{"id":1514,"date":"2026-05-19T13:05:36","date_gmt":"2026-05-19T11:05:36","guid":{"rendered":"https:\/\/www.irz.ch\/treatments\/dialysis-access\/perkutane-nephrostomie\/"},"modified":"2026-05-28T09:51:33","modified_gmt":"2026-05-28T07:51:33","slug":"percutaneous-nephrostomy","status":"publish","type":"page","link":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/","title":{"rendered":"Perkutane Nephrostomie"},"content":{"rendered":"<section class=\"l-section wpb_row us_custom_5dc960c1 height_large with_img\"><div class=\"l-section-img\" role=\"img\" aria-label=\"Image\" data-img-width=\"2400\" data-img-height=\"1600\" style=\"background-image: url(https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/IRZ-8008-Seefeld-Entrance-2025.webp);background-repeat: no-repeat;\"><\/div><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row us_custom_4fb9e5a3 height_small width_custom type_sticky\" style=\"--site-content-width:1300px;\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-hwrapper valign_top wrap stack_on_mobiles hide_on_mobiles align_center\" style=\"--hwrapper-gap:1.2rem\"><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_5\" href=\"#1\"><span class=\"w-btn-label\">Overview<\/span><\/a><\/div><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_5\" href=\"#2\"><span class=\"w-btn-label\">Procedure<\/span><\/a><\/div><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_5\" href=\"#5\"><span class=\"w-btn-label\">Studies<\/span><\/a><\/div><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_5\" href=\"#6\"><span class=\"w-btn-label\">Suitability<\/span><\/a><\/div><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_5\" href=\"#7\"><span class=\"w-btn-label\">FAQ<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1300px;\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_auto width_custom\" style=\"--site-content-width:1100px;\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><h1 class=\"w-text us_custom_b699551f\"><span class=\"w-text-h\"><span class=\"w-text-value\"><strong> Percutaneous Nephrostomy in Zurich<\/strong> \u2013Immediate Relief for the Obstructed Kidney<\/span><\/span><\/h1><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>The kidney produces urine around the clock. When drainage is blocked \u2014 by a kidney stone, a ureteral stricture, or a tumor pressing from outside \u2014 urine backs up in the kidney. Pressure rises, the kidney swells, and if the obstruction persists, permanent kidney damage threatens. In acute cases, life-threatening urosepsis (blood poisoning from urinary tract infection) can develop within hours.<\/p>\n<p>Percutaneous nephrostomy \u2014 an image-guided drain through the skin directly into the obstructed kidney \u2014 provides relief within minutes.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1100px;\" id=\"1\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2>What Is Percutaneous Nephrostomy?<\/h2>\n<\/div><\/div><div class=\"w-separator size_small with_line width_default thick_1 style_solid color_border align_center\"><div class=\"w-separator-h\"><\/div><\/div><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>Percutaneous nephrostomy (PCN) is a minimally invasive procedure in which, under ultrasound and fluoroscopic guidance, a thin drainage catheter is inserted directly through the skin and back muscles into the renal pelvis. The backed-up urine can immediately drain, the kidney is relieved, and \u2014 if infection is present \u2014 the vicious cycle of urosepsis is broken.<\/p>\n<p>A nephrostomy can serve as a temporary measure (e.g., until a kidney stone can be surgically removed or fragmented) or as a permanent drainage pathway when the ureter is permanently blocked (e.g., by a tumor).<\/p>\n<p>Common causes of urinary obstruction requiring nephrostomy:<\/p>\n<ul>\n<li>Kidney stone obstructing the ureter (urolithiasis)<\/li>\n<li>Tumors of the pelvis, bladder, cervix, or prostate compressing the ureter from outside<\/li>\n<li>Post-surgical or post-radiation ureteral strictures<\/li>\n<li>Blood clots in the ureter<\/li>\n<li>Congenital outflow obstruction (ureteropelvic junction obstruction)<\/li>\n<li>Retroperitoneal fibrosis<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1100px;\" id=\"2\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2><strong>The Procedure<\/strong> \u2014 Step by Step<\/h2>\n<\/div><\/div><div class=\"w-separator size_small with_line width_default thick_1 style_solid color_border align_center\"><div class=\"w-separator-h\"><\/div><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M17.0908 10.7388V20H15.2627V12.8462L13.0664 13.5444V12.1035L16.894 10.7388H17.0908Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Before the procedure<\/strong><\/h5><div class=\"w-iconbox-text\"><p>Ultrasound and\/or CT to assess the kidney and plan the access pathway. Laboratory values (blood count, coagulation, kidney values). Fasting (at least 4\u20136 hours). Antibiotic prophylaxis administered.