Percutaneous nephrostomy (PN) will rapidly correct renal failure due to ureteral obstruction. Complications of the procedure are few and the procedure can be quickly accomplished on an outpatient basis using local anesthesia. A retrospective review of fifty patients who underwent PN led to derivation of a formula which predicts the expected degree of correction of renal function. Measurement of renal intracalyceal pressures at the time of PN was not helpful in predicting-outcome.