Minimally Invasive (PCNL) Surgeries for Kidney stone Percutaneous nephrolithotomy
Percutaneous Nephrolithotomy is the surgery used to perform to treat medium to large kidney stones.Kidney stones are small pebbles initially and become stones later, after growing in the size. These are formed by crystal aggregation of the dietary mineral present in the urine. They are formed in different locations in the kidney. These might be present in bladder or ureter. These are also classified on the basis of the chemical composition, like having uric acid, struvite or calcium. After the stones are grown more than 3 mm size, they cannot be passed through the urine and start causing the symptom. Mostly men are affected from the kidney stone problems.
Why is Percutaneous Nephrolithotomy (PCNL) Necessary?
• There will be a catheter in your bladder to drain your urine. Your urine may be coloured with blood or bluish-green dye used during the procedure. The catheter will be removed once you are up and about or when the consultants are satisfied with your progress.
Percutaneous Nephrolithotomy is the surgery used to perform to treat medium to large kidney stones.Kidney stones are small pebbles initially and become stones later, after growing in the size. These are formed by crystal aggregation of the dietary mineral present in the urine. They are formed in different locations in the kidney. These might be present in bladder or ureter. These are also classified on the basis of the chemical composition, like having uric acid, struvite or calcium. After the stones are grown more than 3 mm size, they cannot be passed through the urine and start causing the symptom. Mostly men are affected from the kidney stone problems.Why is Percutaneous Nephrolithotomy (PCNL) Necessary?
• There will be a catheter in your bladder to drain your urine. Your urine may be coloured with blood or bluish-green dye used during the procedure. The catheter will be removed once you are up and about or when the consultants are satisfied with your progress.
• There will be a tube in your back connected to a drainage bag to allow the kidney to drain a mixture of blood and urine. The blood in this tube will gradually clear in a day or two. Occasionally further x-rays may be necessary before this tube is removed. Removing the tube does not usually require any painkillers or sedation.
• There will be a drip in one or both of your arms to give intravenous fluids until you are able to drink and eat normally. This may sometimes be used to give a blood transfusion if required.
• You may be given antibiotics post-operatively either orally or through the drip in your arm.
• You will be prescribed and given appropriate painkillers after the procedure.
• Complicated or larger stones are allowed to be treated in minimally invasive method, unlike the past methods, which demanded larger incisions over the skin.
• PCNL is considered to be an effective procedure, as it achieves better results and stone-free outcomes.
• The pain medication required for the surgery would be half of the usual pain medication requirement, for many of the patients.
• Stay in hospital would be decreased to 3 to 4 days. Even the recovery time, out of the hospital is also much reduced than the traditional open surgery treatment.
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