PCNL Newcastle
Percutaneous nephrolithotomy, known as PCNL, is keyhole surgery for removing large or complex kidney stones through a small tract in the back. It is the most effective option when stones are too large to be cleared by other techniques.
What is PCNL?
Percutaneous nephrolithotomy is a keyhole surgical procedure used to remove large or complex kidney stones.
A small tract is created through the skin of the back directly into the kidney. Through this tract, instruments are passed to break up and remove the stone.
PCNL is particularly suited to:
- Large kidney stones
- Staghorn stones that occupy part of the kidney
- Complex stones unlikely to be cleared by shockwave therapy or ureteroscopy
In a single procedure, PCNL can clear a high proportion of even very large stones.
Because it is performed under anaesthetic and involves direct access to the kidney, it requires a short hospital stay and a recovery period. A temporary drainage tube may be left in place after surgery. These points are discussed clearly during consultation.
PCNL is reserved for stones that genuinely require it. Imaging confirms whether this is the most appropriate approach for your situation.
Clearing large stones at the source
PCNL removes large stones directly from the kidney.
Direct access
A small tract is created through the back into the kidney, allowing direct entry to the stone.
Break up and remove
Specialised instruments break the stone into fragments which are removed during the same procedure.
High stone clearance
PCNL achieves a high clearance rate for stones that would otherwise require multiple treatments.
Who PCNL may suit
PCNL may be recommended for people who:
- Have large kidney stones
- Have staghorn or complex stones
- Have stones unsuitable for shockwave therapy
- Require definitive surgical removal confirmed by imaging
Assessment ensures this more invasive approach is justified and proportionate.
What to expect
- Assessment
Imaging such as CT scanning confirms the size, position and complexity of the stone and that PCNL is appropriate. - The surgery
Under anaesthetic, a small tract is created into the kidney. The stone is fragmented and removed through this tract. - Recovery
A short hospital stay is usual. A temporary drainage tube may be left in place. Your consultant will explain aftercare and arrange follow-up imaging.
Why choose The Forbury Clinic for PCNL in Newcastle?
Most effective for large stones
PCNL is the preferred option for clearing large or complex stones in a single procedure.
Keyhole approach
Achieves high clearance through a small tract rather than open surgery.
Definitive treatment
Often avoids the need for multiple sessions of alternative treatments.
Consultant-led care
Performed and followed up by an experienced urologist with clear explanation of benefits and risks.
From imaging to definitive treatment
Evaluation ensures that PCNL is the correct technique.
Not every large stone requires open surgery. PCNL achieves what once required a much larger operation but through a keyhole approach.
Treatment choice is based on stone size, complexity and overall kidney health.
Frequently asked questions
When is PCNL needed?
It is recommended for large or complex stones including staghorn stones that are unlikely to clear with less invasive methods.
Is it major surgery?
It is keyhole surgery under anaesthetic with a short hospital stay. It is less invasive than the open surgery once required for such stones.
Will I need a drainage tube?
A temporary tube may be left in place to drain the kidney. Your consultant will explain whether this applies in your case.
How effective is it?
PCNL clears a high proportion of large stones in a single procedure which is why it is the technique of choice for these cases.
Do I need a referral?
No. Self-referral is welcome.
Book your urology consultation today
Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.
- AppointmentBook a consultation
- Reception01189207055
- Location
The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA
