DOI: 10.36347/sjams.2017.v05i06.062

Pages: 2383-2387

The objective is to estimate the frequency of complications in Ultrasound guided percutaneous nephrostomy and to identify frequent sources of error. The study was carried out in Department of Urology, in a tertiary care hospital. Patients who required ultrasound guided (USG) percutaneous nephrostomy (PCN) for any indication from August 2015 to June 2017, of all age groups between 14 and 80 years were included. Six month follow-up was performed. SPSS 12 was used for statistical analysis. One hundred patients were included in the study. USG guided PCN was done. The complications were categorized as early and late complications. Early complications were sepsis in 3 (3%) patients, retroperitoneal hematoma in 2 (2%) patients, bleeding requiring transfusion in 2 (2%) and urinoma in 1 (1%). Late complications included catheter blockage in 7 (7%) patients, and dislodgement of catheter in 15 (15%), ureteric stricture in 1 (1%) and retained tip of catheter in 1 (1%). Total early complications were noted in 9 (9%) patients, and there were 23 (23%) late complications. Percutaneous nephrostomy is a safe and simple procedure to deal with obstructive uropathy and other conditions requiring temporary urinary diversion. The procedure has low morbidity without major life threatening complications.