USFDA-Approved percutaneous nephrolithotripsy (PCNL) surgery by top urologists in Delhi
Prolonged kidney stones can lead to excruciating pain. Contact us to book an appointment with the best urologists in Delhi for PCNL surgery at affordable prices and no-cost EMI.
Percutaneous nephrolithotomy/nephrolithotripsy or PCNL is a minimally invasive procedure to remove significantly large stones present in the kidneys or the upper ureter. PCNL involves a tiny incision in the flank area that allows the surgeon to remove or break the stones into smaller pieces with almost zero complications. PCNL is an effective procedure when the stone size is too large to be treated with other treatment methods. Moreover, the procedure offers an excellent stone-free rate with minimal complications for the diameter of stones greater than 2cm, thus, replacing the need for open surgery. Get in touch with us to know more about PCNL surgery in Delhi.
Who can benefit from PCNL Surgery?
PCNL Surgery is an excellent treatment procedure for patients with large kidney stones (greater than 15mm), which are otherwise difficult to treat using ureteroscopy or lithotripsy procedures. Patients with a history of recurrent kidney stones also benefit immensely from the surgery. Moreover, in the case of multiple stones in the kidneys, or upper ureter that may cause urinary retention, PCNL is considered the optimum treatment procedure.
Stone size is greater than 6mm: 6 months to 1 year
Risk factors of kidney stone:
High calcium supplements intake
Increased consumption of animal protein
Nephrolithiasis ICD 10:
Diagnosis Code for calculus of kidney and ureter: N20
ICD-10 Code for pelviureteric junction (PUJ): N20
ICD-10 Code for vesicoureteric junction (VUJ): N20. 1
ICD-10 Code for urinary (tract): N20.9
ICD-10 Code for suburethral and ileal conduit: N21.8
ICD-10 Code for hydronephrosis with renal and ureteral calculous obstruction: N13.2
Free cab pick-up & drop
USFDA approved kidney stone treatment
Free follow ups post surgery
Covid free hospital, doctors and staff
Several diagnostic tests done before the PCNL treatment include the following –
Imaging tests (Xrays, abdominal ultrasound, MRI)
Blood urea nitrogen (BUN) test
During the procedure, the patient is first administered with general anesthesia. This helps the surgeon perform PCNL with greater precision. The surgeon then makes a tiny incision of around 1cm in the flank area (lower back). The surgeon inserts a thin, flexible scope called a nephroscope through the incision under x-ray guidance to visualize the stones and determine their precise location. Next, a thin needle may be used to access the urine collecting system of the kidney to carefully dilate the route. This is achieved using a guidewire that allows the nephroscope to safely access the part of the kidneys.
Once the stones are located, the surgeon may choose to either break the stone into smaller pieces or remove it in its intact form using microforceps. In some cases, DJ stenting may be required that allows the stone pieces to flush out through urine. Ureteral stents are thin, hollow tubes that are inserted through the urethral opening to reach the kidneys. They may be kept for about 10-14 days, depending on how long it may take for stones to completely flush out of the body.
Frequently Asked Questions
What is the full form of PCNL?
The full form of PCNL is Percutaneous Nepthrolithotripsy/Nepthrolithotomy. If the stones are removed in the intact form, then it is called nephrolithotomy, and in case the stone is broken into smaller fragments and flushed out through urine, it is called nepthrolithotripsy.
What size of stones are treated with the PCNL procedure?
PCNL is effective in removing kidney stones with a diameter greater than 15mm. Several urologists also recommend PCNL surgery for kidney stones greater than 20mm due to its high-stone-free rate in a single sitting.
What is the duration of PCNL?
PCNL generally takes 1 hour to 1.5 hours, depending on several factors such as size and number of stones. Surgery time also depends on the medical condition of the patient and the surgical expertise of the urologist.
Is PCNL surgery painful?
No, PCNL is not a painful procedure as it is done under general anesthesia. However, there may be mild discomfort after the procedure due to stent insertion when the effect of anesthesia wears off.
Does PCNL have a high success rate?
PCNL is a modern procedure that offers a high success rate for stones with a diameter greater than 15mm. PCNL also provides excellent results for stones greater than 2cm, with more than 90% of patients experiencing relief from pain in a single session. Get in touch with us to book an appointment with some of the best urologists with a high PCNL success rate in Delhi.
Who should not undergo PCNL surgery?
Patients with severe heart or lung conditions should refrain from undergoing PCNL surgery. Additionally, patients with uncorrectable bleeding disorders and active urinary infections are also not good candidates for PCNL due to the increased risk of sepsis during the procedure. Urologists generally suggest the use of antibiotics to clear up the urinary infection prior to PCNL.
What is the cost of PCNL surgery in Delhi?
The PCNL treatment cost in Delhi usually starts from Rs. 65,000. However, the cost of the procedure can vary depending on several factors such as consultation charges, selection of hospital, hospital stay (if required), insurance coverage, medical condition of the patient, surgical expertise of the urologist, etc. The price can also increase if the surgical experience of the surgeon is higher. Get in touch with us to know more about the PCNL treatment cost in your city.
