Nephrostomy (PCN) versus nephroureteral stent (Double JJ); An ongoing battle

Urologia. 2025 Aug;92(3):424-431. doi: 10.1177/03915603251316702. Epub 2025 Feb 10.

Abstract

In the realm of medical procedures for urinary obstructions, a distinct division of roles is evident: the vast majority of percutaneous nephrostomies (PCNs) are the domain of Interventional Radiology (IR), while the placement of double J stents (JJ stents) falls squarely under Urology. This division, however, is not without its complexities. When confronted with a patient suffering from a urinary obstruction, the decision-making process can become intricate. The underlying cause often fuels the debate: should IR intervene with a PCN, or should Urology place a JJ stent? Such decisions have profound implications for the individual patient.In this comprehensive review, we aim to compare the utilization of PCN to that of JJS in a variety of clinical settings and evaluate their indications, relative efficacies, and potential complications to ascertain whether one procedure outperforms the other.

Keywords: Double J stents; interventional radiology; minimally invasive; percutaneous nephrostomy.

Publication types

  • Review
  • Comparative Study

MeSH terms

  • Humans
  • Nephrostomy, Percutaneous* / methods
  • Stents*
  • Ureter
  • Ureteral Obstruction* / surgery