01/10/2020
PCNL, or percutaneous nephrolithotripsy/nephrolithotomy, is a minimally-invasive treatment for kidney stones. It has supplanted the role of traditional open surgery as treatment of choice for stones larger than 2 centimeters. PCNL is also a recommended treatment option for some smaller stones otherwise unsuitable for non-invasive treatment due to hardness/density, multiplicity, or unfavorable location within the kidney.
In simple terms, PCNL involves the establishment of a temporary tract through a small skin incision, into the interior space of the kidney. A rigid endoscope and a variety of instruments are used through this tract in order to remove the stones. In the case presented here, a hollow ultrasonic probe is used to pulverize the kidney stones with high-frequency vibrations and also simultaneously extract the dust and fragments with suction. Compared with traditional open surgery, PCNL provides similarly excellent success rates for complete stone removal, but with less pain and discomfort, less blood loss, and faster recovery after the procedure.
Have you been diagnosed with kidney stones? Consult a certified urologist to find out if PCNL is the right choice for you.
All pictures and video on this page are posted with the explicit consent and approval of the patients involved in the depicted procedure.