What are the risks and complications involved with PCNL?
Relevant studies on complication of PNL
Series (citation) | Shin (22) | El Nahas (19) |
---|---|---|
Sepsis | 0.6 | 0.4 |
Colonic injury | 0.7 | NA |
Pleural injury | 1.1 | 2.4 |
Extravasation/urine leak | 0.4 | 8 |
What are the side effects of percutaneous nephrolithotomy?
Your doctor may recommend PCNL surgery if you have a large, multiple or complex stones….Be aware of these common side effects:
- Nausea and occasional vomiting.
- Pain within the first 24 to 48 hours in your kidneys, abdomen, lower back and sides. Pain may increase when you urinate.
- Blood in your urine.
What should I avoid after PCNL surgery?
Avoid Non-Steroidal Anti-Inflammatories (NSAIDs) such as Aspirin, Ibuprofen, Naproxen, Advil, Aleve, and Motrin, for 72 hours after surgery because they may cause bleeding.
How long does it take to recover from PCNL surgery?
You may stay in the hospital for 1 to 2 days after the procedure. You may need to avoid heavy lifting and pushing or pulling for 2 to 4 weeks after surgery. You may be able to return to work after about a week. If you have drainage tubes in the kidney left after surgery, you’ll need to watch for any bleeding.
How risky is PCNL?
Although rare, potential risks include: Bleeding: Blood loss during PCNL is generally minimal, and risk of blood transfusion ranges from 2-12%, depending on stone size, location, and number of tracts dilated.
Is PCNL a major surgery or minor surgery and why?
In the era of minimally invasive surgery, RIRS and PCNL are two major surgical techniques for removing large renal stones [3], and PCNL has become the standard treatment with which all other approaches should be compared.
Can PCNL damage kidneys?
As an operation requiring kidney puncturing, however, PCNL unavoidably can damage renal function to certain degree. A recent study demonstrates that PCNL is safe and effective for solitary kidney patients and can improve renal function at the post-operative sixth month (4).
Is PCNL a major surgery?
While minimally invasive, PCNL is still major surgery and it will take you several days to start feeling better.
Is PCNL life threatening?
PCNL is a relatively safe procedure for treating upper tract calculi.
What is the success rate of PCNL?
Overall stone free success rate is approximately 80-90% following an initial PCNL and 90-100% following a “second look” procedure.
How safe is PCNL?
In complex renal stones, PCNL is a safe and efficient tool in the armamentarium of renal stone management with a relatively low incidence of significant complications. Compared to open surgery, PCNL has the advantages of having a high rate of stone clearance and being cost-effective.
Is PCNL safe?