Is there insurance coverage for the PCNL procedure in Delhi?
Yes, some insurance companies cover the cost of PCNL in Delhi. PCNL surgery is done as a medical necessity to avoid complications involving kidneys. However, the insurance coverage depends on the insurance policies and the terms and conditions set by the insurance provider.
What foods should I avoid for kidney stones?
Here are some foods that you must avoid to prevent kidney stones –
Animal protein such as lamb, mutton, pork, seafood, etc.
High salt content such as chips, pretzels, pickles, olives, etc.
Oxalate-rich food such as spinach, rhubarb, almonds, etc.
What are the kidney stone pain areas?
Some of the pain areas associated with kidney stones are –
Around groin area
Back and side abdomen
What are the complications of untreated kidney stones?
Prolonging kidney stones can lead to possible complications –
Loss of kidney functioning
Septicemia (blood poisoning)
Can kidney stones cause gastrointestinal problems?
Yes, kidney stones are often associated with several gastrointestinal symptoms such as nausea, vomiting, pain in the lower back, and discomfort while urinating. Large-sized stones can also obstruct urinal passage, causing several GI issues, including gas, constipation, etc.
How to prepare for the PCNL procedure?
Your doctor or healthcare institute generally provides instructions before the PCNL procedure to help your prepare for the surgery. Since there are tiny incisions involved, you may be recommended to bring someone along with you to drive you back home. Here is how you can prepare for your PCNL surgery –
Inform your urologist about any ongoing medicines or health conditions before the PCNL surgery.
Do not consume aspirin or blood thinners before the surgery. If you have to take any medications, discuss them with your doctor.
Carry your diagnostic tests reports with you on the day of surgery.
Wear loose-fitting clothes to avoid discomfort around the surgical site.
Stop smoking tobacco or anything else before the surgery.
Inform your doctor about any allergies related to anesthesia.
Do not eat or drink 8 to 9 hours prior to the surgery, as it can delay the effects of anesthesia.
What to expect after PCNL?
Here is what you can expect after the PCNL surgery –
You will be under the effect of anesthesia which means you will be dizzy after the surgery. You will be moved to an observational room after the surgery to monitor your progress.
You may experience blood in the urine, which can last for several days to several weeks.
There may be mild pain due to the insertion of ureteral stents. Your doctor may prescribe you some medications after the surgery to reduce pain and discomfort due to stents.
You may be discharged the following day if the doctor does not suspect any complications.
The urologist will prescribe medications such as antibiotics and pain relievers for stent pain to ease the process of recovery.
Recovery after PCNL
While Percutaneous nephrolithotripsy is a safe procedure, it may take several days for you to start feeling better. Your kidney stone specialist will provide you with a set of instructions that will help you during your recovery process. Post-surgery PCNL recovery instructions include the following –
Drink plenty of fluids to help flush out the blood and stone fragments from the body.
You may have a mild burning sensation with urination that usually lasts several days following the surgery. The doctor may prescribe Tylenol to help ease the pain.
You will be given pain relievers for severe pain as the stones are expelled from the body.
In most cases, you can return to work several days after the procedure.
Keep your doctor informed of your recovery progress and visit for post-surgery consultations whenever you can.
Benefits of PCNL surgery
PCNL being an advanced procedure, offers several benefits over conventional surgeries due to the nature of tiny cuts and incisions. Moreover, when the size of the stone is greater than 20mm, the success rate of PCNL is higher than any other surgical procedure with minimal complications. Some of the benefits of percutaneous nephrolithotripsy include the following –
Almost no bleeding
Minimal complications as compared to open surgery for large stones
Shorter hospital stay
Stone-free rate after the procedure is greater than 90%
Resume daily activities within a week
Why Choose Pristyn Care for PCNL procedure in Delhi?
Pristyn Care is a full-stack healthcare service provider that offers several benefits in terms of surgery experience and financial assistance. Our associated hospitals are equipped with the latest technology and modern infrastructure for a high success rate. Some of the benefits of choosing Pristyn Care for your PCNL procedure in Delhi include –
15+ years of experienced urologists
Latest tools and equipment
Assistance with paperwork for Insurance approval
Flexible payment options
Free pick-up and drop facility on the day of PCNL surgery
Free follow-up consultations after the surgery
COVID-19 safe environment
Book an appointment with our experienced urologists for your PCNL procedure.
Here is how you can book an appointment with some of the best urologists in Delhi through Pristyn Care –
Fill out the patient form on our website www.pristyncare.com. A team of medical coordinators will reach out to you at the earliest to gather details from your end once the appointment form is submitted. The appointment will be subsequently fixed with the concerned urologist according to your schedule.
Connect directly with our medical coordinators via the contact number on our website. A team of dedicated medical coordinators will gather inputs from your end and connect you with the kidney stones doctor near your area for your PCNL procedure and book your appointment consecutively.
You can also book an appointment through our Pristyn Care app. Our medical coordinators will arrange an offline or online video consultation with the kidney stones specialist near your area at the earliest via video call.