inside. The shock waves generated by the lithotripter pass through the human body conveying all the energy to the stone, shattering it.