Percutaneous Nephrolithotomy (PCNL)

At Emirates Hospitals Group, we are committed to providing advanced and effective solutions for the treatment of kidney stones, particularly large or complex stones that cannot be managed with less invasive methods. With a team of the best urologists in Dubai, we specialize in Percutaneous Nephrolithotomy (PCNL), a highly effective procedure tailored for patients with large kidney stones. This minimally invasive treatment offers a high success rate and a quick recovery, ensuring our patients receive the best possible care.

• About PCNL
• Procedure
• Benefits

About Percutaneous Nephrolithotomy (PCNL) Treatment

Percutaneous Nephrolithotomy, commonly known as PCNL, is a surgical procedure used to remove large or multiple kidney stones that are too big to pass naturally or cannot be broken down by other methods, such as Extracorporeal Shock Wave Lithotripsy (ESWL). PCNL is considered the gold standard for the removal of large kidney stones, particularly those that exceed 2 cm in size, stones causing blockages, or stones that are resistant to other forms of treatment. It involves creating a small incision in the skin to access the kidney directly, allowing for precise removal of the stones. At Emirates Hospitals Group, our team of Urologists are expert in performing PCNL.

Procedure for Percutaneous Nephrolithotomy

1. Preparation: Before the procedure, patients undergo a thorough evaluation, including imaging tests such as CT scans or ultrasounds, to determine the size, shape, and location of the kidney stones. This information helps the urologist plan the procedure with precision. The patient is then given general anesthesia to ensure comfort and relaxation throughout the surgery.
2. Access to the Kidney: The surgeon makes a small incision, about 1 cm, in the back or side to reach the kidney. A thin tube called a nephroscope is inserted through this incision to locate the stones. The placement of this tube is guided by real-time imaging techniques, such as fluoroscopy or ultrasound, to ensure accuracy.
3. Stone Fragmentation and Removal: Once the nephroscope is in place, specialized surgical instruments are used to break the stones into smaller pieces. The fragments are then carefully removed through the tube. In some cases, a laser or ultrasound probe may be used to further break down the stones into tiny pieces for easier extraction.
4. Post-Procedure Care: After the stones are removed, a temporary drainage tube may be left in place to help drain urine and small stone fragments from the kidney. The patient is closely monitored for a day or two in the hospital to ensure there are no complications, and follow-up visits are scheduled to check the recovery progress.

Benefits of Percutaneous Nephrolithotomy

• Highly Effective for Large Stones: PCNL is the preferred treatment for large kidney stones, especially those larger than 2 cm or those located in challenging positions within the kidney.
• Minimally Invasive: Unlike traditional open surgery, PCNL is performed through a small incision, reducing the risk of infection, minimizing pain, and promoting faster recovery.
• Shorter Hospital Stay: Most patients only require a brief hospital stay, typically 1-2 days, and can resume normal activities within a week.
• High Success Rate: PCNL has a high success rate for complete stone clearance, reducing the need for multiple procedures and providing effective relief from symptoms.
• Lower Risk of Complications: With the advanced expertise of our urologists and state-of-the-art technology, the risk of complications, such as bleeding or infection, is significantly minimized.