Neo TrueNorth Hospitals
Neo TrueNorth

Understanding Percutaneous Nephrolithotomy (PCNL) – Unilateral

Percutaneous Nephrolithotomy (PCNL) is a minimally invasive surgical procedure performed to remove large kidney stones or multiple kidney stones that are difficult to treat with other non-invasive methods. This procedure involves making a small incision in the back and using specialized instruments to access and remove the kidney stones through the renal collecting system. PCNL is typically recommended for patients with large or complex kidney stones, kidney stones that are causing recurrent urinary tract infections or obstruction, or kidney stones that have failed to respond to other treatment options.

Preparation and Procedure

At Neo TrueNorth, we prioritize patient comfort and safety throughout the PCNL – Unilateral process. The procedure typically involves the following steps:

  1. Initial Consultation: During the initial consultation, the urologist will evaluate the patient’s medical history, symptoms, and diagnostic tests such as X-rays, CT scans, or ultrasound to determine the need for PCNL – Unilateral. The urologist will discuss the risks and benefits of the procedure and address any questions or concerns the patient may have.

  2. Preoperative Evaluation: Before the procedure, the patient may undergo blood tests, urine tests, imaging studies, and other preoperative evaluations to assess overall health and identify any underlying medical conditions that may affect the procedure’s outcome. The patient may also be advised to discontinue certain medications or supplements that could increase the risk of bleeding or other complications during the procedure.

  3. Surgical Procedure: PCNL – Unilateral is typically performed under general anesthesia to ensure patient comfort. During the procedure, the urologist makes a small incision in the back and inserts a specialized needle into the kidney to access the renal collecting system. A guide wire is then passed through the needle into the kidney, and a series of dilators are used to enlarge the tract. Once the tract is sufficiently dilated, a nephroscope (a thin, flexible tube with a camera) is inserted into the kidney to visualize the stones. Specialized instruments, such as laser fiber or pneumatic lithotripter, are used to break up the stones into smaller fragments, which are then removed using a suction device or basket. Once all the stones have been removed, the nephroscope is removed, and the incision site is closed with sutures or adhesive strips.

  4. Postoperative Care: After PCNL – Unilateral, patients are closely monitored in the recovery room for any signs of complications such as bleeding, infection, or kidney injury. Most patients experience some discomfort or pain in the back or side, which can be managed with pain medications. Patients may also experience blood in the urine or urinary urgency and frequency, which typically resolve within a few days. Intravenous fluids and antibiotics may be administered as needed. Patients are usually able to resume normal activities within a few days to a week after the procedure, although strenuous activities should be avoided during the initial recovery period.

Why Choose Neo TrueNorth for PCNL – Unilateral?

  1. Urology Expertise: Our team of experienced urologists specializes in minimally invasive urological procedures, including PCNL – Unilateral, with expertise and precision.

  2. State-of-the-Art Facilities: Our urology clinics and surgical facilities are equipped with advanced technology and equipment to ensure safe and effective PCNL – Unilateral procedures.

  3. Customized Treatment Plans: We offer personalized treatment plans tailored to each patient’s unique medical history, symptoms, and stone characteristics. Our urologists take the time to listen to patients’ concerns and develop customized treatment plans that address their specific needs.

  4. Comprehensive Care: In addition to PCNL – Unilateral, we offer a wide range of urological services and treatments to address various urological conditions, including kidney stones, urinary tract infections, and prostate disorders.

  5. Patient-Centered Approach: At Neo TrueNorth, we prioritize patient comfort, safety, and satisfaction. Our urologists provide compassionate care and support throughout the PCNL – Unilateral process, ensuring that patients feel informed and confident in their treatment decisions.

If you’re experiencing large or complex kidney stones and are considering PCNL – Unilateral, contact Neo TrueNorth today to schedule a consultation with one of our experienced urologists.

Meet Our Experts

Dr Narasimhaiah K