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Doctor insights on: Percutaneous Nephrolithotomy

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What is percutaneous nephrolithotomy?

What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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How is a percutaneous nephrolithotomy done?

How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

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What are risks of percutaneous nephrolithotomy?

See list: Bleeding infection (sepsis) damage to internal organs lung collapse/fluid in chest cavity loss of kidney. ...Read more

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Can you tell me how is a percutaneous nephrolithotomy performed?

Keyhole: PCNL is performed through a tiny puncture in the back which allows a scope to be passed directly into the kidney. This is done under anesthesia and usually requires less than2 days in the hospital ...Read more

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What is the expected recovery time and lifting limitation following a PNL (percutaneous nephrolithotomy) assuming no complications?

Depends: Depends on the skill of the urologist and type of anesthesia used and other medical conditions you may have. Ask this question of your urologist who knows you best. ...Read more

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What is percutaneous nephrolithotomy or nephrolithotripsy like? I might need it.

Kidney stones: Under anesthetic, a needle is passes through the skin to the site of kidney stone, either to remove it or to shoot it woth a form of energy that lakes it break into smaller pieces that can pass in the urine. ...Read more

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Is lithotripsy better or percutaneous nephrolithotomy better?

Is  lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material. Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

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Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Stone size determine: Shockwave lithotripsy minimally invasive, but not very effective for stones larger than 1 cm in diameter, and can not be used for branching "staghorn" stones. Can be used for larger stones if infectious in origin because they break up more easier. Percutaneous is more invasive, but usually a "one shot" procedure to clean out all the stone material.Swl requires minimal to no skill, pcnl needs skill. ...Read more

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