Indications for Nephrostomy and Nephrectomy in Carcinoma of the Bladder

The object of this paper is to present certain information about nephrostomy which makes its use most desirable in many conditions found in carcinoma of the bladder, in which it is now rarely used, namely: 1. To divert the urine from the bladder as a preparation for cystectomy and other radical operations on the bladder. 2. To improve the function of the kidneys and lessen the injurious effects of kidney infections so as to prepare patients better to undergo radical operations. 3. As a palliative measure in incurable carcinoma of the bladder. Some of the things which I wish to bring out will be made clearer, I believe, by setting forth some points about one of my patients. He has only one kidney, and has worn a nephrostomy tube in it for eight years with such comfort and satisfaction that he has married, has carried on a successful business and