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M18.957 18.5718V20H12.6348V18.7812L15.6245 15.5757C15.925 15.2414 16.1619 14.9473 16.3354 14.6934C16.509 14.4352 16.6338 14.2046 16.71 14.0015C16.7904 13.7941 16.8306 13.5973 16.8306 13.4111C16.8306 13.1318 16.784 12.8927 16.6909 12.6938C16.5978 12.4907 16.4603 12.3341 16.2783 12.2241C16.1006 12.1141 15.8805 12.0591 15.6182 12.0591C15.3389 12.0591 15.0977 12.1268 14.8945 12.2622C14.6956 12.3976 14.5433 12.5859 14.4375 12.8271C14.3359 13.0684 14.2852 13.3413 14.2852 13.646H12.4507C12.4507 13.0959 12.5819 12.5923 12.8442 12.1353C13.1066 11.674 13.4769 11.3079 13.9551 11.0371C14.4333 10.762 15.0003 10.6245 15.6562 10.6245C16.3037 10.6245 16.8496 10.7303 17.2939 10.9419C17.7425 11.1493 18.0811 11.4497 18.3096 11.8433C18.5423 12.2326 18.6587 12.6981 18.6587 13.2397C18.6587 13.5444 18.61 13.8428 18.5127 14.1348C18.4154 14.4225 18.2757 14.7103 18.0938 14.998C17.916 15.2816 17.7002 15.5693 17.4463 15.8613C17.1924 16.1533 16.911 16.4559 16.6021 16.769L14.9961 18.5718H18.957Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Positioning<\/strong><\/h5><div class=\"w-iconbox-text\"><p>Prone or slight lateral position on the procedure table. The back\/flank area is disinfected and draped sterile.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M14.5073 14.5854H15.4849C15.798 14.5854 16.0562 14.5326 16.2593 14.4268C16.4624 14.3167 16.6126 14.1644 16.71 13.9697C16.8115 13.7708 16.8623 13.5402 16.8623 13.2778C16.8623 13.0409 16.8158 12.8314 16.7227 12.6494C16.6338 12.4632 16.4963 12.3193 16.3101 12.2178C16.1239 12.112 15.889 12.0591 15.6055 12.0591C15.3812 12.0591 15.1738 12.1035 14.9834 12.1924C14.793 12.2812 14.6406 12.4061 14.5264 12.5669C14.4121 12.7277 14.355 12.9224 14.355 13.1509H12.5205C12.5205 12.6431 12.6559 12.2008 12.9268 11.8242C13.2018 11.4476 13.57 11.1535 14.0312 10.9419C14.4925 10.7303 15.0003 10.6245 15.5547 10.6245C16.181 10.6245 16.729 10.7261 17.1987 10.9292C17.6685 11.1281 18.0345 11.4222 18.2969 11.8115C18.5592 12.2008 18.6904 12.6833 18.6904 13.2588C18.6904 13.5508 18.6227 13.8343 18.4873 14.1094C18.3519 14.3802 18.1572 14.6257 17.9033 14.8457C17.6536 15.0615 17.349 15.235 16.9893 15.3662C16.6296 15.4932 16.2254 15.5566 15.7769 15.5566H14.5073V14.5854ZM14.5073 15.9756V15.0298H15.7769C16.2804 15.0298 16.7227 15.0869 17.1035 15.2012C17.4844 15.3154 17.8039 15.4805 18.062 15.6963C18.3201 15.9079 18.5148 16.1597 18.646 16.4517C18.7772 16.7394 18.8428 17.0589 18.8428 17.4102C18.8428 17.8418 18.7603 18.2269 18.5952 18.5654C18.4302 18.8997 18.1974 19.1833 17.897 19.416C17.6007 19.6488 17.2537 19.8265 16.856 19.9492C16.4582 20.0677 16.0244 20.127 15.5547 20.127C15.1654 20.127 14.7824 20.0741 14.4058 19.9683C14.0334 19.8582 13.6948 19.6953 13.3901 19.4795C13.0897 19.2594 12.8485 18.9844 12.6665 18.6543C12.4888 18.32 12.3999 17.9243 12.3999 17.4673H14.2344C14.2344 17.7043 14.2936 17.9159 14.4121 18.1021C14.5306 18.2882 14.6935 18.4342 14.9009 18.54C15.1125 18.6458 15.3473 18.6987 15.6055 18.6987C15.8975 18.6987 16.1471 18.6458 16.3545 18.54C16.5661 18.43 16.7269 18.2777 16.8369 18.083C16.9512 17.8841 17.0083 17.6535 17.0083 17.3911C17.0083 17.0526 16.9469 16.7817 16.8242 16.5786C16.7015 16.3713 16.5259 16.2189 16.2974 16.1216C16.0688 16.0243 15.798 15.9756 15.4849 15.9756H14.5073Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Imaging and planning<\/strong><\/h5><div class=\"w-iconbox-text\"><p>Under ultrasound or CT guidance, the dilated renal pelvis is localized. The optimal puncture path \u2014 providing direct access to the renal pelvis while avoiding important structures like vessels and bowel \u2014 is planned with millimeter precision.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M19.1094 16.5469V17.9814H12.4507L12.3618 16.8706L16.2148 10.7578H17.6685L16.0942 13.3921L14.1772 16.5469H19.1094ZM18.062 10.7578V20H16.2339V10.7578H18.062Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Local anesthesia<\/strong><\/h5><div class=\"w-iconbox-text\"><p>Skin, muscles, and renal capsule are numbed with local anesthetic. Light sedation (conscious sedation) can be administered upon request.