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PCNL is Percutaneous Nephrolithotomy. It is a technique to remove a certain kidney or upper ureter stones that are too large for other stone treatment.
PCNL is used most often when kidney stones are too difficult to reach, too large, too numerous, or too dense to be treated by shock wave lithotripsy or ureteroscopy.
If you are experiencing the following situations, you will need a PCNL:
Recurrent urinary tract infection
Chronic pain
Blood in urine
Deterioration of renal function
Yes, it is major surgery because this technique is used for removing large renal stones. It is the standard treatment with which all other approaches should be compared.
In this surgery, a small 1 cm incision is done in between your lower ribs and hips. A tube is inserted through the incision into the kidney with a small telescope to visualize the stone. The doctor will break the stone and remove it from the body.
The surgery will last one to three hours to remove large, multiple, or complex stones.
You will not feel any pain during the procedure because you will be under general anesthesia, which means you will be asleep during the whole surgery.
During the surgery, the patient has to be in the prone position, which means the patient is lying face down so that the surgeon can perform the procedure properly.
PCNL is safe with an acceptable complication rate. Its outcomes are good; renal function remains stable or improves after the procedure.
No, you will be under general anesthesia, which means you will be asleep during the procedure. This helps make sure that you are still when the small instruments are inside your body.
You should avoid taking non-steroidal anti-inflammatory drugs such as Aspirin, Ibuprofen, Naproxen, Motrin, etc., for at least 72 hours after the surgery.
Drink plenty of fluids, especially water, and eat high-fiber food as pain medications can be constipating.
When you reach home after the surgery, take as much rest as possible. You can resume your daily activities one to two weeks after the procedure.
Yes, you can. Go on a daily walk and gradually increase walking as tolerated but do not do any heavy lifting for the first four weeks after the surgery.
Smoking will delay healing and increase the risk of infection. Therefore it is better to avoid smoking for some weeks after your surgery.
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