Percutaneous nephrolithotomy

Percutaneous nephrolithotomy

For kidney and ureteral stones that are too large (usually larger than 2 centimeters), too numerous, or too dense to be treated by extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy, PCNL (percutaneous nephrolithotomy or stone extraction) offers a minimally invasive method of removing these stones.

What to expect during you preoperative consultation:

  • Prior to your initial consultation, it is important for patients to obtain all Xray films (e.g. KUB, CT scan, MRI, sonogram) and reports to bring to your surgeon for review.  Your surgeon will review your medical history and perform a brief physical examination. A urinalysis will also be performed at your initial visit. All options for treatment of your stone(s) will be discussed at this time as well as the risks and benefits of each treatment. If your surgeon determines that you are a candidate for PCNL, you will then meet with a Surgery Scheduling Coordinator to arrange for the date of your operation.

What to expect prior to the surgery:

  • Once your surgery date is secured by one of our Surgery Scheduling Coordinators, the items listed below will be ordered as necessary based upon your age, medical history and risk for surgery. These will be performed through a preoperative anesthesia consultation at the Presurgical Center at UF & Shands that will be arranged for you at your initial visit. During this consultation you will have the opportunity to speak to the anesthesia staff regarding the types of anesthesia available and the risks/benefits.
    • Physical exam
    • EKG (electrocardiogram)
    • CBC (complete blood count)
    • PT / PTT (blood coagulation profile)
    • Comprehensive Metabolic Panel (blood chemistry profile)
    • Urinalysis and Urine Culture

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Opening Hours

Mon – Fri

08.00 – 20.00

Sat – Sun

09.00 – 16.00

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Dr. Anand Arumugam