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg fill=\"none\" height=\"32\" viewBox=\"0 0 32 32\" width=\"32\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><rect fill=\"#414042\" height=\"32\" rx=\"16\" width=\"32\"\/><path d=\"m14.355 15.7915-1.46-.3491.5269-4.6846h5.1924v1.479h-3.688l-.2285 2.0503c.1227-.0719.3089-.1481.5585-.2285.2497-.0846.529-.127.8379-.127.4486 0 .8464.0699 1.1934.2095.347.1397.6411.3428.8823.6094.2455.2666.4317.5924.5586.9775.127.3851.1904.821.1904 1.3076 0 .4105-.0634.802-.1904 1.1744-.1269.3681-.3195.6982-.5776.9902-.2582.2878-.5819.5142-.9712.6792s-.8506.2476-1.3838.2476c-.3978 0-.7829-.0593-1.1553-.1778-.3681-.1185-.7003-.2941-.9966-.5268-.2919-.2328-.5268-.5142-.7045-.8443-.1735-.3343-.2645-.7151-.273-1.1426h1.8154c.0254.2624.0931.4888.2032.6792.1142.1862.2644.3301.4506.4317.1862.1015.4042.1523.6539.1523.2327 0 .4316-.0444.5966-.1333.1651-.0888.2984-.2116.3999-.3681.1016-.1608.1757-.347.2222-.5586.0508-.2158.0762-.4486.0762-.6983 0-.2496-.0296-.476-.0889-.6792-.0592-.2031-.1502-.3787-.2729-.5268-.1228-.1481-.2793-.2624-.4698-.3428-.1862-.0804-.4041-.1206-.6538-.1206-.3385 0-.6009.0529-.7871.1587-.182.1058-.3343.2264-.457.3618z\" fill=\"#fff\"\/><\/svg><\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Puncture<\/strong><\/h5><div class=\"w-iconbox-text\"><p>Under combined ultrasound and fluoroscopic guidance, a thin needle is precisely inserted into the renal pelvis. Once urine flows back, correct placement is confirmed.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M17.3511 10.6626H17.6177V12.1226H17.5098C17.0273 12.1226 16.5978 12.1945 16.2212 12.3384C15.8446 12.4823 15.5251 12.6875 15.2627 12.9541C15.0046 13.2165 14.8057 13.5339 14.666 13.9062C14.5306 14.2786 14.4629 14.6955 14.4629 15.1567V16.6929C14.4629 17.0229 14.4946 17.3149 14.5581 17.5688C14.6258 17.8185 14.721 18.028 14.8438 18.1973C14.9707 18.3623 15.1188 18.4871 15.2881 18.5718C15.4574 18.6522 15.6478 18.6924 15.8594 18.6924C16.0583 18.6924 16.2381 18.6501 16.3989 18.5654C16.564 18.4808 16.7036 18.3623 16.8179 18.21C16.9364 18.0534 17.0252 17.8714 17.0845 17.6641C17.1479 17.4525 17.1797 17.2218 17.1797 16.9722C17.1797 16.7225 17.1479 16.4919 17.0845 16.2803C17.0252 16.0687 16.9364 15.8867 16.8179 15.7344C16.6994 15.5778 16.5555 15.4572 16.3862 15.3726C16.217 15.2879 16.0265 15.2456 15.8149 15.2456C15.5272 15.2456 15.2733 15.3133 15.0532 15.4487C14.8374 15.5799 14.6681 15.7492 14.5454 15.9565C14.4227 16.1639 14.3571 16.3818 14.3486 16.6104L13.7964 16.2549C13.8091 15.929 13.8768 15.6201 13.9995 15.3281C14.1265 15.0361 14.3 14.778 14.52 14.5537C14.7443 14.3252 15.013 14.1475 15.3262 14.0205C15.6393 13.8893 15.9927 13.8237 16.3862 13.8237C16.8179 13.8237 17.1966 13.9062 17.5225 14.0713C17.8525 14.2363 18.1276 14.4627 18.3477 14.7505C18.5677 15.0382 18.7327 15.3704 18.8428 15.7471C18.9528 16.1237 19.0078 16.5257 19.0078 16.9531C19.0078 17.4017 18.9338 17.8185 18.7856 18.2036C18.6418 18.5887 18.4323 18.9251 18.1572 19.2129C17.8864 19.5007 17.5605 19.7249 17.1797 19.8857C16.7988 20.0465 16.3714 20.127 15.8975 20.127C15.4066 20.127 14.9601 20.0381 14.5581 19.8604C14.1603 19.6784 13.8175 19.4245 13.5298 19.0986C13.242 18.7728 13.0199 18.3856 12.8633 17.937C12.7109 17.4884 12.6348 16.9976 12.6348 16.4644V15.7534C12.6348 15.0086 12.7427 14.3273 12.9585 13.7095C13.1785 13.0874 13.4938 12.55 13.9043 12.0972C14.3148 11.6401 14.8099 11.2868 15.3896 11.0371C15.9694 10.7874 16.6232 10.6626 17.3511 10.6626Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Seldinger technique<\/strong><\/h5><div class=\"w-iconbox-text\"><p>A thin guidewire is advanced through the needle into the renal pelvis. The needle is removed, the access is gradually dilated, and the nephrostomy catheter (typically 8\u201312 French, approximately 3\u20134 mm diameter) is placed. At the catheter tip, a small safety loop (pigtail) opens to prevent the catheter from slipping out of the kidney.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M18.9126 10.7578V11.7417L15.3389 20H13.4092L16.9829 12.186H12.3809V10.7578H18.9126Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Fixation and dressing<\/strong><\/h5><div class=\"w-iconbox-text\"><p>The catheter is secured to the skin and covered with a dressing. Urine immediately flows into a collection bag.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M18.8618 17.4673C18.8618 18.047 18.7264 18.5358 18.4556 18.9336C18.1847 19.3271 17.8123 19.6255 17.3384 19.8286C16.8687 20.0275 16.3354 20.127 15.7388 20.127C15.1421 20.127 14.6068 20.0275 14.1328 19.8286C13.6589 19.6255 13.2843 19.3271 13.0093 18.9336C12.7342 18.5358 12.5967 18.047 12.5967 17.4673C12.5967 17.078 12.675 16.7267 12.8315 16.4136C12.9881 16.0962 13.2061 15.8254 13.4854 15.6011C13.7689 15.3726 14.1011 15.1991 14.4819 15.0806C14.8628 14.9578 15.2775 14.8965 15.7261 14.8965C16.327 14.8965 16.8644 15.0023 17.3384 15.2139C17.8123 15.4255 18.1847 15.7238 18.4556 16.1089C18.7264 16.494 18.8618 16.9468 18.8618 17.4673ZM17.021 17.3467C17.021 17.0632 16.966 16.8198 16.856 16.6167C16.7502 16.4093 16.5999 16.2507 16.4053 16.1406C16.2106 16.0306 