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If this is a life-threatening emergency, call 911 immediately.

Chest pain, severe difficulty breathing, stroke symptoms, major bleeding, or loss of consciousness require emergency medical services. This page describes non-emergency care delivered at home by skilled nurses.

Renal System

Nephrostomy Care

Nephrostomy tube care at home in southeast Texas. Skilled nursing for tube management, site care, and complication monitoring.

Nephrostomy Care

Understanding Nephrostomy Care

What you should know

A nephrostomy is a tube inserted through the skin into the kidney to drain urine when the normal urinary tract is blocked. Blockages can be caused by kidney stones, tumors, blood clots, or surgical complications. The nephrostomy tube bypasses the blockage and drains urine into an external collection bag.

Managing a nephrostomy tube at home requires proper site care (cleaning, dressing changes, monitoring for infection), tube and drainage bag management, and knowing when something is wrong. Complications like infection, tube displacement, and blockage can be serious if not caught early.

Our skilled nurses provide nephrostomy site care, teach patients and caregivers how to manage the drainage system, monitor output and urine characteristics, and watch for signs of infection or other complications. For many patients, the nephrostomy is temporary while the underlying blockage is treated, but some patients require long-term management.

Warning signs

You may need care if…

Newly placed nephrostomy tube requiring care after hospital discharge
Long-term nephrostomy tube requiring ongoing site care and monitoring
Difficulty managing tube care independently — dressing changes, bag emptying
Signs of infection at the nephrostomy site — redness, swelling, drainage
Changes in urine output or characteristics through the tube
Anxiety about managing a medical device at home

Your care plan

How we help at home

1
Nephrostomy site care — cleaning, dressing changes, and skin protection
2
Patient and caregiver education on drainage bag management and tube care
3
Monitoring urine output, color, and clarity for signs of infection or blockage
4
Assessment for tube migration, dislodgement, or leaking
5
Coordination with urologists on any concerns or complications
Nephrostomy Care — compassionate in-home care

Expert care for nephrostomy care,
delivered to your home

Our clinicians bring hospital-level expertise to the comfort and safety of where you live.

Common questions

Nephrostomy Care — Common Questions

You can shower with a nephrostomy tube, but the site needs to be covered with a waterproof dressing. Our nurses teach you the proper technique and provide recommendations for waterproof covers. Baths and swimming pools should be avoided until the tube is removed.

It depends on the underlying cause. If the tube was placed for a temporary blockage (like a kidney stone), it may be removed once the blockage is cleared — often within days to weeks. If the blockage is from a tumor or chronic condition, the tube may need to stay in longer. Your urologist determines the timeline.

Get help with nephrostomy care at home

Our experienced clinicians provide expert renal system care in the comfort of your home. Contact us today to discuss your needs.

For life-threatening emergencies, always call 911.