Wednesday, 25 July 2018

Say bye to Kidney Stones via PCNL technique

Fluctuating pain in the abdomen? Difficulty in passing urine? Chills? Nausea or vomiting,  Pink red or brown urine?
If your answer’s a yes, you are likely to have “kidney stones”.

kidney stone treatment

Kidney stones are crystals of minerals in the kidneys developed from long-term crystallization of waste materials in the urine excreted by kidneys.

Urine is a complex solution of many minerals, proteins and water. Some naturally present substances in urine like Citrate prevents crystallization and formation of stones. When these substances are less in urine, or concentration of solutes is more and associated with less water content, minerals crystallize and grow in to stones. Moreover, high levels of substances like calcium and oxalates encourage its formation.

Why treat it?

Kidney stones as such can be painful. When these stones block the urinary tract urine accumulates and causes back pressure on the kidney causes severe pain  - a condition known as Renal Colic. Left untreated for long stones causes infection and or damage to kidneys function. Larger stones in the kidney left untreated for many years can cause complete loss of function and  can cause cancer.

What is stone extraction?

PCNL (Percutaneous NephroLithotomy) or stone extraction is an innovative technique for the removal of large stones   or a large number of small stones in the kidney. The technique is carried out through a small incision in the skin. Under X ray guide Kidney is punctured on a safe spot  through the skin in the flank.  Track is developed and a tube is inserted from the skin in to the kidney. Under vision stones are broken down and pieces are removed.

kidney stone treatment bangalore


  • Only a minute scar
  • Quick recovery
  • Less postoperative pain
  • Short hospital stay


What is tubeless PCNL?

A tubeless PCNL as the name suggests requires no tube postoperatively. In this, a hemostatic plug is employed to seal the tract. The advantages include minimized leakage and low pain hence a faster recovery.


Kidney stones  cause much less harm when its diagnosed and treated early. Smaller stones are treated conservatively. Small stone5 mm or less pass along on urination. These are manageable at home and with medications. Stones larger than 6-7 mm generally don’t come out with medications. Stones are diagnosed by Ultrasound scan , XRay of the kidney and urine bladder. CT scan can diagnose stones more accurately than x ray or ultra sound scan.

Surgery is obvious to treat larger stones and stones which are not cleared by medications. Generally stones in the kidney l cm and above merits a PCNL. PCNL surgeries is done  under general anaesthesia. The term “Percutaneous” means through the skin and “Nephrolithotomy” refers to “taking those stones out”. A small puncture wound up to 1 cm is made at the back to carry out a keyhole surgery wherein a nephroscope is passed through. Voila! The stone is identified. Laser energy is employed to annihilate these stones. It is a safe procedure.

Dr. Mahendra Jain, the best urology doctor in Bangalore offers the best available kidney stone treatment in Bangalore with advanced technologies. Dr. Mahendra Jain is an eminent and an extremely experienced Urologist and Andrologist residing in Bangalore, India.

The bottom line:

Preventive methods are merely a way to reduce the impact. However, there is no guarantee that these will prove to be 100% effective. In Order to prevent kidney stones measures like increase water intake, restrict food like red meat, tomato, spinach, brinjal, airated drinks, chocolate and tea. Consumption of calcium-rich and fewer sodium foods should be taken into account.
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