Nephrostomy Open Surgery

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Nephrostomy Open Surgery
Symptoms, Causes And Treatment
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INTRODUCTION

• What Is A Nephrostomy?
• Urine Is Made In The Kidneys. Humans Have Two
  Kidneys, Each Of Which Passes Urine To The
  Bladder By A Tube Called The Ureter. This Tube
  Can Become Blocked For A Number Of Reasons (E.G.
  Kidney Stones Or Cancer). A Blocked Ureter Can
  Stop The Kidney From Working Properly And Can
  Damage The Kidney. Also, If The Urine That Is
  Blocked Becomes Infected, It Can Cause Serious
  Illness. A Nephrostomy Is An Opening Between The
  Kidney And The Skin.

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A Nephrostomy Tube Is A Thin Plastic Tube That Is
Passed From The Back, Through The Skin And Then
Through The Kidney. Its Job Is To Temporarily
Drain The Urine That Is Blocked. This Allows The
Kidney To Function Properly And Protects It From
Further Damage. It Also Helps Clear Any
Infection. Ultrasound Or X-ray Images (Or
Pictures) Are Used To Guide The Procedure.
Contrast Is Injected Into The Part Of The Kidney
That Collects The Urine. This Enables The Tube
That Will Drain The Kidney To Be Inserted Into
The Collecting System In The Best Position.
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SYMPTOMS

• Signs Of Potential Nephrostomy Tube Complications
  Include
• Cloudy, Bloody, Or Strong-smelling Urine.
• Pain, Swelling, Or Redness At Incision Site.
• Pain While Urinating.
• Fever.
• Chills.
• Pain In Side Or Lower Back.
• Drainage Bag Not Filling With Urine?

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CAUSES

• There Are Several Reasons Why Your Doctor Would
  Recommend That You Get A Nephrostomy Tube.
• Kidney Stones.
• Infections.
• Malformations You Were Born With.
• Tumors.
• Swelling From Kidney Surgery.
• Trauma.
• Urinary Tract Blockage From Pregnancy.
• Leak In Your Ureter Or Bladder.

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TREATMENT
When A Kidney Stone Blocks A Ureter (The Tube
That Carries Urine From The Kidney To The
Bladder), Urine Backs Up Into The Kidney. Kidney
Damage And Infection Can Occur Because The Urine
Is Not Able To Drain Normally. A Nephrostomy Is A
Surgical Procedure Where A Tube Is Inserted
Through The Skin Into The Kidney. This Tube
Allows The Urine To Drain From The Kidney. The
Urine Will Drain Into A Bag Placed Outside Of The
Body. This Procedure Is Done Under General
Anesthesia In The Interventional Radiology
Department.
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Before The Procedure Special eating and
drinking instructions will be given before the
day of the procedure.
After the Procedure Your child will stay in the
hospital after the procedure to make sure the
nephrostomy tube is working properly. There may
be some mild pain and discomfort. It is normal to
have some blood in the urine.
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CARE OF THE NEPHROSTOMY TUBE

• Your child may go home with the nephrostomy tube
  in place. Care of the nephrostomy tube is
  important. If any germs or bacteria enter the
  drainage system or tubing, they can easily cause
  a kidney infection. The tube is on your childs
  back with a drainage bag attached, so you may
  need help with its care.
• Keep the nephrostomy tube dry and protect it from
  water when taking a shower.
• Keep the skin around it clean.
• A dressing will cover the tube where it exits the
  body. The nurse will give you instructions on how
  to clean and change the dressing.
• Do not allow the drainage bag to drag on the
  floor.
• If the bag becomes accidentally cut or torn or
  begins to leak, it will need to be changed.

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  Open Surgery On Our Website.

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