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Treating Kidney Stones: Percutaneous Nephrolithotomy

Image of kidney stones

BIG: Percutaneous nephrolithotomy may be done before, after, or instead of other treatments. If you need this procedure, your healthcare provider will discuss its risks and possible complications. You will be told how to prepare. And you will be told about medicine (anesthesia) that will keep you pain-free during treatment.

Image of an instrument to crack the kidney stone
An instrument inserted through a viewing tube cracks the stone.

Nephrolithotomy with incision

Percutaneous nephrolithotomy removes larger stones through a small incision in your side. Your doctor places a viewing tube through your incision. The stone is sighted, shattered with a special device if needed, and removed. Afterward, you’ll briefly have a small soft tube in your incision. This tube carries urine away from your kidney and out of your body.

Image of stone pieces being removed
Pieces of stone are plucked or sucked out through the incision.

Your recovery

You may spend 1 day or 3 days in the hospital. The tube in your side will be removed during or shortly after your hospital stay. A follow-up visit in 3 months will ensure that your stone is gone. Later visits will help your healthcare provider spot new stones if any form.

When to call your healthcare provider

Contact your healthcare provider right away if you have:

  • Sudden pain or flank pain

  • A fever over 100.4°F (38°C) or as advised by your provider

  • Nausea that lasts for days

  • Heavy bleeding when you urinate or through your drainage tube

  • Swelling or redness around your incision

  • New symptoms or symptoms that get worse

Online Medical Reviewer: Marianne Fraser MSN RN
Online Medical Reviewer: Raymond Kent Turley BSN MSN RN
Online Medical Reviewer: Walead Latif MD
Date Last Reviewed: 4/1/2020
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