PCNL

PCNL (Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove large or complex kidney stones directly from the kidney through a small incision in the back. It is considered the gold standard for treating stones that are too large (usually >2 cm), multiple, or not treatable by other methods like ESWL or URSL.

PCNL Specialist

Dr. Yogesh Taneja is known as the Best Urologist in Gurgaon with 15 Years of experience in urology. He has specializations in other areas like Kidney Stone Treatment, RIRS Treatment, PCNL Treatment, Frenuloplasty Treatment, Andrology Treatment, Ureteroscopy (URS) Surgery, Prostate Enlargement, Sexology Treatment, Erectile Dysfunction and Hydrocele Treatment.

I believe in treating every patient as an individual, taking time to understand their concerns, and working together to find the best treatment plan.

Available at: T.R.U.E. Hospitals, Gurgaon
Timing: Mon–Fri | ⏰ 24×7 Open

When is PCNL Recommended?

PCNL is recommended for patients with large, complex, or hard kidney stones that cannot be treated effectively with non-invasive procedures like ESWL or URSL. It is typically advised in cases of:

Kidney stones larger than 2 cm

Staghorn calculi (stones that occupy a large portion of the kidney)

Hard stones that do not break easily with shockwave treatment

InStones causing infection, obstruction, or kidney damage

Stones located in areas of the kidney that are difficult to reach with a ureteroscope

Who is Eligible for PCNL Treatment?

Have large or irregularly shaped stones (>2 cm).

Have stones resistant to ESWL or URSL

Have no active bleeding disorders or untreated infections

Are not pregnant

Diagnosis Before PCNL Sugery

Before undergoing PCNL, several diagnostic evaluations are conducted to ensure safety and precision:

CT KUB (non-contrast) – to assess stone size, location, number, and density
Ultrasound or X-ray (KUB) – for visual mapping of the urinary tract
Blood tests – to evaluate kidney function, hemoglobin levels, and clotting profile
Urine tests – to check for infection or blood in the urine
ECG & anesthesia clearance – especially in older patients or those with other health issues

Benefits of PCNL Laser Surgery

Highly Effective for Large Stones – Offers complete removal of large or complex stones in one sitting.

Minimally Invasive – Performed through a small incision in the back; less trauma than open surgery

Faster Recovery – Most patients recover within 5–7 days and experience minimal discomfort.

Lower Stone Recurrence – Thorough stone clearance reduces the chance of future problems

Shorter Hospital Stay – Usually requires just 1–2 days of hospitalization

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FAQ About PCNL Treatment

What is the recovery time after PCNL?

Recovery usually takes 7 to 10 days, during which patients are advised to avoid strenuous activities and drink plenty of fluids to support kidney function.

Will I need hospitalization after PCNL?

Yes, most patients stay in the hospital for 1 to 2 days post-surgery for observation and recovery.

Is PCNL a major surgery?

While it involves entering the kidney, PCNL is minimally invasive compared to open surgery. The incision is small (around 1 cm), and recovery is faster.

Are any tubes or stents placed after PCNL?

Often, a nephrostomy tube (to drain urine) or a DJ stent is temporarily placed to help the kidney heal and ensure proper urine flow. These are removed after a few days or weeks.

9. What are the risks or complications of PCNL?

Possible (but rare) risks include:

Bleeding
Infection
Injury to surrounding structures
Residual stones requiring a second procedure

Will the stones come back after PCNL?

PCNL removes the current stones, but it doesn’t prevent future stone formation. Preventive care, including dietary changes, increased water intake, and regular follow-ups, is important to avoid recurrence.

PCNL