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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 Kolkata.
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.
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Several diagnostic tests done before the PCNL treatment include the following –
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.
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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.
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.
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.
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.
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 Kolkata.
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.
The PCNL treatment cost in Kolkata 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.
Yes, some insurance companies cover the cost of PCNL in Kolkata. 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.
Here are some foods that you must avoid to prevent kidney stones –
Some of the pain areas associated with kidney stones are –
Prolonging kidney stones can lead to possible complications –
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.
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 –
Here is what you can expect after the PCNL surgery –
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 –
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 –
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 Kolkata include –
Here is how you can book an appointment with some of the best urologists in Kolkata through Pristyn Care –
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