An intrarenal approach using a percutaneous nephrostomy tube is a novel method to deliver chemotherapy and biotherapy to patients with upper urinary tract urothelial carcinoma. A paucity of evidence exists regarding basic nursing implications for this unique treatment option. This column will provide suggested guidelines to administer intrarenal treatment via a percutanous nephrostomy tube.
AT A GLANCE
- Upper urinary tract urothelial carcinoma may be treated using a topical approach, including instillation of chemotherapy/
- biotherapy agents through a percutaneous nephrostomy tube.
- Nursing implications of instillation directly into the renal pelvis and ureter are discussed, including care and safe handling.
- References and resources are provided to guide nurses who seek additional information on this practice.