15.9842 15.9756 15.7261 15.9756C15.4679 15.9756 15.2415 16.0306 15.0469 16.1406C14.8522 16.2507 14.6999 16.4093 14.5898 16.6167C14.484 16.8198 14.4312 17.0632 14.4312 17.3467C14.4312 17.626 14.484 17.8672 14.5898 18.0703C14.6999 18.2734 14.8522 18.43 15.0469 18.54C15.2458 18.6458 15.4764 18.6987 15.7388 18.6987C16.0011 18.6987 16.2275 18.6458 16.418 18.54C16.6126 18.43 16.7607 18.2734 16.8623 18.0703C16.9681 17.8672 17.021 17.626 17.021 17.3467ZM18.665 13.208C18.665 13.6777 18.5402 14.0946 18.2905 14.4585C18.0409 14.8182 17.6938 15.0996 17.2495 15.3027C16.8094 15.5059 16.3058 15.6074 15.7388 15.6074C15.1675 15.6074 14.6597 15.5059 14.2153 15.3027C13.771 15.0996 13.424 14.8182 13.1743 14.4585C12.9246 14.0946 12.7998 13.6777 12.7998 13.208C12.7998 12.6494 12.9246 12.1797 13.1743 11.7988C13.4282 11.4137 13.7752 11.1217 14.2153 10.9229C14.6597 10.724 15.1632 10.6245 15.7261 10.6245C16.2974 10.6245 16.8031 10.724 17.2432 10.9229C17.6875 11.1217 18.0345 11.4137 18.2842 11.7988C18.5381 12.1797 18.665 12.6494 18.665 13.208ZM16.8369 13.2905C16.8369 13.0409 16.7925 12.825 16.7036 12.6431C16.6147 12.4569 16.4878 12.313 16.3228 12.2114C16.1619 12.1099 15.9631 12.0591 15.7261 12.0591C15.4976 12.0591 15.3008 12.1077 15.1357 12.2051C14.9749 12.3024 14.8501 12.4442 14.7612 12.6304C14.6766 12.8123 14.6343 13.0324 14.6343 13.2905C14.6343 13.5402 14.6766 13.7603 14.7612 13.9507C14.8501 14.1369 14.9771 14.2829 15.1421 14.3887C15.3071 14.4945 15.506 14.5474 15.7388 14.5474C15.9715 14.5474 16.1683 14.4945 16.3291 14.3887C16.4941 14.2829 16.619 14.1369 16.7036 13.9507C16.7925 13.7603 16.8369 13.5402 16.8369 13.2905Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Duration<\/strong><\/h5><div class=\"w-iconbox-text\"><p>30\u201360 minutes including preparation and monitoring.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_cf33dcd7\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_432d3f53 iconpos_left style_default color_primary align_none icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<rect width=\"32\" height=\"32\" rx=\"16\" fill=\"#414042\"\/>\n<path d=\"M17.3511 10.6626H17.6177V12.1226H17.5098C17.0273 12.1226 16.5978 12.1945 16.2212 12.3384C15.8446 12.4823 15.5251 12.6875 15.2627 12.9541C15.0046 13.2165 14.8057 13.5339 14.666 13.9062C14.5306 14.2786 14.4629 14.6955 14.4629 15.1567V16.6929C14.4629 17.0229 14.4946 17.3149 14.5581 17.5688C14.6258 17.8185 14.721 18.028 14.8438 18.1973C14.9707 18.3623 15.1188 18.4871 15.2881 18.5718C15.4574 18.6522 15.6478 18.6924 15.8594 18.6924C16.0583 18.6924 16.2381 18.6501 16.3989 18.5654C16.564 18.4808 16.7036 18.3623 16.8179 18.21C16.9364 18.0534 17.0252 17.8714 17.0845 17.6641C17.1479 17.4525 17.1797 17.2218 17.1797 16.9722C17.1797 16.7225 17.1479 16.4919 17.0845 16.2803C17.0252 16.0687 16.9364 15.8867 16.8179 15.7344C16.6994 15.5778 16.5555 15.4572 16.3862 15.3726C16.217 15.2879 16.0265 15.2456 15.8149 15.2456C15.5272 15.2456 15.2733 15.3133 15.0532 15.4487C14.8374 15.5799 14.6681 15.7492 14.5454 15.9565C14.4227 16.1639 14.3571 16.3818 14.3486 16.6104L13.7964 16.2549C13.8091 15.929 13.8768 15.6201 13.9995 15.3281C14.1265 15.0361 14.3 14.778 14.52 14.5537C14.7443 14.3252 15.013 14.1475 15.3262 14.0205C15.6393 13.8893 15.9927 13.8237 16.3862 13.8237C16.8179 13.8237 17.1966 13.9062 17.5225 14.0713C17.8525 14.2363 18.1276 14.4627 18.3477 14.7505C18.5677 15.0382 18.7327 15.3704 18.8428 15.7471C18.9528 16.1237 19.0078 16.5257 19.0078 16.9531C19.0078 17.4017 18.9338 17.8185 18.7856 18.2036C18.6418 18.5887 18.4323 18.9251 18.1572 19.2129C17.8864 19.5007 17.5605 19.7249 17.1797 19.8857C16.7988 20.0465 16.3714 20.127 15.8975 20.127C15.4066 20.127 14.9601 20.0381 14.5581 19.8604C14.1603 19.6784 13.8175 19.4245 13.5298 19.0986C13.242 18.7728 13.0199 18.3856 12.8633 17.937C12.7109 17.4884 12.6348 16.9976 12.6348 16.4644V15.7534C12.6348 15.0086 12.7427 14.3273 12.9585 13.7095C13.1785 13.0874 13.4938 12.55 13.9043 12.0972C14.3148 11.6401 14.8099 11.2868 15.3896 11.0371C15.9694 10.7874 16.6232 10.6626 17.3511 10.6626Z\" fill=\"white\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><h5 class=\"w-iconbox-title\" style=\"font-size:26px;\"><strong>Inpatient or outpatient<\/strong><\/h5><div class=\"w-iconbox-text\"><p>In acute situations (urosepsis, severe pain), hospitalization is standard and advisable. Elective procedures can theoretically be performed on an outpatient basis.