St. Anne Hospital in Piaseczno
661 300 313 (Mon to Fri, 8:00 a.m. to 5:00 p.m.)
PCNL
percutaneous nephrolithotomy

PCNL is a surgical procedure aimed at the removal of kidney stones – it is particularly recommended for large stones.

This method allows the removal of stones with a size exceeding 2 cm. During the procedure, a small incision is made in the lumbar region, up to 20 mm long – however, everything is performed under ultrasound and X-ray guidance.

PCNL

The entire procedure is performed under general anaesthesia, so the patient feels no pain during the procedure. This is an innovative and comprehensive solution, and it brings relief even in the most complex situations – its exceptional effectiveness is guaranteed by a direct intervention in the kidney and a puncture of the pyelocalyceal system.  

 

The appropriate puncture of the kidney creates a working channel, through which a nephroscope is inserted. The device introduces a special instrument into the kidney, which crushes the stones and enables their removal. After the procedure, a special drain is installed in the kidney, facilitating the removal of the residues. The stones, even the hardest ones, are crushed by lasers, ultrasounds or a pneumatic lithotripter.

Advantages

One of the most important advantages of PCNL is the possibility to remove even very large stones
 – due to the use of the latest technology and a correct puncture of the kidney.

The possibility for the removal of larger and hard stones.

The use of the nephroscope and other special methods guarantees effectiveness even when the stones exceed 2 cm and are difficult to remove by RIRS or URSL.

Short rehabilitation time

Although the percutaneous nephrolithotomy is more invasive than RIRS or URSL, the post-procedure recovery is relatively quick – the patient stays in the hospital for only a few days.

Painless procedure

Zabieg przeprowadzany jest w pełnej narkozie, dzięki czemu pacjent nie odczuwa bólu i dyskomfortu w trakcie zabiegu. Skuteczność PCNL sprawia również, że zabiegu nie trzeba przeprowadzać powtórnie.

The procedure is performed under a general or spinal anaesthesia, so the patient feels no pain or discomfort during the procedure. Furthermore, due to PCNL effectiveness, the procedure does not have to be repeated.

Indications

The PCNL method is recommended for patients suffering from kidney stones of a larger size. The procedure is also used when other methods do not bring the expected results.

 

  • PCNL is an excellent choice for kidney stones larger than 2 cm.
  • The patient should also consider PCNL when the stones are very hard and difficult to remove by other methods.
  • The increasing pain during urination, mental and physical discomfort, and the possible risk that the patient will not excrete the residues left after other treatment methods should also be considered as indicators for this procedure.
  • It is important to listen to the instructions of a medical specialist before the procedure, and to refrain from eating “heavy” meals for a few days before PCNL.
Contraindications

Although PCNL is very effective and brings instant relief, it is slightly more invasive than other procedures because an incision is made in the skin above the kidney.

 

  • The procedure is not intended for severely obese patients, since this body type makes access to the kidney and a correct performance of the procedure difficult.
  • PCNL is not recommended for pregnant women and people taking anticoagulants.
  • The patient should also be aware of the post-surgery outcomes – a temporary presence of blood in the urine, or the incision scar.
  • Before a visit to the office you must brace yourself for certain nuisances – you cannot smoke, eat or drink for 6 to 8 hours before the procedure.
  • People with an adverse reaction to anaesthesia or who cannot afford a slightly prolonged recovery should be particularly careful.
Contraindications

Although PCNL is very effective and brings instant relief, it is slightly more invasive than other procedures because an incision is made in the skin above the kidney.

 

  • The procedure is not intended for severely obese patients, since this body type makes access to the kidney and a correct performance of the procedure difficult.
  • PCNL is not recommended for pregnant women and people taking anticoagulants.
  • The patient should also be aware of the post-surgery outcomes – a temporary presence of blood in the urine, or the incision scar.
  • Before a visit to the office you must brace yourself for certain nuisances – you cannot smoke, eat or drink for 6 to 8 hours before the procedure.
  • People with an adverse reaction to anaesthesia or who cannot afford a slightly prolonged recovery should be particularly careful.
Price list

Our consultant will contact you within 24 hours

and arrange the details and a date for the consultation.

Institution
Consultations
Intervention
Urolithiasis Treatment Centre at the Saint Anna Hospital in Piaseczno
140 zł
3 500 zł

The price list does not constitute a commercial offer as understood by Article 66.1 of the Civil Code, and is provided for informative purposes only. The provided prices are subject to change. We reserve the right to make changes. Please contact us to receive the actual price of the selected service. The price list is valid from August 2016.