Nephrostomy care: Information for patients
A nephrostomy is a procedure where a thin tube is placed through the skin into the kidney to drain urine. This may be needed if something is blocking the normal flow of urine from the kidney to the bladder.
What is a nephrostomy tube?
A nephrostomy tube is inserted through your back into the kidney. It drains urine into a collection bag worn outside your body. You may have one or both kidneys drained, depending on your condition.
Nephrostomies are used to:
- relieve blockages caused by kidney stones, tumours, or strictures
- manage certain infections or injuries
- support healing after surgery
Your healthcare team will explain why you need a nephrostomy and how long it may be in place.
Looking after your nephrostomy at home
With the right care and support, you can continue daily activities safely.
Weekly care tips:
- Keep the site clean and dry: Clean around the insertion site daily with warm water and pat dry. Avoid using creams, powders, or antiseptics unless advised.
- Secure the tube and bag: Use the straps provided to keep the drainage bag in place and prevent pulling on the tube.
- Empty the bag regularly: Do this when it is two-thirds full. Wash your hands before and after handling the bag.
- Check for kinks or blockages: Ensure the tubing is free of bends or twists to allow proper drainage.
Preventing infection
- Wash your hands before and after touching the nephrostomy or drainage bag.
- Do not let the bag touch the floor.
- Keep the dressing clean and change it as advised by your nurse or doctor.
- Drink plenty of fluids (unless otherwise instructed) to help keep urine flowing and reduce infection risk.
When to seek medical advice
Call your GP, or hospital team if you experience:
- fever, chills, or signs of infection
- redness, swelling, or discharge around the insertion site
- leakage of urine from the site
- pain in your back or side
- no urine draining into the bag for several hours
- the tube falls out or becomes dislodged
Always have an emergency contact number provided by your hospital in case of urgent concerns.
Living with a Nephrostomy
You can usually shower if the site is well covered and protected with a waterproof dressing. Avoid baths or swimming unless told otherwise. Wear loose, comfortable clothing and empty the bag before leaving home.
If you experience any changes to how you feel or how the nephrostomy works, don’t hesitate to ask for advice.
Support and follow-up
Please contact your nurse, GP, or hospital team if you have any questions about your nephrostomy care. We’re here to support you and help you feel confident managing your care at home.
