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Micro-Mini Percutaneous Nephrolithotomy (PCNL) is a cutting-edge procedure that is revolutionizing the way we approach kidney stone removal, offering patients a faster recovery, reduced pain, and improved outcomes. It combines the benefits of traditional PCNL (Percutaneous Nephrolithotomy) with modern technology and minimally invasive techniques. This results in a procedure that is both highly effective and less traumatic for the patient. The success rate is between 85% to 95% but can be even higher when performed by a skilled urology surgeon.

Why Choose Micro-Mini PCNL?

  • Highly Effective: It is highly effective at treating even large and complex kidney stones. It allows for precise targeting and removal of stones, resulting in better outcomes and reduced risk of recurrence.
  • Reduced Pain: Micro-Mini PCNL is associated with significantly less postoperative pain compared to traditional kidney stone removal methods. This means a more comfortable and less painful recovery for you.
  • Lower Complication Rates: The advanced technology and expertise involved in this procedure contribute to lower complication rates, ensuring a safer procedure for patients.
  • Faster Recovery: Micro-Mini PCNL utilizes small incisions, typically less than 5 mm in diameter, which reduces tissue damage and promotes a quicker recovery. 

Who Is Eligible For Micro-Mini PCNL?

The success rate of this surgery depends greatly on the type, size, and location of the stones. The following are the basic criteria that make you a good candidate for this procedure:

  • Larger kidney stones cannot be treated effectively with less invasive methods like shockwave lithotripsy or ureteroscopy.
  • Stones located at a tricky spot that cannot be directly targetted from the outside without incision.
  • Stone made of calcium oxalate, calcium phosphate, struvite, and uric acid stones.
  • Structural abnormality in the kidney or a history of previous kidney surgery, needing the urologist to be extra careful while removing the stones.

How Is It Done?

  • On the day of the procedure, you will report to the clinic after a few hours of fasting.
  • You will be given some anesthesia to ease any pain and ensure you remain comfortable throughout the procedure.
  • Your surgeon will make tiny incisions (less than 5 mm) in your back.
  • Using advanced imaging techniques such as fluoroscopy or ultrasound, he will guide specialized instruments to access the kidney stone.
  • The stones will be fragmented and removed through the small incisions.
  • After the procedure, you’ll be closely monitored and can typically return home within a day or two. You can resume your regular life after a week; although strenuous physical activities can be restricted for another week.
  • A few follow-up are made appointments to ensure a successful recovery and monitor for any potential complications.

Micro-Mini PCNL represents a significant advancement in kidney stone treatment, offering patients a minimally invasive, highly effective, and faster recovery option. If you are struggling with kidney stones, consult our chief urologist, Dr. Priyank Salecha, to discuss whether Micro-Mini PCNL can be a viable treatment option for you.

Dr Priyank Salecha
Consultant
Andrologist & Urologist

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