Percutaneous Nephrolithotomy (PCNL)

What is Percutaneous Nephrolithotomy?

Percutaneous Nephrolithotomy is another form of lithotripsy. This procedure is required when either the stones are too large for other procedures, there were remaining stones after an extracorporeal shock wave lithotripsy, if the kidney stones are damaging the area where they are present or if you were not deemed an appropriate candidate for a lithotripsy that requires a ureteroscope.

How is it Different from a Lithotripsy?

This procedure is going to be performed under general anesthesia. There will be incisions made within the back in order to enter the kidney. Then, a nephroscope, similar to a ureteroscope, will be inserted through the incisions to grant the Urologist sight within the kidney. This tool possesses a larger tube than the ureteroscope. In this procedure, instead of breaking down the stones into smaller pieces for them to be transported out, the nephroscope removes them through a tube entirely. If the stones were first broken down through a nephrscope, then this is referred to as a Percutaneous Nephrolithotripsy.

What to Expect After a Percutaneous Nephrolithotomy?

Effects of lithotripsy sometimes may be painful. You’re likely to see bleeding within your urine and pains within your lower abdomen. The best way to relieve pain is to drink large amounts of water and using some type of oral pain medication. If problems persist for more than a week such as continued bleeding, severe pain, or a strong feeling of needing to urinate, then contact your health care provider immediately. Although seldom, these kidney stones may cause bleeding near the kidney, a blockage within your urinary tract or possibly severe damage where the stone was residing.

Contact a medical professional at Z Urology if you have any of the following symptoms,

  • Blood in the urine.
  • Painful or frequent urination.
  • Foul-smelling or cloudy urine.
  • Fever (if an infection is present.)

Please call us to schedule an appointment at (954) 714-8200