Skip to main content
SpringerLink
Log in

Urinary Diversion and Drainage

  • Chapter
  • First Online:
Interventional Urology

  • 1037 Accesses

Abstract

Urinary diversion and drainage procedures include percutaneous nephrostomy in native and transplant kidneys, nephroureteral stent placement, ureteral stent placement, ureteral stricture management, ureteral embolization, suprapubic catheterization, as well as perinephric abscess and urinoma drainage. Collectively, these procedures represent minimally invasive, percutaneous strategies used to alter the flow of urine, to relieve obstruction, to restore physiologic drainage, and to promote healing. This chapter describes the indications, techniques, and imaging guidance modalities related to urinary diversion and drainage procedures. Additionally, this chapter will discuss the management of the catheters and stents utilized in these interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc. 1955;157(11):891–4.

    Article  CAS  Google Scholar 

  2. Alken P, Hutschenreiter G, Günther R, Marberger M. Percutaneous stone manipulation. J Urol. 1981;125(4):463–6.

    Article  CAS  Google Scholar 

  3. Valji K. Urologic and genital systems. In: The practice of interventional radiology with online cases and videos. Philadelphia: Elsevier; 2012. p. 684–717.

    Google Scholar 

  4. Dyer RB, Regan JD, Kavanagh PV, Khatod EG, Chen MY, Zagoria RJ. Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics. 2002;22(3):503–25.

    Article  Google Scholar 

  5. Potenta SE, D’Agostino R, Sternberg KM, Tatsumi K, Perusse K. CT Urography for evaluation of the ureter. Radiographics. 2015;35(3):709–26.

    Article  Google Scholar 

  6. Malloy PC, Grassi CJ, Kundu S, Gervais DA, Miller DL, Osnis RB, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 2009;20(7):S240–9.

    Article  Google Scholar 

  7. Beddy P, Ryan J. Antibiotic prophylaxis in interventional radiology—anything new? Tech Vasc Interv Radiol. 2006;9(2):69–76.

    Article  CAS  Google Scholar 

  8. Bui T. Airway management of patients undergoing non-OR procedures. Anesthesiology News. 25 Aug 2008.

    Google Scholar 

  9. Dickey KW, et. al. ACR-SIR Practice Parameter for Minimal and/or Moderate Sedation/Analgesia. Reston, VA: American College of Radiology (ACR); 2020.

    Google Scholar 

  10. Millward SF. Percutaneous nephrostomy: a practical approach. J Vasc Interv Radiol. 2000;11(8):955–64.

    Article  CAS  Google Scholar 

  11. Saad W. Percutaneous nephrostomy: native and transplanted kidneys. Tech Vasc Interv Radiol. 2009;12(3):172–92.

    Article  Google Scholar 

  12. Barbaric ZL, Hall T, Cochran ST, Heitz DR, Schwartz RA, Krasny RM, et al. Percutaneous nephrostomy: placement under CT and fluoroscopy guidance. AJR Am J Roentgenol. 1997;169(1):151–5.

    Article  CAS  Google Scholar 

  13. Siegel D. 3D imaging in the angiography suite advances interventional patient care. Appl Radiol. 2012;41(Suppl):14–7.

    Google Scholar 

  14. Cardella J. Society of Interventional Radiology Standards of Practice Committee, Percutaneous nephrostomy. 2014.

    Google Scholar 

  15. Pabon-Ramos WM, Dariushnia SR, Walker TG, d’Othée BJ, Ganguli S, Midia M, et al. Quality Improvement Guidelines for Percutaneous Nephrostomy. J Vasc Interv Radiol. 2016;27(3):410–4. ISSN 1051-0443. https://doi.org/10.1016/j.jvir.2015.11.045. (https://www.sciencedirect.com/science/article/pii/S1051044315011409).

  16. Farooq A, Agarwal S, Jones V. Safe removal of an encrusted nephrostomy tube using a vascular sheath: a technique revisited. Cardiovasc Interv Radiol. 2013;36(3):820–3.

    Article  Google Scholar 

  17. Weedin JW, Coburn M, Link RE. The impact of proximal stone burden on the management of encrusted and retained ureteral stents. J Urol. 2011;185(2):542–7.

    Article  Google Scholar 

  18. Makramalla A, Zuckerman D. Nephroureteral stents: principles and techniques. Semin Interv Radiol. 2011;28(04):367–79.

    Article  Google Scholar 

  19. Hausegger KA, Portugaller HR. Percutaneous nephrostomy and antegrade ureteral stenting: technique—indications—complications. Eur Radiol. 2006;16(9):2016–30.

    Article  Google Scholar 

  20. Mostafa SA, Taheri S, Nourbala MH. Percutaneous nephrostomy for treatment of posttransplant ureteral obstructions. Urol J. 2008;5(2):79–83.

    PubMed  Google Scholar 

  21. Peregrin JH, Hanzal V, Bürgelová M, Viklický O. Nephrostomy in early posttransplantation period in patients with nonfunctional graft and nondilated collecting system. Cardiovasc Interv Radiol. 2014;37(2):458–62.

    Article  Google Scholar 

  22. Fayek SA, Keenan J, Haririan A, Cooper M, Barth RN, Schweitzer E, et al. Ureteral stents are associated with reduced risk of ureteral complications after kidney transplantation. Transplantation. 2012;93(3):304–8.

    Article  Google Scholar 

  23. Kobayashi K, Censullo ML, Rossman LL, Kyriakides PN, Kahan BD, Cohen AM. Interventional radiologic management of renal transplant dysfunction: indications, limitations, and technical considerations. Radiographics. 2007;27(4):1109–30.

    Article  Google Scholar 

  24. Tal R, Sivan B, Kedar D, Baniel J. Management of benign ureteral strictures following radical cystectomy and urinary diversion for bladder cancer. J Urol. 2007;178(2):538–42.

    Article  Google Scholar 

  25. Drake M, Cowan N. Fluoroscopy guided retrograde ureteral stent insertion in patients with a ureteroileal urinary conduit: method and results. J Urol. 2002;167(5):2049–51.

    Article  CAS  Google Scholar 

  26. Chung SY, Stein RJ, Landsittel D, Davies BJ, Cuellar DC, Hrebinko RL, et al. 15-year experience with the management of extrinsic ureteral obstruction with indwelling ureteral stents. J Urol. 2004;172(2):592–5.

    Article  Google Scholar 

  27. Hafez KS, Wolf JS Jr. Update on minimally invasive management of ureteral strictures. J Endourol. 2003;17(7):453–64.

    Article  Google Scholar 

  28. Kwak S, Leef JA, Rosenblum JD. Percutaneous balloon catheter dilatation of benign ureteral strictures: effect of multiple dilatation procedures on long-term patency. AJR Am J Roentgenol. 1995;165(1):97–100.

    Article  CAS  Google Scholar 

  29. Byun SS, Kim JH, Oh SJ, Kim HH. Simple retrograde balloon dilation for treatment of ureteral strictures: etiology-based analysis. Yonsei Med J. 2003;44(2):273–8.

    Article  Google Scholar 

  30. Lucas JW, Ghiraldi E, Ellis J, Friedlander JI. Endoscopic management of ureteral strictures: an update. Curr Urol Rep. 2018;19(4):24.

    Article  Google Scholar 

  31. Jin MX, Mohabir AD, Caplin DM, Lobko I, Siegel DN. Transrenal ureteral embolization utilizing amplatzer vascular plugs and n-butyl cyanoacrylate glue. J Endourol Case Rep. 2018;4(1):108–10. https://doi.org/10.1089/cren.2018.0027.

  32. Gardiner RA, Gwynne RA, Roberts SA. Perinephric abscess. BJU Int. 2011;107(Suppl 3):20–3.

    Article  Google Scholar 

  33. Coelho RF, Schneider-Monteiro ED, Mesquita JLB, Mazzucchi E, Marmo Lucon A, Srougi M. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg. 2007;31(2):431–6.

    Article  Google Scholar 

  34. Liu XQ, Wang CC, Liu YB, Liu K. Renal and perinephric abscesses in West China Hospital: 10-year retrospective-descriptive study. World J Nephrol. 2016;5(1):108–14.

    Article  Google Scholar 

  35. Rubilotta E, Balzarro M, Lacola V, Sarti A, Porcaro AB, Artibani W. Current clinical management of renal and perinephric abscesses: a literature review. Urologia. 2014;81(3):144–7.

    Article  Google Scholar 

  36. Jane Hall S, Harrison S, Harding C, Reid S, Parkinson R. British Association of Urological Surgeons suprapubic catheter practice guidelines – revised. BJU Int. 2020. https://doi.org/10.1111/bju.15123. Epub ahead of print.

  37. Linscott L. Pediatric urologic interventional radiology. Semin Interv Radiol. 2011;28(04):407–14.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Vascular and Interventional Radiology, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA

    Jorge Tirado

  2. Department of Radiology, Stony Brook University Hospital, Stony Brook, NY, USA

    Suraj H. Rambhia

  3. Department of Radiology, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA

    Adina Haramati

  4. Vascular and Interventional Radiology, Northwell Health Physician Partners, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA

    Drew M. Caplin

Authors
  1. Jorge Tirado
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Suraj H. Rambhia
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Adina Haramati
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Drew M. Caplin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Drew M. Caplin .

Editor information

Editors and Affiliations

  1. Urology and Radiology, Lenox Hill Hospital, New York, NY, USA

    Ardeshir R. Rastinehad

  2. Vascular & Interventional Radiology, North Shore Long Island Jewish Health System, New Hyde Park, NY, USA

    David N. Siegel

  3. National Cancer Institute & Clinica, Bethesda, MD, USA

    Bradford J. Wood

  4. Lefrak Center for Robotic Surgery, Weill Cornell Medicine, New York, NY, USA

    Timothy McClure

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tirado, J., Rambhia, S.H., Haramati, A., Caplin, D.M. (2021). Urinary Diversion and Drainage. In: Rastinehad, A.R., Siegel, D.N., Wood, B.J., McClure, T. (eds) Interventional Urology . Springer, Cham. https://doi.org/10.1007/978-3-030-73565-4_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-73565-4_23

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73564-7

  • Online ISBN: 978-3-030-73565-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation