[Experiences with sonographically guided percutaneous nephrostomy].

It is reported on 65 sonographically directed percutaneous nephrostomies in 47 patients. In the description of the technique it is particularly referred to the advantages of a rigid bouginage system, an exact local anaesthesia and a transparenchymal access to the pyelon. Complications due to the intervention occurred in 4 patients. 10 postrenal anurias were cured and 9 out of 10 patients with a urosepsis due to urinary obstruction were successfully treated. The percutaneous nephrostomy is recommended as a slightly traumatising access to the cavity system of the kidneys, which is to be used also in patients who cannot tolerate an open operation on account of a reduced general condition.