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Comprehensive Guide to PCNL Surgery at MedEase

Kidney stones are a prevalent urological condition affecting millions worldwide. When these stones become large or complex, traditional treatments may not suffice. At MedEase, we specialize in PCNL Surgery (Percutaneous Nephrolithotomy), a minimally invasive procedure designed to remove large kidney stones effectively. Our state-of-the-art facilities and experienced urologists ensure optimal patient outcomes.

Treatment Duration

30 Minutes

To

45 Minutes

Treatment Cost

70K

To

90K

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What is PCNL Surgery?

PCNL Surgery is a minimally invasive surgical technique used to remove large or complex kidney stones that cannot be treated with non-invasive methods like Extracorporeal Shock Wave Lithotripsy (ESWL) or Ureteroscopy (URS). The procedure involves making a small incision in the back to access the kidney directly, allowing for the efficient removal of kidney stones.

Indications for PCNL Surgery

PCNL Surgery is typically recommended in the following scenarios:

  • Large Kidney Stones: Stones larger than 2 cm in diameter.

  • Staghorn Calculi: Complex branched stones occupying a large portion of the kidney.

  • Multiple Stones: Presence of multiple stones in one or both kidneys.

  • Failed Previous Treatments: Ineffectiveness of ESWL or URS.

  • Obstructive Uropathy: Stones causing blockage in the urinary tract.

  • Infection Stones: Stones associated with recurrent urinary tract infections.

Preoperative Evaluation

Before undergoing PCNL Surgery, patients undergo a thorough evaluation, including:

  • Imaging Studies: CT scans, X-rays, or ultrasounds to determine stone size, location, and anatomy.

  • Laboratory Tests: Blood and urine tests to assess kidney function and detect infections.

  • Medical History Review: Assessment of any underlying health conditions that may affect surgery.

The PCNL Surgical Procedure

  1. Anesthesia: The patient is administered general anesthesia to ensure comfort.

  2. Patient Positioning: The patient is positioned prone (lying on the stomach) to access the kidney.

  3. Percutaneous Access: A small incision is made in the back, and a needle is inserted into the kidney under imaging guidance.

  4. Tract Dilation: The tract is dilated to allow the insertion of a nephroscope.

  5. Stone Fragmentation: Stones are visualized and fragmented using ultrasonic, pneumatic, or laser energy.

  6. Stone Removal: Fragmented stones are removed using graspers or suction.

  7. Nephrostomy Tube Placement: A tube may be placed to drain urine and monitor postoperative bleeding.

Types of PCNL Procedures

  • Standard PCNL: Utilizes a larger tract (24–30 Fr) for stone removal; suitable for very large stones.

  • Mini-PCNL: Employs a smaller tract (14–20 Fr); associated with reduced bleeding and faster recovery.

  • Ultra-Mini PCNL: Uses an even smaller tract (<14 Fr); ideal for moderate-sized stones with minimal invasiveness.

Advantages of PCNL Surgery

  • High Success Rate: Effective removal of large and complex stones.

  • Minimally Invasive: Smaller incision leads to less postoperative pain and quicker recovery.

  • Shorter Hospital Stay: Most patients are discharged within 1–2 days.

  • Preservation of Kidney Function: Direct removal of stones reduces the risk of long-term kidney damage.

  • Reduced Need for Multiple Procedures: Often, stones are completely cleared in a single session.

Recovery After PCNL Surgery

  • Hospital Stay: Typically 1–2 days, depending on individual recovery.

  • Pain Management: Mild discomfort managed with prescribed analgesics.

  • Activity Resumption: Light activities can usually be resumed within a week; strenuous activities should be avoided for 2–4 weeks.

  • Follow-Up: Regular follow-up appointments to monitor healing and ensure no residual stones.

Potential Risks and Complications

While PCNL Surgery is generally safe, potential risks include:

  • Bleeding: May require blood transfusion in rare cases.

  • Infection: Prevented with prophylactic antibiotics.

  • Injury to Surrounding Organs: Rare, minimized with imaging guidance.

  • Residual Stones: May necessitate additional procedures.

  • Urinary Leakage: Managed with temporary catheterization.

Our surgical team at MedEase employs advanced techniques and strict protocols to minimize these risks.

Cost of PCNL Surgery in India

The cost of PCNL Surgery in India varies based on factors such as hospital location, surgeon expertise, and patient health. On average, the cost ranges between ₹65,000 to ₹1,80,000. At MedEase, we offer transparent pricing and flexible payment options to accommodate our patients’ needs.

Insurance Coverage

Most health insurance providers in India cover PCNL Surgery, especially when deemed medically necessary. We recommend consulting with your insurance company to understand the specifics of your coverage. MedEase’s administrative team can assist with insurance claims and documentation.

Why Choose MedEase for PCNL Surgery?

  • Experienced Urologists: Our surgeons have extensive experience in performing PCNL procedures.

  • Advanced Technology: Equipped with state-of-the-art surgical instruments and imaging systems.

  • Comprehensive Care: From diagnosis to postoperative follow-up, we provide end-to-end patient support.

  • Patient-Centric Approach: Personalized treatment plans tailored to individual needs.

  • Affordable Pricing: Competitive rates without compromising on quality.

Book Your Consultation Today

If you’re struggling with kidney stones and seeking an effective solution, PCNL Surgery at MedEase offers a safe and efficient treatment option. Our dedicated team is here to guide you through every step of your recovery journey.

📞 Call/WhatsApp: +91 96255 29133
📧 Email: info@medeasehealth.com
📅 Book Appointment Online:Book Appointment

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Frequently Asked Questions (FAQ)

The surgery typically lasts between 1 to 3 hours, depending on the complexity and size of the stones.

The procedure is performed under general anesthesia, ensuring a pain-free experience during surgery. Postoperative discomfort is usually mild and managed with medications.

Most patients can resume light work within a week. However, it's advisable to avoid heavy lifting or strenuous activities for at least 2–4 weeks.

A balanced diet with increased fluid intake is recommended to prevent future stone formation. Specific dietary guidelines may be provided based on stone composition.

In certain cases, bilateral PCNL can be performed, but it depends on the patient's overall health and stone burden. Your urologist will determine the best approach.

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