Andrology

Percutaneous Nephrolithotomy (PCNL) in Dubai at DRHC Andrology Clinic

Percutaneous nephrolithotomy (PCNL) is a minimally invasive procedure used to remove large or complex kidney stones that cannot be treated with other methods such as shockwave lithotripsy or ureteroscopy. Here is a comprehensive overview of PCNL:

Indications:

  • Large kidney stones: PCNL is particularly effective for stones larger than 2 cm in diameter.
  • Complex kidney stones: Stones that are hard, irregularly shaped, or located in a difficult-to-access part of the kidney.
  • Stones causing symptoms: Stones that are causing pain, infection, or kidney damage.

How Percutaneous Nephrolithotomy (PCNL) done?

Percutaneous nephrolithotomy (PCNL) is a minimally invasive surgical procedure used to remove large or complex kidney stones. Here is an overview of how PCNL is typically performed:

Pre-operative Preparation:

  • Anesthesia: The patient is usually given general anesthesia, which means they are asleep and feel no pain during the procedure.
  • Imaging: Before the procedure, imaging tests such as CT scans or X-rays are done to locate the kidney stones and plan the surgery.

Procedure:

  1. Preparation: The patient is usually given anesthesia, either general or local, to ensure comfort during the procedure.
  2. Dilation: A series of dilators are passed over the needle to create a tract through the skin and into the kidney.
  3. Insertion of ureteroscope: The ureteroscope is inserted into the urethra and advanced through the bladder into the ureter and kidney.
  4. Visualization: The camera at the tip of the ureteroscope allows the urologist to visualize the inside of the urinary tract on a monitor.
  5. Stone removal: The stone is broken up using a laser, ultrasonic or pneumatic probe, and the fragments are removed through the nephroscope.
  6. Placement of a nephrostomy tube: A tube may be left in place to drain the kidney and facilitate healing of the tract.

Recovery:

  • Short hospital stay: URS is usually performed as a day surgery procedure, and most patients can go home the same day.
  • Recovery time: Most patients can return to normal activities within a few days after the procedure, although strenuous activities may need to be avoided for a short period.
  • Follow-up: A follow-up appointment may be scheduled to ensure that the urinary tract is healing properly.

Risks and Complications:

  • Bleeding: Some degree of bleeding is common after URS, but it is usually minor and resolves on its own.
  • Infection: There is a small risk of developing a urinary tract infection after URS.
  • Perforation: In rare cases, the ureteroscope can cause a perforation (hole) in the ureter or kidney.

Advantages:

  • Minimally invasive: URS is less invasive than traditional surgery, resulting in less pain and a faster recovery time.
  • High success rate: URS is highly effective for treating kidney and ureteral stones, with a high success rate of stone clearance.

Conclusion:

Ureterorenoscopy is a valuable tool in the diagnosis and treatment of various conditions of the upper urinary tract. It is a safe and effective procedure with a high success rate for treating kidney and ureteral stones, ureteral strictures, and other urological conditions.

If you are in search of the best andrology clinic in Dubai or an andrologist in Dubai, then call on +97142798200 for consultation with our consultant andrologist. Dubai Andrology Clinic - DRHC offers the best andrologist for Ureteral Reflux in Dubai. Our DRHC is headed by a andrologist with several years of experience.

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