{"id":12800,"date":"2025-07-31T10:50:47","date_gmt":"2025-07-31T14:50:47","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/nephrostomy\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"nefrostomia-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/nefrostomia-pt-br\/","title":{"rendered":"Nefrostomia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12800","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>A nefrostomia \u00e9 uma abertura cir\u00fargica no rim para drenar a urina quando a drenagem normal est\u00e1 bloqueada. Consiste na inser\u00e7\u00e3o de um cateter atrav\u00e9s da pele at\u00e9 o sistema coletor do rim, criando uma via artificial para a drenagem da urina.<span class=\"citation\">\u00b9<\/span> Esse procedimento minimamente invasivo \u00e9 normalmente realizado quando o acesso ureteral retr\u00f3grado \u2014 pela uretra e pela bexiga \u2014 n\u00e3o \u00e9 vi\u00e1vel devido a fatores anat\u00f4micos ou patol\u00f3gicos.<span class=\"citation\">\u00b2<\/span> O procedimento cria uma conex\u00e3o direta entre o rim e o exterior do corpo, contornando obstru\u00e7\u00f5es no trato urin\u00e1rio.<span class=\"citation\">\u00b3<\/span><\/p>","gt-synonyms":"Nefrostomia Percut\u00e2nea (PCN), Tubo de Nefrostomia Percut\u00e2nea (PNT), Nefropielostomia, Cateterismo da Pelve Renal, Drenagem Renal Percut\u00e2nea","gt-citation":"[1] Young M, Leslie SW. Percutaneous Nephrostomy. StatPearls. 2025. PMID: 29630257. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK493205\/\n\n[2] Dagli M, Ramchandani P. Percutaneous Nephrostomy: Technical Aspects and Indications. Semin Intervent Radiol. 2011 Dec;28(4):424-437. DOI: 10.1055\/s-0031-1296085. PMID: 23204641.\n\n[3] Siddiqui NH, Schwartz BF. Percutaneous Nephrostomy. Medscape. Updated May 9, 2024. Available from: https:\/\/emedicine.medscape.com\/article\/1821504-overview\n\n[4] Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc. 1955;157(11):891-894. DOI: 10.1001\/jama.1955.02950280015005","gt-clinical-context":"<p>A nefrostomia \u00e9 indicada principalmente para o al\u00edvio da obstru\u00e7\u00e3o do trato urin\u00e1rio, que responde por 85-90% de todas as nefrostomias realizadas.<span class=\"citation\">\u00b9<\/span> As tr\u00eas causas mais comuns de obstru\u00e7\u00e3o renal em adultos s\u00e3o c\u00e1lculos urin\u00e1rios, neoplasias malignas e estenose benigna iatrog\u00eanica.<span class=\"citation\">\u00b2<\/span><\/p>\n    \n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem aqueles com condi\u00e7\u00f5es benignas ou malignas que causam obstru\u00e7\u00e3o urin\u00e1ria, nos quais os cirurgi\u00f5es t\u00eam um plano de resolu\u00e7\u00e3o assim que a amea\u00e7a imediata tiver sido controlada.<span class=\"citation\">\u00b9<\/span> A indica\u00e7\u00e3o mais urgente \u00e9 o trato urin\u00e1rio com obstru\u00e7\u00e3o aguda e infectado (pionefrose, pielonefrite obstrutiva ou urossepse), que pode representar risco de vida.<span class=\"citation\">\u00b3<\/span><\/p>\n    \n    <p>O procedimento cir\u00fargico come\u00e7a com exames de imagem diagn\u00f3sticos seccionais (ultrassonografia ou tomografia computadorizada) para confirmar a obstru\u00e7\u00e3o e identificar a patologia.<span class=\"citation\">\u00b2<\/span> Sob anestesia local e seda\u00e7\u00e3o, uma agulha \u00e9 inserida atrav\u00e9s da pele at\u00e9 o sistema coletor do rim, seguida da coloca\u00e7\u00e3o de um cateter de drenagem.<span class=\"citation\">\u00b9<\/span> Isso permite a descompress\u00e3o minimamente invasiva do rim obstru\u00eddo e possibilita a coleta de amostras para fins diagn\u00f3sticos.<span class=\"citation\">\u00b3<\/span><\/p>\n    \n    <p>Os resultados esperados incluem o al\u00edvio imediato da obstru\u00e7\u00e3o e a preserva\u00e7\u00e3o da fun\u00e7\u00e3o renal. A recupera\u00e7\u00e3o completa da fun\u00e7\u00e3o renal \u00e9 prov\u00e1vel mesmo com obstru\u00e7\u00e3o mec\u00e2nica completa por at\u00e9 uma semana, com taxas de recupera\u00e7\u00e3o decrescentes al\u00e9m desse per\u00edodo.<span class=\"citation\">\u00b9<\/span> A nefrostomia de longa dura\u00e7\u00e3o pode ser necess\u00e1ria em casos de obstru\u00e7\u00e3o permanente, embora acarrete certas morbidades que devem ser consideradas.<span class=\"citation\">\u2074<\/span><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":156},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Nefrostomia: Drenagem Renal Percut\u00e2nea | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a nefrostomia, drenagem urin\u00e1ria do rim por via percut\u00e2nea. 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