PCNL | MedTripz

Coût minimum 4500 USD

Coût moyen 5000 USD

Coût maximum 5400 USD

Type d'intervention

surgical

Durée de l'intervention

1 - 2 hrs

Séjour à l'hôpital (jours)

1-2 Days

Understanding PCNL: A Modern Solution for Kidney Stones

Percutaneous Nephrolithotomy (PCNL) is a specialized surgical technique designed to remove large or irregularly shaped kidney stones. It is typically recommended when other treatments like medication or shock wave therapy are ineffective. By using a minimally invasive approach, PCNL allows direct access to the kidney through a small incision, offering faster recovery and high success rates.

Initial Assessment and Patient Preparation

Before performing PCNL, the medical team conducts a thorough evaluation that includes imaging tests such as CT scans or ultrasounds to determine the stone’s size, position, and structure. Blood and urine tests are also carried out to check kidney function and rule out infections. Patients may receive antibiotics in advance to prevent postoperative complications.

How the Procedure Is Performed

During PCNL, the patient is placed under general anesthesia. A small cut is made in the back, and a needle is passed into the kidney using ultrasound or X-ray guidance. A thin tube (nephroscope) is inserted through the tract to locate and break the stone using laser or ultrasonic energy. The pieces are then removed with special tools, and a temporary drainage tube may be left in place.

Médecins pour PCNL in India

Dr Sandeep Harkar

Artemis Hospital, Gurugram

Associate Chief Urology & kidney transplant & Robotic Surgery

Plus de détails

Prendre rendez-vous

Dr Ahmed Kamaal

Amrita Hospital, Faridabad

Senoir Consultant - Renal Sciences, Urology

Plus de détails

Prendre rendez-vous

Dr Vikram Barua Kaushik

Artemis Hospital, Gurugram

Chief - Urology, Kidney Transplant Program & Robotic Surgery (Unit II)

Plus de détails

Prendre rendez-vous

Voir tout

Choosing the Right Position and Anesthesia

The procedure is done under general anesthesia to ensure complete comfort and stillness during surgery. Depending on the kidney’s location and the surgeon’s preference, the patient is positioned either face-down (prone) or face-up (supine). Accurate positioning helps provide a safe and direct pathway to the kidney, minimizing the risk of injury.

Gaining Safe Access to the Kidney

Once the patient is prepped, the surgeon creates a small incision in the skin on the back. A needle is guided into the kidney under real-time imaging, and a wire is passed through this needle. This wire serves as a track for dilating the access point, allowing the insertion of a tube through which the nephroscope can enter the kidney chamber.

Recovery After Surgery

Most patients stay in the hospital for 1–2 days after PCNL. Mild discomfort, blood in urine, or soreness around the incision is normal and usually resolves quickly. Patients are advised to drink plenty of fluids and avoid heavy lifting for a few weeks. Regular follow-up helps ensure that all stone fragments are cleared and no new stones are forming.