About PCNL (Percutaneous Nephrolithotomy)
Percutaneous Nephrolithotomy (PCNL) is the preferred treatment for large or complex kidney stones. Through a small puncture in the back, a scope is passed directly into the kidney to break and remove the stone.
It provides high stone clearance with much faster recovery than open stone surgery.
Also known as: Keyhole kidney stone surgery, PCNL
Who is it recommended for?
Your doctor may recommend this if you have:
- Large kidney stones (generally above 2 cm)
- Staghorn or complex stones
- Stones not cleared by other methods
How is it done at AKG Hospital?
- Imaging CT scan to plan the access route.
- Anaesthesia General or spinal anaesthesia.
- Access A small tract is created into the kidney under imaging guidance.
- Stone removal Stones are fragmented and extracted.
- Drainage A temporary tube or stent may be placed.
How to prepare
- Urine culture and blood tests
- Stop blood thinners as advised
- Fasting before surgery
Recovery & aftercare
Hospital stay is usually 2–4 days. Avoid heavy lifting for 2–4 weeks.
Benefits
- High clearance for large stones
- Small incision
- Faster recovery than open surgery
Risks & when to seek help
Risks include bleeding, infection and injury to nearby organs (rare).
Frequently asked questions
Is PCNL a major surgery?
It is a keyhole procedure, far less invasive than open surgery, though it requires anaesthesia and a short hospital stay.
This page gives general information to help you understand PCNL (Percutaneous Nephrolithotomy). It does not replace a consultation — your doctor will advise what is right for you.
