Had my nephrostomy last week and am doing well. Dressing change is a breeze - just once a week with a one-pc covering called 'stay-fix' - home health changed it this week and Hank will learn how on Monday. They appear to be a bit expensive, around $15 each, but I am assuming this is a medicare covered item. One web site mentioned ease of showering without having to remove any tubing, but I covered the whole patch with press n seal and showered and everything stayed dry. Just wanted to give an update, especially for those w/nephrostomies.