In addition to laparoscopy or keyhole surgery, ESWL (extracorporeal shock wave lithotripsy) or percutaneous nephrolithotomy (PCNL) can be used for the treatment of kidney stones that are not compatible with endoscopy and laser. It is suitable for patients on anticoagulation (blood-thinning) therapy. Pyeloplasty may be combined with laparoscopic pyelolithotomy (for kidney stones) and laparoscopic ureterolithotomy (for ureter stones).
Often, these procedures require general anesthesia and a hospital stay of 2-3 days. To expose and remove the stones, three or four small 5mm-10mm incisions are made on the abdomen. After the surgery, an internal tube of fine plastic called a stent is inserted into the urinary tract, which is removed after 1-2 weeks.
This is likely to be a pre-planned operation, so you should have adequate time to discuss it with your consultant before undergoing the procedure.
What are the benefits of this procedure?
Faster recovery periods
Shorter hospital stay
Helpful for patients requiring their stones to be removed in a single operative session.
Beneficial for patients who have a large single renal stone or renal anomalies like UPJ obstruction or ectopic kidney.