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Renal
Nephrostomy Tubes and Ureteric Stents

Nephrostomy tubes and ureteric stents are used to restore urine drainage from the kidneys when the normal flow is blocked.

 

A nephrostomy tube is inserted through the skin directly into the kidney, allowing urine to drain into an external collection bag.

 

A ureteric stent is a thin internal tube that allows urine to flow from the kidney into the bladder.

 

These procedures are commonly performed to relieve obstruction caused by kidney stones, tumours, ureteric narrowing (strictures) or surgical complications. They may also be required urgently to drain an infected, obstructed kidney. Nephrostomy tubes and stents may be temporary or require periodic replacement, depending on the underlying condition.

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Renal Angiomyolipoma Embolisation

Renal angiomyolipoma (AML) embolisation is a minimally invasive procedure used to treat benign kidney tumours composed of abnormal blood vessels, muscle and fat. Although AMLs are typically asymptomatic, large AMLs can cause potentially life-threatening internal haemorrhage.

Using imaging guidance, a thin catheter is inserted through an artery in the wrist or groin and advanced into the blood vessels supplying the tumour. Tiny particles, coils or other embolic materials are used to block these vessels, reducing the risk of bleeding and causing the tumour to gradually shrink.

Embolisation can treat the tumour while preserving most of the surrounding healthy kidney tissue. The procedure is usually performed under local anaesthesia with sedation, with follow-up imaging to monitor treatment response.
 

Benefits include:

  • Reduced risk of potentially life-threatening kidney haemorrhage

  • Rapid control of active bleeding from angiomyolipomas

  • Gradual reduction in tumour size

  • Preservation of healthy kidney tissue and kidney function

  • Avoidance of partial or complete surgical removal of the kidney

  • Minimally invasive treatment without open surgery

  • Usually no general anaesthesia

  • Short hospital stay and rapid recovery

  • Can be repeated if necessary for recurrent or persistent tumour vascularity

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