<\/p>\n<\/div><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-iconbox us_custom_f55e6d61 has_text_color iconpos_left style_default color_custom align_none no_title icontype_img\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M15.9188 13.3162C16.8375 12.3449 17.4 11.0399 17.4 9.5999C17.4 6.61865 14.9813 4.1999 12 4.1999C9.0188 4.1999 6.60005 6.61865 6.60005 9.5999C6.60005 11.0399 7.16255 12.3449 8.0813 13.3162C8.88005 14.1562 9.76505 15.3412 10.08 16.7999H13.92C14.235 15.3374 15.12 14.1562 15.9188 13.3162ZM17.2238 14.5537C16.3388 15.4874 15.6 16.6274 15.6 17.9137V18.5999C15.6 20.2574 14.2575 21.5999 12.6 21.5999H11.4C9.74255 21.5999 8.40005 20.2574 8.40005 18.5999V17.9137C8.40005 16.6274 7.6613 15.4874 6.7763 14.5537C5.55005 13.2637 4.80005 11.5199 4.80005 9.5999C4.80005 5.6249 8.02505 2.3999 12 2.3999C15.975 2.3999 19.2 5.6249 19.2 9.5999C19.2 11.5199 18.45 13.2637 17.2238 14.5537ZM10.2 9.2999C10.2 9.79865 9.7988 10.1999 9.30005 10.1999C8.8013 10.1999 8.40005 9.79865 8.40005 9.2999C8.40005 7.4774 9.87755 5.9999 11.7 5.9999C12.1988 5.9999 12.6 6.40115 12.6 6.8999C12.6 7.39865 12.1988 7.7999 11.7 7.7999C10.8713 7.7999 10.2 8.47115 10.2 9.2999Z\" fill=\"#17A475\"\/>\n<\/svg>\n<\/div><div class=\"w-iconbox-meta\"><div class=\"w-iconbox-text\"><p>After the consultation, you will receive a detailed patient information sheet with all specific instructions.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_medium\"><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1100px;\" id=\"5\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2>What Can Be Additionally Treated Through the Nephrostomy?<\/h2>\n<\/div><\/div><div class=\"w-separator size_small with_line width_default thick_1 style_solid color_border align_center\"><div class=\"w-separator-h\"><\/div><\/div><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>The nephrostomy catheter is not just a drain \u2014 it is simultaneously a working channel for further interventional procedures:<\/p>\n<ul>\n<li>Antegrade ureteral stent implantation: Through the nephrostomy access, a double-J stent (JJ stent) is placed into the ureter, restoring urine drainage through the natural pathway. The nephrostomy catheter can then be removed.<\/li>\n<li>Ureteral dilation: Strictures of the ureter can be dilated with a balloon through the access.<\/li>\n<li>Percutaneous nephrolithotomy (PCNL): For large kidney stones that cannot be treated with shock waves, the nephrostomy access enables endoscopic stone removal \u2014 often in cooperation with urology.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1100px;\" id=\"6\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2><strong>Who Is It Suitable For<\/strong> \u2014 and Who Is It Not?<\/h2>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"g-cols wpb_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:1.5rem;\"><div class=\"wpb_column vc_column_container us_custom_f57fbaab\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_8b422348 has_text_color iconpos_left style_default color_custom align_none no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;--icon-color:#2A8A6A;\"><i class=\"fal fa-check\"><\/i><\/div><div class=\"w-iconbox-meta\"><h6 class=\"w-iconbox-title\">Suitable<\/h6><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li>Acute urinary obstruction with pain or fever (urosepsis \u2014 emergency indication)<\/li>\n<li>Chronic urinary obstruction from tumor, scar, or other obstruction<\/li>\n<li>Preparation for further procedures (JJ stent, stone treatment, radiation)<\/li>\n<li>Acute kidney failure from bilateral urinary obstruction<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container us_custom_9dc1ca55\"><div class=\"vc_column-inner\"><div class=\"w-iconbox us_custom_e3fc53b6 has_text_color iconpos_left style_default color_custom align_none no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;--icon-color:#E55555;\"><i class=\"fal fa-check\"><\/i><\/div><div class=\"w-iconbox-meta\"><h6 class=\"w-iconbox-title\">Not or only partially suitable<\/h6><\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li>Severe, uncorrectable coagulation disorders<\/li>\n<li>No safe access pathway<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1100px;\" id=\"7\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2><strong>FAQ<\/strong> \u2014 Percutaneous Nephrostomy<\/h2>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-tabs style_default switch_click accordion has_scrolling\" style=\"--sections-title-size:inherit\"><div class=\"w-tabs-sections titles-align_none icon_plus cpos_right\"><div class=\"w-tabs-section\" id=\"l537\"><button class=\"w-tabs-section-header\" aria-controls=\"content-l537\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">Is the procedure painful?<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-l537\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>The procedure is performed under local anesthesia. The local anesthetic injection briefly causes a burning sensation; after that, the procedure is largely pain-free. A pressure sensation when advancing the catheter is possible. Light sedation (conscious sedation) can be administered upon request.