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Overview

Nephrostomy is a medical procedure that involves the insertion of a tube through the skin into the kidney to drain urine. This procedure is typically performed when there is an obstruction in the urinary system that prevents urine from flowing normally from the kidney to the bladder. In this blog, we will explore what a nephrostomy is, the reasons for its use, the procedure itself, and what to expect during recovery.

What is a Nephrostomy?

A nephrostomy is a procedure where a catheter (a thin, flexible tube) is placed directly into the kidney through the back. This allows urine to bypass a blockage in the ureter (the tube that carries urine from the kidney to the bladder) and drain directly into a collection bag outside the body. This procedure can be life-saving in situations where urine flow is obstructed, preventing kidney damage and other serious complications.

Why is a Nephrostomy Performed?

  1. Preparation:
    • Before the procedure, a thorough evaluation is conducted, including imaging tests such as ultrasound, CT scan, or MRI to determine the location and cause of the obstruction.
    • Blood tests may be performed to assess kidney function and overall health.
    • Patients are advised to fast for a few hours before the procedure and may be given antibiotics to prevent infection.
  2. Anesthesia:
    • Nephrostomy is typically performed under local anesthesia, which numbs the area where the catheter will be inserted. Sedation or general anesthesia may be used in some cases, depending on the patient's condition and the complexity of the procedure.
  3. Insertion:
    • The patient lies on their stomach or side. Using imaging guidance (fluoroscopy, ultrasound, or CT scan), the doctor identifies the exact location for catheter insertion.
    • A small incision is made in the skin, and a needle is inserted into the kidney. Once the needle is in place, a guide wire is passed through the needle, and the needle is removed.
    • The nephrostomy catheter is then threaded over the guide wire and positioned in the kidney. The guide wire is removed, and the catheter is secured in place with sutures or adhesive tape.
  4. Post-Procedure:
    • The catheter is connected to a drainage bag to collect urine. The patient is monitored for a few hours to ensure there are no immediate complications. Most patients can go home the same day, though some may need to stay in the hospital for observation.

The Nephrostomy Procedure

  1. Preparation:
    • Before the procedure, a thorough evaluation is conducted, including imaging tests such as ultrasound, CT scan, or MRI to determine the location and cause of the obstruction.
    • Blood tests may be performed to assess kidney function and overall health.
    • Patients are advised to fast for a few hours before the procedure and may be given antibiotics to prevent infection.
  2. Anesthesia:
    • Nephrostomy is typically performed under local anesthesia, which numbs the area where the catheter will be inserted. Sedation or general anesthesia may be used in some cases, depending on the patient's condition and the complexity of the procedure.
  3. Insertion:
    • The patient lies on their stomach or side. Using imaging guidance (fluoroscopy, ultrasound, or CT scan), the doctor identifies the exact location for catheter insertion.
    • A small incision is made in the skin, and a needle is inserted into the kidney. Once the needle is in place, a guide wire is passed through the needle, and the needle is removed.
    • The nephrostomy catheter is then threaded over the guide wire and positioned in the kidney. The guide wire is removed, and the catheter is secured in place with sutures or adhesive tape.
  4. Post-Procedure:
    • The catheter is connected to a drainage bag to collect urine. The patient is monitored for a few hours to ensure there are no immediate complications. Most patients can go home the same day, though some may need to stay in the hospital for observation.

Cost of nephrostomy treatment in bangalore

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Low cost:

₹80000

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Average cost:

₹90000

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High Cost:

₹100000

Benefits of Nephrostomy

Nephrostomy provides several key benefits:

  • Immediate Relief: Alleviates symptoms caused by urinary obstruction, such as pain, infection, and kidney damage.
  • Preserve Kidney Function: Helps prevent permanent kidney damage by ensuring proper urine drainage.
  • Improves Quality of Life: Reduces discomfort and complications associated with urinary blockages, improving overall health and well-being.
  • Diagnostic Tool: Allows healthcare providers to obtain urine samples directly from the kidney for diagnostic purposes, aiding in the treatment of infections and other conditions.

Risks and Complications

While nephrostomy is generally safe, it does carry some risks, including:

  • Infection at the insertion site or in the kidney
  • Bleeding
  • Damage to surrounding organs or tissues
  • Displacement or blockage of the catheter
  • Pain or discomfort at the insertion site

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, and doctor, for nephrostomy at the lowest costs. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin! 

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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

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