Percutaneous kidney surgery. How it is done?

Kidney Stone Surgeon - Percutaneous kidney surgery. How it is done? - Sinan Zeren, MD Professor of Urology

In percutaneous kidney surgery, which is considered as the ideal treatment for patients with large kidney stones, a 1 cm incision is made on the side of the patient’s back. A tube placed from here enters the kidney and the rooms of the kidney (calices) can be reached with an optical instrument called nephroscope. The stones are broken with probes of stone breaking generators sent through the nephroscope and the fragments are removed with forceps. At the end of the procedure, after the X-ray and endoscopic examination of the kidney usually a thin tube (nephrostomy) is placed inside the kidney to follow the urine color and urine output.

After the control radiographs taken the next day, the catheter inside the kidney is removed and the patients are usually discharged within 24 hours. Usually a two night stay in the hospital is enough for early recovery. When leaving the hospital there is no suture on the wound, no need for wound dressing and may take a shower. Patients may  turn to their normal life within 7-10 days.

Percutaneous surgery may sometimes be applied to both kidneys in the same session.

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