Percutaneous Nephrolithotomy (PCNL) Surgery India, Percutaneous Nephrolithotomy (PCNL) Surgery India, Urology Treatment, Prostatectomy,Cost Percutaneous Nephrolithotomy (PCNL) Surgery India

1. Percutaneous Nephrolithotomy (PCNL) Surgery
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Percutaneous
Nephrolithotomy
(PCNL) Surgery in
India
Percutaneous Nephrolithotomy, or PCNL, is a procedure for removing
medium-sized or larger kidney stones from the patient's urinary tract
by means of a nephroscope passed into the kidney through a track
created in the patient's back.
The term "percutaneous" means that the procedure is done through
the skin and Nephrolithotomy is a term formed from two Greek
words that mean "kidney" and "removing stones by cutting."
Kidney stones range in size from microscopic groups of crystals to
objects as large as golf balls. Most calculi, however, pass through the
urinary tract without causing problems. They are formed when the
urine becomes supersaturated (overloaded) with mineral compounds
that can form stones.
This super saturation may occur because the patient has low urinary
output, is excreting too much salt, or has very acid urine. The purpose
of PCNL is the removal of renal calculi in order to relieve pain,
bleeding into or obstruction of the urinary tract, and/or urinary tract
infections resulting from blockages.
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World Class Treatment for Kidney Stone at IndiaCarez Affiliated
Hospitals in India
Open surgery : Open surgery is the most invasive form of
treatment for urolithiasis. As of 2003, it is performed primarily
to remove very large and complex staghorn calculi or
extremely hard stones that cannot be broken down by
lithotripsy.
Other indications for open surgery are extreme obesity, an
anatomically abnormal kidney, or an infected and
nonfunctioning kidney requiring complete removal. Patients
are usually hospitalized for a week after open kidney surgery
and take about six weeks to recover at home.
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Extracorporeal Shock Wave Lithotripsy (ESWL)
ESWL is a noninvasive procedure that was developed in the
1980s as a less invasive alternative to PCNL. It is presently used
more often than PCNL to treat smaller renal calculi.
In ESWL, the patient is given a local anesthetic and placed in a
water bath or on a soft cushion while shock waves are
transmitted through the tissues of the back to the stones inside
the kidney. The shock waves cause the calculi to break up into
smaller pieces that can be passed easily in the urine.
Although patients need less time to recuperate from ESWL, it
has several disadvantages. It has lower success rates (50–90%)
than PCNL. Moreover, it cannot be used to treat cystine calculi
or calculi larger than 1.2 in (3 cm). An additional concern with
shock wave lithotripsy is its safety in treating small or
anatomically abnormal kidneys; it has been reported to cause
temporary damage to kidney tubules in smaller-than-average
kidneys.
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Ureteroscopy
Ureteroscopy refers to removal of calculi that have moved
downward into the ureter with the help of a special instrument. A
ureteroscope is a small fiberoptic endoscope that can be passed
through the patient's urethra and bladder into the ureter.
The ureteroscope allows the surgeon to locate and remove stones
in the lower urinary tract without the need for an incision.
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What are the Advantages Percutaneous Nephrolithotomy (PCNL)
Surgery?
• Allows large or complicated stones to be treated in a minimally
invasive fashion,
• Hospital stay is 3-4 days, and out of hospital recovery time is
significantly shorter than traditional open surgery.
• Many require half the pain medication.
• Achieves a better stone-free outcome.
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8. Indiacarez.com
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