Percutaneous Nephrostomy Tube: Displacement, Suture, and Pulling
What is displacement?
Displacement is when your nephrostomy tube has moved from where it is supposed to be.
What helps prevent displacement?
- Your nephrostomy tube is sutured or stitched to your skin on the outside.
and
- Your nephrostomy tube has a pig-tail shape in your kidney.
What if the suture falls out?
- Check that your nephrostomy tube is not being pulled.
- Put a securement device over your nephrostomy tube. (You can use tape if you do not have a securement device.)
- Clean the skin where you will put the securement device.
- Take off the protective backing.
- Put the adhesive (sticky) side on your skin and press down for 5 seconds.
- Move the tab and lay your nephrostomy tube on top of the device. Make sure the tube is not being pulled.
- Put the tab over your nephrostomy tube.
- If your nephrostomy tube is being replaced within 2 weeks and it is still working, keep a securement device on until that visit. Let the care team know when you come to that visit.
or
If your nephrostomy tube is not being replaced within 2 weeks or it is not working, call the Interventional Radiology coordinator at 319-353-8141.
8:00 a.m. to 4:00 p.m., Monday to Friday.
You still have the pig-tail shape in your kidney helping keep it in place. Only a strong pull will make your tube fall out if the suture falls out.
Should I change the securement device?
- Change your securement device (or tape) with your dressing change.
- Change your securement device (or tape) sooner if it gets wet or dirty.
What do I need to know about pulling?
- Make sure your nephrostomy tube is not being pulled. Pulling can cause:
- Pain
- Displacement
What if there is pulling?
- Check that your suture is still there. If the suture fell out, do the steps on page 1.
- Check that urine (pee) is going into your bag.
- Put a clean dressing or tape over your nephrostomy tube. Make sure there is not more pulling.
- Watch for 2 to 3 hours, making sure the tubing is still in place and working.
- If your nephrostomy tube is being replaced within 2 weeks and it is still working, keep doing dressing and tape changes. Make sure there is not more pulling. Let the care team know when you come to that visit.
or
If your nephrostomy tube is not being replaced within 2 weeks or it is not working, call the Interventional Radiology coordinator at 319-353-8141. You will need to be seen in the clinic. 8:00 a.m. to 4:00 p.m., Monday to Friday.