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"i606\"><button class=\"w-tabs-section-header\" aria-controls=\"content-i606\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">How long does the catheter need to stay in?<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-i606\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>That depends on the cause of the obstruction. For a kidney stone: as long as it takes to treat the stone (often 3\u20134 weeks). For tumor-related obstruction: the catheter can remain permanently or be replaced by an internal stent. We plan the further course together with your treating urologist or oncologist.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"s6b7\"><button class=\"w-tabs-section-header\" aria-controls=\"content-s6b7\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">Can I live at home with the catheter?<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-s6b7\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>Yes. Many patients live for weeks to months at home with a nephrostomy. The urine bag is regularly emptied, the catheter is flushed weekly to monthly, and exchanged as needed. We thoroughly train you and your family in handling it.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"y765\"><button class=\"w-tabs-section-header\" aria-controls=\"content-y765\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">What is urosepsis and why is it an emergency?<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-y765\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>When bacteria multiply in obstructed urine and enter the bloodstream, urosepsis develops \u2014 a life-threatening blood poisoning. Fever, severe flank pain, and urinary obstruction are the classic warning signs. Percutaneous nephrostomy can be life-saving in this situation by immediately draining the infected stasis within hours.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"s82d\"><button class=\"w-tabs-section-header\" aria-controls=\"content-s82d\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">Can a JJ stent replace the nephrostomy catheter?<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-s82d\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>Often yes. Through the nephrostomy access, an internal double-J stent (JJ stent) can be placed that keeps the ureter open from within and drains urine through the natural pathway. The nephrostomy catheter can then be removed \u2014 which is significantly more comfortable in daily life. Whether a JJ stent is possible depends on the cause and extent of the obstruction.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"za19\"><button class=\"w-tabs-section-header\" aria-controls=\"content-za19\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">What should I watch for after the procedure \u2014 and when should I contact the doctor?<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-za19\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column us_custom_432d3f53\"><div class=\"wpb_wrapper\"><p>Slight blood in the urine for 1\u20132 days after the procedure is normal.<\/p>\n<p>Please contact us or the emergency department immediately if you experience:<\/p>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"wpb_text_column us_custom_c488f0de has_text_color\"><div class=\"wpb_wrapper\"><p>\u26a0 Fever above 38.0\u00b0C (100.4\u00b0F) or chills<\/p>\n<p>\u26a0 Heavy bleeding in the urine (dark red, blood clots)<\/p>\n<p>\u26a0 No urine flow into the collection bag<\/p>\n<p>\u26a0 Redness or pus at the catheter insertion site<\/p>\n<p>\u26a0 Severe flank pain that worsens<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium width_custom\" style=\"--site-content-width:1100px;\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column us_custom_7abf0e41 has_text_color\"><div class=\"wpb_wrapper\"><h6>Scientific References<\/h6>\n<ul>\n<li>Dyer RB et al. Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics. 2002;22(3):503\u2013525.<\/li>\n<li>Ramchandani P et al. Quality improvement guidelines for percutaneous nephrostomy. J Vasc Interv Radiol. 2016;27(3):410\u2013414.<\/li>\n<li>Lee WJ et al. Emergency percutaneous nephrostomy: results and complications. J Vasc Interv Radiol. 1994.<\/li>\n<li>Hausegger KA, Portugaller HR. Percutaneous nephrostomy and antegrade ureteral stenting. Eur Radiol. 2006.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-separator size_medium\"><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_large\"><div class=\"l-section-overlay\" style=\"background:var(--color-content-border)\"><\/div><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h3 style=\"text-align: center;\">Would you like to know if this procedure<br \/>\nis right for you?