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Dislodged nephrostomy: a top tip
  1. Debashis Sarkar,
  2. Nigel J Parr
  1. Department of Urology, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK
  1. Correspondence to Dr Debashis Sarkar, Department of Urology, Wirral University Teaching Hospital NHS Foundation Trust, Wirral CH49 5PE, UK; debu4726{at}yahoo.co.uk

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Introduction

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 …

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