In percutaneous nephrolithotomy or nephrolithotripsy, the surgeon makes a small incision in your back to remove kidney stones. He or she then puts a hollow tube into your kidney and a probe through the tube. In nephrolithotomy, the surgeon removes the stone through the tube. In nephrolithotripsy, he or she breaks the stone up and then removes the fragments of the stone through the tube.
Not broken up by extracorporeal shock wave lithotripsy (ESWL).
How Well It Works
These procedures work for most people with stones in the kidney or ureter.
Risks of this procedure include:
Holes (perforation) in the kidney. They usually heal without further treatment.
Injury to other abdominal organs, such as the bladder or colon.
Damage that affects normal kidney function.
What To Think About
A stone that has left the kidney may need to be pushed back into the kidney with a small tool (ureteroscope) before the surgeon can do the procedure.
These procedures are used more frequently than extracorporeal shock wave lithotripsy (ESWL) to remove larger stones, such as staghorn calculi. Every fragment of a staghorn calculus must be removed to prevent the stone from returning.
Current as of:
April 15, 2020
Author: Healthwise Staff Medical Review: E. Gregory Thompson MD - Internal Medicine Brian D. O'Brien MD - Internal Medicine Adam Husney MD - Family Medicine Kathleen Romito MD - Family Medicine Tushar J. Vachharajani MD, FASN, FACP - Nephrology
Medical Review:E. Gregory Thompson MD - Internal Medicine & Brian D. O'Brien MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Tushar J. Vachharajani MD, FASN, FACP - Nephrology
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