<\/h3>\n<p style=\"text-align: center;\">We offer personalized, discreet, and no-obligation consultations. Schedule your consultation today.<\/p>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-hwrapper valign_top align_center\" style=\"--hwrapper-gap:1.2rem\"><div class=\"w-btn-wrapper align_center\"><a class=\"w-btn us-btn-style_2\" href=\"https:\/\/www.irz.ch\/terminanfrage\/\"><span class=\"w-btn-label\">Request an appointment<\/span><\/a><\/div><div class=\"w-btn-wrapper align_center\"><a class=\"w-btn us-btn-style_2\" href=\"mailto:info@irz.ch\"><span class=\"w-btn-label\">info@irz.ch<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n\n","protected":false},"excerpt":{"rendered":"OverviewProcedureStudiesSuitabilityFAQ Percutaneous Nephrostomy in Zurich \u2013Immediate Relief for the Obstructed KidneyThe kidney produces urine around the clock. When drainage is blocked \u2014 by a kidney stone, a ureteral stricture, or a tumor pressing from outside \u2014 urine backs up in the kidney. Pressure rises, the kidney swells, and if the obstruction persists, permanent kidney damage...","protected":false},"author":1,"featured_media":980,"parent":1388,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1514","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Percutaneous Nephrostomy in Zurich \u2014 Immediate Relief for the Obstructed Kidney<\/title>\n<meta name=\"description\" content=\"Percutaneous nephrostomy Zurich: Image-guided kidney drainage for urinary obstruction \u2014 immediate relief, outpatient or short hospitalization. IRZ Zurich \u2014 schedule your appointment.\" \/>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Percutaneous Nephrostomy in Zurich \u2014 Immediate Relief for the Obstructed Kidney\" \/>\n<meta property=\"og:description\" content=\"Percutaneous nephrostomy Zurich: Image-guided kidney drainage for urinary obstruction \u2014 immediate relief, outpatient or short hospitalization. IRZ Zurich \u2014 schedule your appointment.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/\" \/>\n<meta property=\"og:site_name\" content=\"IRZ Interventionelle Radiologie Z\u00fcrich\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-28T07:51:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/IRZ-8008-Seefeld-Entrance-2025.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"2400\" \/>\n\t<meta property=\"og:image:height\" content=\"1600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":[\"WebPage\",\"MedicalWebPage\"],\"@id\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/\",\"url\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/\",\"name\":\"Percutaneous Nephrostomy in Zurich \u2014 Immediate Relief for the Obstructed Kidney\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.irz.ch\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.irz.ch\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/IRZ-8008-Seefeld-Entrance-2025.webp\",\"datePublished\":\"2026-05-19T11:05:36+00:00\",\"dateModified\":\"2026-05-28T07:51:33+00:00\",\"description\":\"Percutaneous nephrostomy Zurich: Image-guided kidney drainage for urinary obstruction \u2014 immediate relief, outpatient or short hospitalization. IRZ Zurich \u2014 schedule your appointment.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.irz.ch\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/IRZ-8008-Seefeld-Entrance-2025.webp\",\"contentUrl\":\"https:\\\/\\\/www.irz.ch\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/IRZ-8008-Seefeld-Entrance-2025.webp\",\"width\":2400,\"height\":1600,\"caption\":\"Interventionelle Radiologie Z\u00fcrich | IRZ Z\u00fcrich Hirslanden\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/percutaneous-nephrostomy\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/sample-page\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Treatments\",\"item\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Dialysis, Drains &#038; Access\",\"item\":\"https:\\\/\\\/www.irz.ch\\\/en\\\/treatments\\\/dialysis-access\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Perkutane Nephrostomie\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.irz.ch\\\/#website\",\"url\":\"https:\\\/\\\/www.irz.ch\\\/\",\"name\":\"IRZ Interventionelle Radiologie Z\u00fcrich\",\"description\":\"Radiologie Z\u00fcrich\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.irz.ch\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.irz.ch\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.irz.ch\\\/#organization\",\"name\":\"IRZ Interventionelle Radiologie