When is renal catheterization necessary?
Percutaneous renal catheterization (transrenal drain = TRD; percutaneous nephrostomy = PCN) may be necessary when urine can no longer drain properly from the kidney or kidneys. This may be due to, for example, a congenital defect (pyeloureteral stricture), ureteral stones (ureterolithiasis), inflammation, scarring (stricture) or a tumor. Obstruction of urine flow can lead to chronic urinary tract inflammation, life-threatening blood poisoning, kidney spasms, severe kidney damage or even loss of the kidney. With the help of this procedure, urine is drained from the kidney via a thin catheter through the skin.
What preliminary tests are required?
Before the insertion of a percutaneous renal catheter, in addition to a urological examination, a laboratory test and an anesthesiology consultation are required.
How should the patient prepare for the insertion of a renal catheter?
The procedure does not require any special preparation on the part of the patient.
How is a renal catheter inserted?
The procedure is usually performed under local anesthesia or general anesthesia, with the patient lying on their stomach. Under ultrasound guidance, a thin needle is inserted into the renal cavity, and a sterile guide wire is inserted through the needle into the renal sinus. A dilatation line is then used to gradually dilate the duct along the wire to the correct size and the final renal catheter is inserted. The catheter is then secured to the skin with several stitches. The exact position of the catheter is checked via an x-ray examination using a contrast medium. The urine is drained into a collection bag (catheter bag), which can be worn under clothing in a convenient pouch attached to the thigh.
What should the patient do after the insertion of a renal catheter?
The procedure is considered an outpatient procedure, so the patient can go home after the procedure with the help of a companion. After the procedure, it is important to drink an adequate volume of fluids (2-3 liters per day). Rest is important on the day of the procedure, and activity can be gradually increased in the following days, but strenuous activities and lifting heavy objects should be avoided.
What are the risks of having a renal catheter inserted?
After the procedure, bloody urine may occur.
Injuries, inflammatory complications, allergic symptoms, hospital-acquired infections, and deep vein thrombosis may also occur, but the chances of these are minimal if proper protocols are followed.
Renal catheter insertion fee
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WHY CHOOSE DR. ROSE PRIVATE HOSPITAL?
- Highly skilled specialists, modern diagnostic and therapeutic equipment.
- Empathetic, people-centered approach. Our specialists always keep the comfort and safety of our patients in mind.
- Premium inpatient department. Available to our patients are 3 operating rooms and 24 patient rooms with 33 beds to meet all needs. The highest professional standards meet with an exclusive environment where you can heal in safety and with complete peace of mind.
- Fast and predictable appointments. We provide an appointment for the necessary intervention within 1-2 weeks of the first specialist consultation.
For all your urological complaints, contact the doctors at Dr. Rose Private Hospital with confidence.