ABSTRACT
Objectives: To audit and compare the different techniques for percutaneous nephrostomy (PCN) and assess the indication of each. Methods: 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. Results: US guided PCN 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 PCN eight (80) while blindly PCN 2(100). The overall complications were minimal. Conclusions: The success of PCN procedures depend mainly on the degree of hydronephrosis and selection of the appropriate image guidance