What is Nephrolithotomy?

Nephrolithotomy is a surgical procedure performed to remove stones that have formed in the kidney. This procedure can be carried out using different techniques, depending on the size and location of the kidney stones, the patient’s overall health condition, and other factors. Nephrolithotomy is performed by surgeons specialized in the field of urological surgery.

Nephrolithotomy may be performed in the following situations:

Kidney Stones: Kidney stones are hard deposits of minerals and salts that form in the urinary tract. These stones can be small and painless or large and cause severe pain.

Symptoms of Kidney Stones:

• Pain in the side or back
• Pain in the groin
• Blood in the urine
• Frequent urination
• Burning sensation during urination
• Nausea and vomiting
• Fever and chills (if infection is present)

Other Treatment Methods: Small kidney stones usually pass on their own or can be removed with medication. However, surgical intervention may be required for large stones or stones that cause symptoms.

There are three main types of nephrolithotomy:

• Percutaneous Nephrolithotomy (PNL): A small incision is made in the skin, and a needle is inserted into the kidney through this incision. A nephroscope (a thin telescope-like instrument) is placed into the kidney through the needle tract. With the help of the nephroscope, the stones are visualized and then removed or broken down.
• Open Nephrolithotomy: A larger incision is made in the abdominal area to reach the kidney and remove the stones. This method is rarely used today.
• Laparoscopic Nephrolithotomy: Small incisions are made in the abdominal area, and stones are removed with the help of a laparoscope (a thin tube equipped with a camera and light source) and other surgical instruments inserted through these incisions.

The choice of method depends on the patient’s condition, the size and location of the stones, the surgeon’s experience, and the available facilities of the hospital.

Percutaneous Nephrolithotomy (PNL) Procedure:

• The patient is placed under general anesthesia.
• A small incision is made in the skin, and a needle is inserted into the kidney.
• A nephroscope is placed into the kidney through the needle tract.
• With the help of the nephroscope, the stones are visualized and then removed or broken down.
• If the stones are fragmented, the small pieces are removed from the body.
• At the end of the procedure, a tube (nephrostomy tube) may be placed in the kidney to allow urine to drain out and to speed up the healing process.

Open Nephrolithotomy Procedure:

• The patient is placed under general anesthesia.
• An incision is made in the abdominal area to reach the kidney.
• The stones are surgically removed.
• The incision is closed with sutures.

Laparoscopic Nephrolithotomy Procedure:

• The patient is placed under general anesthesia.
• Small incisions are made in the abdominal area.
• A laparoscope and other surgical instruments are inserted into the abdomen.
• The stones are visualized and removed with the help of the laparoscope.
• The incisions are closed.

Evaluation and Tests:
Before the surgery, the patient’s overall health condition is evaluated, and a series of tests are performed. These tests may include blood tests, urine tests, imaging studies (such as ultrasound, CT, or MRI), and kidney function tests.

Preparation Process:
Prior to the surgery, the patient may need to fast for a certain period. In addition, the use of certain medications may need to be temporarily discontinued. Your doctor will provide detailed instructions regarding the preoperative preparation process.

Recovery Process:
After the surgery, you may need to stay in the hospital for a few days. The recovery process varies from person to person but usually takes several weeks. During this time, you may use pain relievers and limit your activities according to your doctor’s recommendations. It is normal to notice blood in your urine, which typically resolves within a few days.

Lifestyle Changes:
After nephrolithotomy, you may need to make certain lifestyle changes to prevent the recurrence of kidney stones. These changes may include drinking plenty of fluids, reducing salt intake, eating a healthy diet, and engaging in regular physical activity. Your doctor may create a personalized diet plan based on the type of stones you have.

Possible Complications:
Although rare, some complications may develop after nephrolithotomy surgery. These may include bleeding, infection, urinary leakage, kidney injury, and anesthesia-related complications.

As with any surgical procedure, nephrolithotomy carries certain risks. These risks may include bleeding, infection, wound healing problems, injury to nearby organs, urinary leakage, kidney damage, and anesthesia-related complications. However, these complications are rare, and the risk is lower when the surgery is performed by an experienced surgeon. During the preoperative consultation, your surgeon will provide you with detailed information about the potential risks of the procedure.

A Life Health Group has a team of experienced urology surgeons specialized in nephrolithotomy. Using the latest technologies and techniques, we offer personalized treatment plans for our patients. We provide comprehensive support and follow-up services both before and after the surgery.

Advantages offered by A Life Health Group:

• Experienced urology surgeons: Our specialized and experienced surgeons determine the most suitable treatment method to help you regain your health.
• Latest technology and techniques: A Life Health Group uses the most advanced technologies and methods in nephrolithotomy surgeries (such as PNL and laparoscopic nephrolithotomy).
• Personalized treatment plans: Every patient has unique needs. Therefore, we create personalized treatment plans tailored to each individual.
• Comprehensive support and follow-up services: We provide thorough support and monitoring before and after the surgery.
• Comfortable and safe environment: All procedures are carried out in a modern and comfortable setting. The safety and comfort of our patients are our top priorities.

1. How long does a nephrolithotomy surgery take?
   The duration of the surgery depends on the type and method of the procedure. It generally lasts 1–3 hours.
2. How long will I stay in the hospital after a nephrolithotomy?
   Hospital stay depends on the type of procedure performed and the recovery process. It usually ranges from 1–2 days.
3. Will I have pain after nephrolithotomy surgery?
   Some pain after surgery is normal. This pain can be managed with painkillers.
4. What should I pay attention to after nephrolithotomy surgery?
   Follow your doctor’s recommendations, drink plenty of fluids, avoid heavy lifting, and do not skip follow-up appointments.
5. How long is the recovery process after nephrolithotomy surgery?
   The recovery period varies from person to person, but it generally takes a few weeks.
6. Will kidney stones form again after nephrolithotomy surgery?
   To prevent kidney stone formation, it is important to make lifestyle changes and follow your doctor’s recommendations.
7. Can I return to work after nephrolithotomy surgery?
   Depending on your recovery, you can usually resume work within a few weeks.

At A Life Health Group, we have a specialized team experienced in nephrolithotomy and other urological surgical procedures. You can contact us for your health needs.