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


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.


CONCLUSIONS
Outpatient percutaneous nephrostomy can be safely performed in a selected group of patients.
Hogan
M J
MJ
Department of Radiology, Columbus Children's Hospital, 700 Children's Dr, Columbus, OH 43205, USA. mhogan@chi.osu.edu.
Coley
B D
BD
Jayanthi
V R
VR
Shiels
W E
WE
Koff
S A
SA
D000293:Adolescent; D000553:Ambulatory Care; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects