Interventional Ultrasound: Positioning Nephrostomy

  • Pasquale MartinoEmail author
  • Carlos Miacola
  • Michele Barbera
  • Silvano Palazzo


Percutaneous nephrostomy is a mini-invasive method that creates a communication between the renal excretory tract and the outside, through a catheter with its outlet in the flank. The first attempts were made by Goodwin in 1955, but of course they were blind attempts and burdened by a 30 % failure rate and 15 % of serious complications (Goodwin and Casey, AMA Arch Surg 72(2):357–365, 1956; Goodwin et al., J Am Med Assoc 157(11):891–894, 1955). Nowadays, thanks to the possibility of employing a technique combining fluoroscopy and ultrasound (US), the rate of success is more than 98 %.


Retroperitoneal Fibrosis Anterior Branch Percutaneous Nephrostomy Needle Guide Nephrostomic Catheter 
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Supplementary material

Video 14.1

Caption (M4V 157798 kb)


  1. 1.
    Goodwin WE, Casey WC (1956) Percutaneous antegrade pyelography and translumbar needle nephrostomy in hydronephrosis. AMA Arch Surg 72(2):357–365CrossRefPubMedGoogle Scholar
  2. 2.
    Goodwin WE, Casey WC, Woolf W (1955) Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc 157(11):891–894CrossRefPubMedGoogle Scholar
  3. 3.
    Brix D, Ignee A, Dietrich CF (2011) Urologische interventionen. In: Dietrich CF, Nuernberg D (eds) Interventioneller ultraschall. Thieme, Stuttgart: in pressGoogle Scholar
  4. 4.
    Dyer RB, Assimos DG, Regan JD (1997) Update on interventional uroradiology. Urol Clin North Am 24(3):623–652CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Pasquale Martino
    • 1
    Email author
  • Carlos Miacola
    • 1
  • Michele Barbera
    • 2
  • Silvano Palazzo
    • 1
  1. 1.Department of Emergency and Organ Transplantation – Urology, Andrology and Kidney Transplantation UnitUniversity of BariBariItaly
  2. 2.U.O. Urologia – Presidio Ospedaliero di Sciacca – Asp AgrigentoAgrigentoItaly

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