Urinary Drainage Procedures in Interventional Radiology

Urinary drainage procedures are used to treat a wide range of clinical situations including pyonephrosis, preservation of renal function in patients with ureteral obstruction, as a means to access the collecting system for stone retrieval or lithotripsy and to divert urine from a distal leak or fist...

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Bibliographic Details
Published in:Techniques in vascular and interventional radiology 2016-09, Vol.19 (3), p.170-181
Main Authors: Thornton, Raymond H., MD, Covey, Anne M., MD
Format: Article
Language:English
Subjects:
Drainage - adverse effects
Drainage - instrumentation
Drainage - methods
Female
Female Urogenital Diseases - diagnostic imaging
Female Urogenital Diseases - therapy
Hematology, Oncology and Palliative Medicine
Humans
Male
Male Urogenital Diseases - diagnostic imaging
Male Urogenital Diseases - therapy
Nephrostomy
Nephrostomy, Percutaneous
Percutaneous nephrostomy
Prosthesis Design
Radiography, Interventional - adverse effects
Radiography, Interventional - instrumentation
Radiography, Interventional - methods
Radiology
Stents
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography
Ureteral catheterization urinary catheterization
Urinary Catheterization
Urinary Catheters
Urinary Diversion
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Summary:Urinary drainage procedures are used to treat a wide range of clinical situations including pyonephrosis, preservation of renal function in patients with ureteral obstruction, as a means to access the collecting system for stone retrieval or lithotripsy and to divert urine from a distal leak or fistula. Several different drainage devices are available and include those that provide obligatory external drainage (nephrostomy), both internal and external drainage (nephroureteral stent) and internal drainage (double-J stent). Each device requires some maintenance and effort on the patientʼs part—from having to undergo routine exchange of double-J stents every 3-6 months to the daily management of an external catheter and drainage bag. Ideally, the desired outcome can be attained with minimal effect on patient lifestyle. In this article, we present our approach to patients who require urinary drainage, with a focus on choosing and placing the most appropriate device in a variety of clinical scenarios.
ISSN:1089-2516
1557-9808
DOI:10.1053/j.tvir.2016.06.002