Kidney Stone Treatment (Percutaneous Nephrolithotomy (PCNL)) | Royan Urology

Kidney stones are hardened mineral deposits that form in the kidneys and can cause excruciating pain, bleeding, and obstruction of urine flow.

If left untreated, these stones can lead to serious complications, making prompt and effective treatment very important. Percutaneous Nephrolithotomy (PCNL) is a minimally invasive procedure we offer that allows for the safe and efficient removal of large kidney stones.

What is Percutaneous Nephrolithotomy (PCNL)?

Percutaneous Nephrolithotomy, commonly known as PCNL, is a minimally invasive surgical procedure designed to remove large or difficult-to-reach kidney stones by making a small incision in the back to gain access to the kidney. Through this incision, our skilled urologists insert a narrow tube called a nephoscope, which is equipped with a tiny camera and surgical instruments.

This allows for the direct visualization and removal of kidney stones from within the kidney.

When is PCNL Recommended?

PCNL is typically recommended for the treatment of larger kidney stones, usually those measuring 2 centimeters or more in diameter. It is also an excellent option for patients with stones that are too dense or hard to be effectively treated with shock wave lithotripsy.

At Royan Urology, our team of experts always carefully evaluate each patient’s unique situation to determine if PCNL is the most suitable treatment option.

One of the key benefits of choosing PCNL is its high success rate in removing even the most stubborn kidney stones.

In fact, it is often preferred over open surgery due to its minimally invasive nature, resulting in less pain, faster recovery times, and minimal scarring.

Some key benefits of choosing PCNL over other treatment methods include:

• High success rates in removing large or complex stones
• Minimally invasive approach, resulting in less pain and faster recovery
• Avoidance of open surgery and its associated risks

 

The PCNL Procedure at Royan Urology

At Royan Urology, we follow a comprehensive and meticulous approach to PCNL, to make sure we can guarantee the highest standards of care and patient safety.

1. Our team will thoroughly evaluate your medical history and perform diagnostic tests, such as CT scans or X-rays, to determine the size, location, and composition of the kidney stones.

This helps us plan the most effective approach for your specific case.

1. PCNL is usually performed under general anaesthesia. We make a small incision in your back and create a narrow pathway to the kidney using specialized instruments.

Through this pathway, a nephoscope is inserted, and the stones are visualized and fragmented using laser or ultrasonic energy. The fragments are then removed using specialized tools.

1. After the procedure, you will be closely monitored in our recovery area. Our team will provide you with comprehensive instructions for post-operative care, including pain management, activity restrictions, and follow-up appointments.

 

What to Expect After Surgery

• Initial Recovery Period: You’ll be closely monitored in our recovery area, and our team will manage any discomfort or pain with appropriate medications. A catheter or stent may be temporarily placed.
• Hospital Stay: Depending on your case, you may need to stay in the hospital for 1-3 days after the procedure, where our skilled nursing staff and doctors will monitor your progress.
• Activity Restrictions: You’ll need to limit strenuous activities and rest for the first few days, gradually resuming light activities as instructed by our team.
• Follow-up Appointments: Regular follow-up visits with us are important to monitor your healing and address any concerns.
• Ongoing Support: Our dedicated team is available throughout your recovery to address any questions or issues you may encounter, providing the necessary support and resources.

 

FAQs

1. Is PCNL a painful procedure? PCNL is performed under general anaesthesia, so you don’t experience any discomfort during the procedure. After the surgery, you may experience some mild to moderate pain, which can be effectively managed with prescribed pain medication.
2. How long is the recovery period after PCNL? Recovery times can vary, but most patients are able to return to their normal activities within 1-2 weeks after the procedure.

Our team will provide you with specific instructions and guidance on your recovery process.

1. Are there any risks associated with PCNL? As with any surgical procedure, PCNL carries some risks, such as bleeding, infection, or injury to nearby organs. However, these risks are generally low and are further minimized by the expertise of our skilled urologists and adherence to strict safety protocols.

 

If you’re suffering from kidney stones, Royan Urology offers a comprehensive and effective solution with Percutaneous Nephrolithotomy (PCNL). Our team of experienced urologists make us the premier choice for those seeking relief from kidney stone pain and discomfort.

Don’t let kidney stones continue to disrupt your life. Contact us today  to schedule a consultation and learn more about how PCNL can help you achieve relief and restore your quality of life