Kidney Stone: Percutaneous Nephrolithotomy(PCNL)

Stone Services > Kidney Stone: Percutaneous Nephrolithotomy(PCNL)

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Meet Our Doctor

Dr Amit Kundu

MBBS, MS, MCh-Urology, Urologist, Andrologist
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Advanced Surgical Solution for Large Kidney Stones at Uronova – Dr. Amit Kundu 

Percutaneous Nephrolithotomy (PCNL) is a surgical technique in which a small hole is made into your kidney from the outside, and stones are fragmented and removed from that site. PCNL is used to treat large or complex kidney stones by creating a small incision to remove the stone fragments under advanced imaging guidance.

At Uronova – Dr. Amit Kundu, we offer cutting-edge surgical solutions for kidney stone treatment, including Percutaneous Nephrolithotomy (PCNL). PCNL is a highly effective procedure for treating large or complex kidney stones. This surgical technique involves making a small incision into the kidney from the outside, through which the stones are fragmented and removed under advanced imaging guidance. PCNL is the preferred option for patients with sizable kidney stones that cannot be effectively treated through non-invasive methods.

What is Percutaneous Nephrolithotomy (PCNL)?

Percutaneous Nephrolithotomy (PCNL) is a specialized surgical procedure used to remove large or complex kidney stones. Unlike non-invasive treatments like RIRS, PCNL requires a small incision to access the kidney directly. The surgeon uses advanced imaging techniques to precisely target and fragment the stones, facilitating their removal without the need for a more extensive surgical incision.

When is PCNL Recommended?

PCNL is typically recommended for patients who have kidney stones that are:

Large Size:
Kidney stones that are too large to be treated effectively with non-invasive methods, such as shock wave lithotripsy or ureteroscopy.

Complex or Multiple:
PCNL is an ideal solution for patients with multiple stones or those with stones that are challenging to reach and remove with other techniques.

Causing Obstruction or Infection:
If kidney stones are causing blockages in the urinary tract or recurring urinary tract infections, PCNL may be the best approach to resolve these issues.

The PCNL Procedure

Preparation:
Before undergoing PCNL, our experienced urologists will thoroughly assess the patient’s condition, including the size, location, and complexity of the kidney stones. They will also evaluate the patient’s overall health to ensure the suitability of the procedure.

Anesthesia:
PCNL is typically performed under general anesthesia, ensuring the patient’s comfort and safety throughout the surgery.

Kidney Access:
To access the kidney, the surgeon creates a small hole (percutaneous tract) on the patient’s back, guided by advanced imaging techniques like fluoroscopy or ultrasound.

Stone Fragmentation:
Through the percutaneous tract, specialized instruments, including a nephroscope and laser, are inserted to precisely target and fragment kidney stones. The laser breaks down the stones into smaller, manageable pieces for easy removal.

Stone Removal:
The fragmented stone particles are then removed using graspers or suction, ensuring a complete clearance of the kidney stones.

Recovery:
After the procedure, patients are monitored closely before being allowed to recover. Hospital stay duration may vary based on individual circumstances, and our medical team provides comprehensive post-operative care instructions.

Advantages of PCNL

High Success Rate:
PCNL boasts an impressive success rate in treating large and complex kidney stones, leading to effective stone removal and symptom relief.

Minimal Scarring:
Although PCNL involves a small incision, the resulting scar is generally small and well-concealed, leading to improved cosmetic outcomes.

Comprehensive Stone Removal:
PCNL allows for the complete clearance of large stones, reducing the chances of stone recurrence and the need for additional procedures.

DJ Stenting During PCNL: Enhancing Safety and Comfort

At Stonexperts, we understand the importance of safety and patient comfort during surgical procedures like Percutaneous Nephrolithotomy (PCNL). To further enhance the success and smoothness of the PCNL procedure, our skilled urologists may utilize DJ stenting, also known as double-J stenting.

We prioritize patient safety and comfort throughout the entire treatment process. Our expert urologists carefully evaluate each patient’s condition to determine the appropriate use of DJ stenting during PCNL, ensuring the best possible outcomes and a positive treatment experience.

With personalized care and attention, Uronova – Dr. Amit Kundu aims to provide patients with the most effective and advanced treatments for kidney stone management, helping them achieve optimal outcomes and improved quality of life. Say goodbye to large kidney stones with PCNL at Uronova – Dr. Amit Kundu.