ABSTRACT
To audit and compare the different techniques for percutaneous nephrostomy [PCN] and assess the indication of each. Between March 2009 and November 2009, the records of 27 patients who underwent percutaneous nephrostomy were retrospectively reviewed. PCN procedures were performed under ultrasonography [US], computed tomography [CT] guidance or blindly according to the grade of hydronephrosis. US guided PNC were done for 15, CT guided PCN for 10 and blindly PCN for two patients. Overall success rate was 25 [92.6%]. Us guided PCN had success rate of 13 [86.6%], CT guided PNC eight [80%] while blindly PCN 2 [100%]. The overall complications were minimal. The success of PNC procedures depend mainly on the degree of hydornephrosis and selection of the appropriate image guidance