PCNL (Percutaneous nephrolithotomy) M0940
Description: Percutaneous nephrolithotomy (inc. cystoscopy & retrograde catheterisation)
Code: M0940
This is a procedure that is used to treat large stones in the kidney. This procedure is performed at the Royal Berkshire Hospital in conjunction with a radiology colleague.
After an anaesthetic a preliminary cystoscopy (examination of bladder) is performed and a small tube is passed up into the kidney. The patient is then turned prone and the radiologist gains access into the kidney. The access tract is dilated and a telescope passed into the kidney. The stone is then fragmented with the help of pneumatic and ultrasonic fragmentation devices.
A tube is left in the tract into the kidney for a day or two following the procedure and this tube is usually removed prior to discharge.
Complications
Common
· Bleeding
· Transient temperature
Occasional
· Residual stones and the need for more procedures
· More than one puncture may be required
Rare
· Severe bleeding necessitating transfusions, embolisation or, rarely, surgical removal of the kidney
· Damage to lung, bowel, spleen, liver and this may need further surgery
· Increased absorption of irrigating fluid used during the operation
Your hospital stay
This procedure is performed under a general anaesthetic and you will usually be in the hospital for about 4 days.
For our charge for this procedure please see our Price List
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