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Percutaneous Nephrolithotomy (PCNL)

PCNL Treatment in Mukundapur

Percutaneous Nephrolithotomy (PCNL) is a surgical procedure to remove large or complex kidney stones, especially those greater than 2 cm, through a small incision in the back. This highly effective, minimally invasive procedure is considered the gold standard for treating stones that cannot be managed with medication or less invasive techniques. By directly accessing the kidney through a small incision, PCNL ensures high stone clearance with faster recovery and minimal discomfort.

Manipal Hospitals offers advanced Percutaneous Nephrolithotomy (PCNL) in Mukundapur, Kolkata, supported by expert urologists and state-of-the-art technology to deliver optimal patient outcomes.

Why is Percutaneous Nephrolithotomy (PCNL) done?

This procedure is performed to:

  • Treat large kidney stones (typically more than 2 cm in size)

  • Remove complex or multiple stones that are difficult to treat with other methods

  • Manage staghorn calculi (stones occupying large portions of the kidney)

  • Relieve symptoms such as severe pain, recurrent infections, or urinary obstruction

  • Prevent kidney damage caused by untreated stones

If kidney stones are not treated on time, they may lead to complications such as persistent pain, recurrent urinary infections, blockage of urine flow, kidney swelling (hydronephrosis), and long-term kidney damage. Timely intervention with PCNL helps prevent these risks and preserves kidney function.

What happens before Percutaneous Nephrolithotomy?

Our urology team will guide you through preparation, which includes:

  • Detailed evaluation with blood tests, urine tests, ultrasound, or CT scan

  • Assessment of overall health and suitability for surgery

  • Review of medical history and current medications

  • Instructions regarding fasting and medication adjustments

  • Pre-procedure counselling to prepare the patient and family

What happens during Percutaneous Nephrolithotomy?

Percutaneous Nephrolithotomy (PCNL) typically takes 1–3 hours, depending on the size and complexity of the stones. At Manipal Hospitals  Mukundapur, Kolkata, this procedure is performed under general anaesthesia in the following manner:

  • A small incision (less than 1 cm) is made in the back

  • A tract is created to access the kidney directly

  • A nephroscope is inserted to locate the stones

  • Stones are broken into smaller pieces and removed

What happens after Percutaneous Nephrolithotomy?

After PCNL, patients are monitored closely in the hospital to ensure stable recovery. Pain is managed with medication, and fluids are encouraged to help flush the urinary system. A temporary tube or stent may be placed to aid drainage. Early mobilisation, such as light walking, is encouraged to promote healing. Most patients stay in the hospital for 2–3 days and can resume light activities within a week, with full recovery typically achieved within 2–3 weeks. Regular follow-up is advised to monitor recovery and ensure complete stone clearance.

Benefits of Percutaneous Nephrolithotomy

  • High stone clearance rate (over 90% in many cases)

  • Minimally invasive with a small incision

  • Reduced pain and blood loss compared to open surgery

  • Faster recovery and shorter hospital stay

  • Highly effective for large, complex, or multiple stones

Risks of Percutaneous Nephrolithotomy

Risks are generally low when performed by experienced specialists using advanced technology. These include:

  • Bleeding during or after the procedure

  • Infection

  • Injury to surrounding tissues (rare)

  • Residual stone fragments requiring further treatment

  • Temporary discomfort or drainage tube-related issues

At Manipal Hospitals, expert urologists, advanced imaging systems, and comprehensive care protocols contribute to excellent outcomes and high success rates for PCNL procedures.

Advanced PCNL treatment in Mukundapur for large kidney stones with minimally invasive techniques and faster recovery.

FAQ's

You may need PCNL if you have large or complex kidney stones that cannot be treated effectively with medication or other minimally invasive procedures. It helps remove stones completely, relieve symptoms, and prevent kidney damage.

Yes, PCNL is considered a safe and effective procedure when performed by experienced urologists. At Manipal Hospitals, advanced technology and expert care ensure high safety standards and successful outcomes.

Most patients undergoing PCNL typically require a hospital stay of about 2–3 days. The duration may vary based on the size and complexity of the stones, overall health, and how quickly the patient recovers after the procedure.

PCNL is performed under general anaesthesia, so you will not feel any pain during the procedure. After surgery, mild discomfort or soreness may occur, but it is effectively managed with prescribed medications and usually improves within a few days.

Most patients can resume light daily activities within about a week after PCNL. Full return to normal routines usually takes 2–3 weeks, depending on individual recovery, overall health, and adherence to post-procedure care instructions.

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