PCNL (Percutaneous Nephrolithotomy) is an advanced, minimally invasive surgical procedure used to remove large, complex, or multiple kidney stones that cannot be treated effectively through medications, ESWL, or endoscopic procedures like RIRS.
With the expertise of Dr. Ajinkya Kasekar, PCNL is performed safely using modern instruments to ensure maximum stone clearance and a faster recovery.

What Is PCNL?

PCNL involves making a small keyhole incision (about 1 cm) in the back to directly access the kidney. A special nephroscope is passed through this tract, allowing the surgeon to visualize and remove stones using ultrasonic, pneumatic, or laser energy.

It is the most effective procedure for:

• Large stones (>2 cm)

• Staghorn stones

• Hard stones not responding to other treatments

• Multiple stones inside the kidney

Who Should Consider PCNL?

PCNL is recommended for patients with:

• Kidney stones larger than 2–2.5 cm

• Staghorn or infected stones

• Stones causing repeated infections

• Stones unreachable by RIRS

• Stones resistant to shockwave treatment

• Stones causing severe blockage or kidney damage

• Obesity or anatomical issues where other procedures fail

How PCNL Is Performed

PCNL is performed under spinal or general anesthesia.

Steps include:

1. A small incision (keyhole) is made in the flank region.

2. A direct access tract is created into the kidney.

3. A nephroscope is inserted to visualize the stone.

4. The stone is fragmented using laser/ultrasonic devices.

5. Stone pieces are removed safely.

6. A tube or stent may be placed temporarily for drainage.

The procedure typically takes 60–90 minutes, depending on the stone size and complexity.

Types of PCNL

Dr. Ajinkya Kasekar offers all modern variations:

• Standard PCNL – for large and complex stones

• Mini PCNL – smaller tract size, less pain

• Ultra-Mini PCNL – for selected stones with minimal trauma

• Tubeless PCNL – faster recovery, no drainage tube in selected cases

Benefits of PCNL

• Highest stone clearance rates for large stones

• Minimally invasive with a small incision

• Short hospital stay (1–2 days)

• Faster recovery compared to open surgery

• Safe for complex stone cases

• Ideal for large, hard, or recurring stones

Recovery After PCNL

Most patients experience:

• Hospital stay of 24–48 hours

• Mild discomfort at the incision site

• Catheter or nephrostomy tube removal in 1–2 days (if placed)

• Return to normal activities in 7–10 days

Follow-up imaging is done to ensure complete stone clearance.

Risks (Rare and Well-Controlled)

As with any surgical procedure, minor risks may include:

• Mild bleeding

• Fever or infection

• Temporary tube/stent discomfort

Under the care of Dr. Ajinkya Kasekar, PCNL is performed with high precision to minimize risks and ensure optimal outcomes.

Why Choose Dr. Ajinkya Kasekar for PCNL?

• Expertise in advanced kidney stone surgeries

• Performs both mini and standard PCNL

• High success and low complication rates

• Use of latest endoscopic and laser technology

• Patient-focused approach with clear pre- and post-care guidance

• Skilled in treating difficult and recurrent stone cases

Book a Consultation

If you have large or complex kidney stones, PCNL may be the most effective and long-lasting treatment.
Consult Dr. Ajinkya Kasekar for expert evaluation and advanced stone management.