- By Dr Vikas Singh
M.B.B.S., M.S., M.Ch.
Urologist, Genito Uro Oncologist and Kidney Transplant Surgeon
Kokilaben Dhirubhai Ambani Hospital, Indore.
This brochure is designed to provide you with information about Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery, a minimally invasive surgical procedure used to remove kidney stones. The information presented here is meant to help you understand what to expect before, during, and after the surgery, and to help you make informed decisions about your healthcare.
What is Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
Mini PCNL is a minimally invasive surgical procedure that is used to remove kidney stones. It is similar to standard PCNL surgery, but uses a smaller scope and instruments. This procedure is performed under general anesthesia and involves making a small incision in your back to access the kidney. A small scope is then inserted into the kidney to locate the stone. The stone is then broken up and removed through the scope.
Who is a candidate for Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
Mini PCNL surgery is usually recommended for patients with larger kidney stones, or stones that cannot be treated with other methods such as shock wave lithotripsy or ureteroscopy. Your doctor may recommend Mini PCNL surgery if you have a stone that is:
Larger than 2 cm in size
Located in the lower or middle part of the kidney
Composed of certain types of stones that are difficult to treat with other methods, such as cystine or struvite stones
Your doctor will evaluate your individual case to determine if Mini PCNL surgery is the best option for you.
What are the benefits of Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
The benefits of Mini PCNL surgery include:
Higher success rates in removing kidney stones
Less invasive than traditional PCNL surgery
Shorter hospital stay
Faster recovery time compared to traditional surgery
What are the risks of Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
As with any surgery, there are risks associated with Mini PCNL surgery. These risks include:
Damage to surrounding organs or tissues
Need for blood transfusion
Allergic reactions to anesthesia
Your doctor will discuss these risks with you before the surgery.
How do I prepare for Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
Before your surgery, your doctor will provide you with specific instructions on how to prepare. These instructions may include:
Fasting for a certain amount of time before the surgery
Discontinuing certain medications or supplements
Arranging for transportation to and from the hospital
Preparing for a hospital stay, if necessary
It is important to follow these instructions carefully to ensure a safe and successful surgery.
What should I expect during Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
During the surgery, you will be under general anesthesia and asleep. Your surgeon will make a small incision in your back and use a scope to locate the stone in your kidney. The stone will then be broken up into smaller pieces using a laser or ultrasound, and removed through the scope. The surgery typically takes 1-2 hours.
What should I expect after Mini Percutaneous Nephrolithotomy (Mini PCNL) Surgery?
After the surgery, you will be taken to a recovery room to be monitored. You may experience some pain and discomfort, which can be managed with pain medication. You will also have a catheter in your bladder to drain urine. This will be removed once you are able to urinate on your own.