Bilateral nephrostomy and antegrade stent insertion - 30 November 2020

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This video shows how to perform bilateral nephrostomy and antegrade stent insertion in a patient with probable bladder TCC and bilateral obstruction.

The procedure is mostly pain free but patients do experience discomfort with anything place in the bladder. It is virtually routine to give fentanyl at this point unless there are contraindications.

Dr Phil Haslam

Consultant Interventional Radiologist 

@iradsurgeon

Percuflex ureteric stent (Boston Scientific)

Trocar echotip needle (Cook)

Peelaway sheeth (Cook)

Hydrophilic guidewire (Terumo)

Laureate hydrophilic guidewire (Merit Medical)

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