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Percutaneous Nephrolithotomy

Sometimes a procedure called percutaneous nephrolithotomy is recommended to remove a stone. This treatment is often used when the stone is quite large or in a location that does not allow effective use of Extracorporeal shock wave lithotripsy (ESWL).

In this procedure, the surgeon makes a tiny incision in the back and creates a tunnel directly into the kidney. Using an instrument called a nephroscope, the surgeon locates and removes the stone. For large stones, some type of energy probe-ultrasonic or electrohydraulic-may be needed to break the stone into small pieces. Often, patients stay in the hospital for several days and may have a small tube called a nephrostomy tube left in the kidney during the healing process.

One advantage of percutaneous nephrolithotomy is that the surgeon can remove some of the stone fragments directly instead of relying solely on their natural passage from the kidney.

References:

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC)

National Institutes of Health
NIH Publication No. 08-2495
Date: October 2007

AUAFoundation - The Official Foundation of the American Urological Association

NKDEP - National Kidney Disease Education Program

NKUDIC - National Kidney and Urologic Diseases Information Clearinghouse

National Kidney and Urologic Diseases
Information Clearinghouse (NKUDIC)Kidney and Urologic Diseases A-Z list of Topics and Titles

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