TY - JOUR T1 - Dislodged nephrostomy: a top tip JF - BMJ Innovations JO - BMJ Innov DO - 10.1136/bmjinnov-2017-000243 SP - bmjinnov-2017-000243 AU - Debashis Sarkar AU - Nigel J Parr Y1 - 2018/03/06 UR - http://innovations.bmj.com/content/early/2018/03/05/bmjinnov-2017-000243.abstract N2 - In an ageing population, long-term nephrostomy is increasingly common for the management of patients who are unfit for definitive treatment to relieve of obstruction. Nevertheless, this carries the burden of inadvertent nephrostomy displacement.When a patient is admitted urgently with dislodged nephrostomy, traditional management options are to allow the collecting system to dilate again, prior to creating a new track, or to take the patient to a theatre as an emergency and to attempt to insert a guidewire with immediate nephrostomy replacement.1 2 The downside to the former is that collecting system may dilate at a variable rate and sometimes take several days to allow safe reinsertion. Furthermore, a new puncture, which is usually a more invasive procedure than reinserting the nephrostomy catheter via the original track, can also be … ER -