What is Percutaneous Nephrolithotomy or PCNL?

Percutaneous Nephrolithotomy or PCNL

Best PCNL Delhi-Best PNL Delhi-Best PCNL surgeon Delhi

Dr Vijayant Govinda Gupta is the best PCNl surgeon in Delhi and is an expert in performing percutaneous nephrolithotomy (also called PCNL or PNL). Read more from the surgeon who performs best PCNL delhi.

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Percutaneous nephrolithotomy or PCNL or PNL is a surgical procedure for removing kidney stones. It is a kidney stone treatment.

In this procedure, the urologist makes a puncture into the kidney with a needle from your back. With this puncture then he creates a channel from the outside to the inside of your kidney. Using a camera and laser or lithotripter, the urologist will then proceed to break and remove all stones.

PCNL is the gold standard procedure for kidney stone treatment.

It is the gold standard because –

The surgeon has excellent view of the inside of the kidney and can remove all stones under complete vision

Because of a large channel, stones of all sizes can be completely cleared.

But PCNL has certain disadvantages

  • Bleeding – The most feared complication. Kidney is basically a bag of water and blood with a thin filter in between. When we create a channel, the chances to injure a blood vessel are very high. But in expert hands bleeding is usually rare and if it happens can be managed.
  • Infection – Kidney stones are infected stones. During the procedure, to ensure good visibility and faster clearance, the stones are continuously washed with saline. This can cause infection in some patients. (less than 1%)

To reduce these complications, newer techniques of PCNl have arrived. One of these is the Minimally Invasive PCNL or MIP. Instead of making a large tract of 6 mm, only a 2 or 3 mm tract is made. This reduces bleeding, pain and infection.

I am qualified to perform all variants of PCNL, to give you the best treatment results and fastest recovery.

What to expect during PCNL/PNL?

 PCNL is performed under general anesthesia. It is performed in prone position, that means you would be lying on your stomach. After the surgery, your urologist may put a dj stent which will be removed after 2 weeks. You will need bed rest for 1 week and you cannot perform vigorous exercise and heavy work for 6 weeks after the surgery.

You can leave me a mail or a message for a free e consult where we can discuss about your kidney stone treatment options in detail.

 

 

 

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