Z\u00fcrich\",\"url\":\"https:\\\/\\\/www.irz.ch\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.irz.ch\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.irz.ch\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/favicon.png\",\"contentUrl\":\"https:\\\/\\\/www.irz.ch\\\/wp-content\\\/uploads\\\/2025\\\/02\\\/favicon.png\",\"width\":512,\"height\":512,\"caption\":\"IRZ Interventionelle Radiologie Z\u00fcrich\"},\"image\":{\"@id\":\"https:\\\/\\\/www.irz.ch\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Percutaneous Nephrostomy in Zurich \u2014 Immediate Relief for the Obstructed Kidney","description":"Percutaneous nephrostomy Zurich: Image-guided kidney drainage for urinary obstruction \u2014 immediate relief, outpatient or short hospitalization. IRZ Zurich \u2014 schedule your appointment.","robots":{"index":"noindex","follow":"nofollow"},"og_locale":"en_US","og_type":"article","og_title":"Percutaneous Nephrostomy in Zurich \u2014 Immediate Relief for the Obstructed Kidney","og_description":"Percutaneous nephrostomy Zurich: Image-guided kidney drainage for urinary obstruction \u2014 immediate relief, outpatient or short hospitalization. IRZ Zurich \u2014 schedule your appointment.","og_url":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/","og_site_name":"IRZ Interventionelle Radiologie Z\u00fcrich","article_modified_time":"2026-05-28T07:51:33+00:00","og_image":[{"width":2400,"height":1600,"url":"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/IRZ-8008-Seefeld-Entrance-2025.webp","type":"image\/webp"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["WebPage","MedicalWebPage"],"@id":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/","url":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/","name":"Percutaneous Nephrostomy in Zurich \u2014 Immediate Relief for the Obstructed Kidney","isPartOf":{"@id":"https:\/\/www.irz.ch\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/#primaryimage"},"image":{"@id":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/#primaryimage"},"thumbnailUrl":"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/IRZ-8008-Seefeld-Entrance-2025.webp","datePublished":"2026-05-19T11:05:36+00:00","dateModified":"2026-05-28T07:51:33+00:00","description":"Percutaneous nephrostomy Zurich: Image-guided kidney drainage for urinary obstruction \u2014 immediate relief, outpatient or short hospitalization. IRZ Zurich \u2014 schedule your appointment.","breadcrumb":{"@id":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/#primaryimage","url":"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/IRZ-8008-Seefeld-Entrance-2025.webp","contentUrl":"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/IRZ-8008-Seefeld-Entrance-2025.webp","width":2400,"height":1600,"caption":"Interventionelle Radiologie Z\u00fcrich | IRZ Z\u00fcrich Hirslanden"},{"@type":"BreadcrumbList","@id":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/percutaneous-nephrostomy\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.irz.ch\/en\/sample-page\/"},{"@type":"ListItem","position":2,"name":"Treatments","item":"https:\/\/www.irz.ch\/en\/treatments\/"},{"@type":"ListItem","position":3,"name":"Dialysis, Drains &#038; Access","item":"https:\/\/www.irz.ch\/en\/treatments\/dialysis-access\/"},{"@type":"ListItem","position":4,"name":"Perkutane Nephrostomie"}]},{"@type":"WebSite","@id":"https:\/\/www.irz.ch\/#website","url":"https:\/\/www.irz.ch\/","name":"IRZ Interventionelle Radiologie Z\u00fcrich","description":"Radiologie Z\u00fcrich","publisher":{"@id":"https:\/\/www.irz.ch\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.irz.ch\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.irz.ch\/#organization","name":"IRZ Interventionelle Radiologie Z\u00fcrich","url":"https:\/\/www.irz.ch\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.irz.ch\/#\/schema\/logo\/image\/","url":"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/favicon.png","contentUrl":"https:\/\/www.irz.ch\/wp-content\/uploads\/2025\/02\/favicon.png","width":512,"height":512,"caption":"IRZ Interventionelle Radiologie Z\u00fcrich"},"image":{"@id":"https:\/\/www.irz.ch\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/pages\/1514","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/comments?post=1514"}],"version-history":[{"count":4,"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/pages\/1514\/revisions"}],"predecessor-version":[{"id":1626,"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/pages\/1514\/revisions\/1626"}],"up":[{"embeddable":true,"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/pages\/1388"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/media\/980"}],"wp:attachment":[{"href":"https:\/\/www.irz.ch\/en\/wp-json\/wp\/v2\/media?parent=1514"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}