FREQUENCY OF COMMON COMPLICATIONS IN PATIENTS AFTER PERCUTANEOUS NEPHROSTOMY FOR OBSTRUCTIVE UROPATHY

ABSTRACT
Aims and Objectives: To determine the frequency of common complications in patients after percutaneous nephros-
tomy for obstructive uropathy.
Methodology: This study was undertaken at Department of urology in Institute of Kidney Diseases Hayatabad Medical 
Complex, Peshawar. This was a descriptive cross-sectional study. One hundred and forty five patients were enrolled 
during the study period. The non-probability consecutive sampling technique was used. The total duration of this study 
was one year from July 2011 to May 2012. All adult males and females of age 13 years and above with obstructive 
uropathy due to ureteric obstruction caused by (impacted ureteric stones, pelviuretericjunction obstruction, carcinoma 
prostate involving ureters, iatrogenic ureteric injury and bladder tumors) were included in the study. Patients of obstruc-
tive uropathy with physical deformity and immunocompromised patients were excluded from studies. Percutaneous 
nephrostomy was done under ultrasound guidance by using local anesthetic agent.
Results: During the study period from, July 2011 to June 2012, a total of one hundred and forty five patients in whom 
nephrostomy was done were studied. Among 145 patients 79 were male and 66 were female. The age ranged be-
tween 13-70 years with mean ± S.D is 44 ± 18.02. The indication of nephrostomy included impacted ureteric stone 
in 79 cases, bladder tumor in 19 cases, carcinoma prostate in 06 cases, pelviuretericjunction obstruction in 26 cases, 
and iatrogenic ureteric injury in 11 cases. Common complications observed in patients were urinary tract infection in 
51cases, macroscopic hematuria in 31 patients; nephrostomy tube dislodgment in 24 cases and Sepsis was the least 
common of all complications seen in 19 case