PCNL - Percutaneous Nephrolithotomy
PCNL - Percutaneous Nephrolithotomy Treatment

Treatment Range Hospital in Hyderabad offers advanced PCNL (Percutaneous Nephrolithotomy) surgery for the effective removal of large or complex kidney stones. PCNL is a minimally invasive procedure performed through a small incision in the back, allowing direct access to the kidney to remove stones that cannot be treated with medication or standard lithotripsy. Our expert urologists use the latest equipment and techniques to ensure safe, precise, and successful stone removal.
We begin with a thorough evaluation using imaging techniques such as ultrasound and CT scan to assess the size and location of the kidney stones. The PCNL procedure is typically recommended for stones larger than 2 cm, staghorn calculi, or stones resistant to other forms of treatment. At Treatment Range Hospital, we focus on minimal recovery time, reduced discomfort, and excellent outcomes through expert care and state-of-the-art facilities.
If you’re looking for reliable PCNL surgery in Hyderabad, Treatment Range Hospital is one of the most trusted centers for advanced kidney stone removal. With a team of experienced urologists, modern surgical infrastructure, and patient-centered care, we offer safe and effective solutions for even the most challenging kidney stone cases.
- Your 6 - Phase health Process
Your Complete PCNL Journey
👨⚕️ Phase 1: Symptom Identification
- Severe flank or back pain
- Blood in urine (hematuria)
- Recurrent urinary tract infections (UTIs)
- Nausea and vomiting
- Difficulty or pain while urinating
- Fever and chills (if infection is present)
🩺 Phase 2: Urology Consultation
- Review of symptoms and medical history
- Physical examination
- Blood tests (to assess kidney function and infection)
- Urine analysis
- Assessment of stone type, size, and location
🔬 Phase 3: Diagnosis & Imaging
- Ultrasound of kidneys
- X-ray (KUB)
- CT scan (non-contrast) – Gold standard for kidney stone diagnosis
- IVP (Intravenous Pyelogram) – if required for planning
⚙️ Phase 4: Treatment Planning
- Size and position of stone(s)
- Kidney anatomy and overall health
- Pre-anesthesia evaluation
- Preoperative instructions: fasting, medication adjustment, consent
- Informed consent with explanation of procedure, risks, and benefits
- Preoperative preparation: fasting, antibiotics, and hydration
🔪 Phase 5: PCNL Procedure
- Performed under general anesthesia
- Small incision made in the back to access kidney
- A nephroscope is inserted to break and remove the stone
- May involve laser or ultrasound stone fragmentation
- A nephrostomy tube or stent may be placed temporarily
💪 Phase 6: Postoperative Care & Recovery
- Hospital stay: typically 1–3 days
- Pain control and IV antibiotics if needed
- Nephrostomy/stent care (if present)
- Resume light activity in 1 week; full recovery in 2–3 weeks
- Follow-up imaging to confirm complete stone clearance
- Preventive advice: hydration, dietary modifications, metabolic work-up
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- Frequently Asked Questions
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PCNL (Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove large, complex, or multiple kidney stones that cannot be treated effectively with non-surgical methods like ESWL (shockwave therapy) or URS (ureteroscopy).
PCNL is typically recommended for patients who have:
Large kidney stones (>2 cm)
Staghorn stones
Stones that failed other treatments
Multiple or hard-to-reach stones
Stones causing infection or kidney blockage
Most patients stay in the hospital for 1–3 days after PCNL, depending on their recovery and whether any drains or stents are in place.
Most patients can return to light activities within 7–10 days and resume full normal activities in 2–3 weeks. Complete healing depends on your general health and whether additional treatment is required.
Possible risks include:
Bleeding (may require transfusion in rare cases)
Infection or fever
Urinary leakage from the nephrostomy site
Temporary discomfort during urination
Rare injury to surrounding organs