Local hemostasis of nephrostomy tract with fibrin adhesive sealing in percutaneous nephrolithotomy.

In 26 patients percutaneous nephrolithotomy was carried out under local anesthesia with systemic sedation. Instead of the 25-French nephrostomy catheter used so far, a 5- or 10-French nephrostomy catheter prepared with a collagen-fibrin adhesive sealant was introduced into the nephrostomy tract. In all cases, excellent hemostasis was attained with the fibrin glue. In applying a fibrin glue, the danger of protracted venous or arterial hemorrhage from the parenchymal canal can be markedly reduced; the large-lumen nephrostomy catheter can also be dispensed with.