The Diagnosis of Hydronephrosis by Percutaneous Renal Puncture

Percutaneous needle nephrostomy

“…Renal puncture is generally accepted as safe, whether for renal biopsy or for the diagnostic tapping of cysts. Percutaneous pyelography, an essential proliminary to this method, has been advocated in a number of papers over the past 15 years (Weens and Florence, 1954;Wickbom, 1954;Casey and Goodwin, 1955;Floyd and Guy, 1956;Lundin and Wadstrdm, 1965;Maldonado, 1956;Bosniak, Scheff, and Kaufman, 1968;Lalli, 1968). Yet one the renal pelvis has been located and visualized in this way the additional manoeuvre required for drainage is so simple that we can see little object in performing antegrade pyelography for obstruction without at the same time attempting percutaneous nephrostomy.…”

Imaging in Oncological Urology

“…Percutaneous access to the upper urinary tract had its beginning in France in 1949 and was popularized by other groups in the mid-1950s [205][206][207][208][209]. The technique was initially used to diagnose and treat patients with severe hydronephrosis but has since been adapted to serve a wide variety of diagnostic and therapeutic needs [210].…”

Antegrade Pyelography in Adults and Children

“…Percutaneous renal puncture for the accurate radiological diagnosis of urinary tract obstruction is now some twenty-five years old (Kapandji 1949, Weens & Florence 1954, Wickbom 1954. The classical indication for the technique has been the combination of inadequate information from the intravenous urogram together with a failed retrograde pyelogram.…”