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Percutaneous Nephrostomy in Children and Adolescents: Outpatient Management¹

¹ From the Departments of Radiology (M.J.H., B.D.C., W.E.S.) and Pediatric Surgery, Division of Urology (V.R.J., S.A.K.), Columbus Children’s Hospital, 700 Children’s Dr, Columbus, OH 43205. Received December 13, 1999; revision requested January 24, 2000; revision received February 23; accepted March 2. Address correspondence to M.J.H. (e-mail: mhogan@chi.osu.edu).

PURPOSE: To determine if percutaneous nephrostomy can be performed safely as an outpatient procedure in children and adolescents.

MATERIALS AND METHODS: Percutaneous nephrostomy was performed in 102 kidneys in 87 patients at 93 separate encounters. Patients were excluded from outpatient treatment if they presented with signs of infection, were hospitalized for other reasons, were undergoing additional endourologic stone procedures, had solitary kidneys or poor renal function, had social problems precluding outpatient care, or had a procedural complication. Follow-up was performed by means of direct communication and/or chart review.

RESULTS: Successful outpatient percutaneous nephrostomy was performed in 39 (42%) of the 93 encounters. Reasons for exclusion included infection (n = 23), concomitant problems requiring hospitalization (n = 11), stone therapy (n = 7), solitary kidney with renal failure (n = 3), and social reasons (n = 10). No procedure-related complication occurred. No patient required readmission within 3 weeks for a tube- or procedure-related problem.

CONCLUSION: Outpatient percutaneous nephrostomy can be safely performed in a selected group of patients.

Index terms: Interventional procedures, in infants and children, 81.1267 • Kidney, abnormalities, 81.14, 81.81, 81.84 • Kidney, interventional procedures, 81.1267

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