What to Expect with Percutaneous Nephrolithotomy (PCNL)

Percutaneous nephrolithotomy is a surgery that is performed with utmost precision under general anaesthetic. A tiny incision is created over the back, and a sheath or conduit is carefully placed directly within the kidney. A nephroscope, a specialized scope with a camera attached, is used to visualize the area and locate the kidney stones. It is then guided through the conduit, playing a crucial role in the procedure. Surgical tools, including a laser, are used to break down the large kidney stone into much smaller, extractable pieces.

The procedure can be carried out meticulously using X-ray and ultrasound imaging. Through imaging guidance, kidney stones may be found, which may be broken up into pieces and carefully removed, ensuring a thorough and precise treatment. Following PCNL, temporary urine drainage, whether a nephrostomy tube or stent, is required to remove urine from the kidney.

Benefits of Percutaneous Nephrolithotomy (PCNL)

• Minimally invasive
• Quicker return to day-to-day activities
• PCNL is the preferred treatment choice for a very large or complex kidney stone
• Performed in a single setting

Are there any adverse effects?

With any operation, there may be adverse effects, which in this case include infection, bleeding and the incomplete removal of all the stones in a single setting. However, the chances of the success of the procedure when performed by a urologist who demonstrates exceptional expertise in this area, like Dr Kalpee, are quite high.