PCNL with DJ Stenting is a surgical procedure to remove large and complex kidney stones. A surgeon uses a nephroscope to locate and remove stones during the Percutaneous Nephrolithotomy (PCNL) procedure. The surgeon places the stent at the end of the surgery.Â
DJ stenting involves placing a temporary and flexible tube to prevent swelling and to enable the easy flow of urine. The surgeon may remove the stent a few days after the surgery or keep the stent if a second surgery is necessary.
How is PCNL with DJ Stenting performed ? Before, during and after.
A surgeon recommends several tests like urine examination, blood tests, X-rays, and electrocardiogram before the PCNL with DJ Stenting procedure. Before surgery, the patient will need to discontinue blood-thinning medicines to prevent the risk of bleeding. The patient should not eat or drink anything from the night before the day of surgery.  Â
The surgeon inserts a protective sheath into the kidney from the incision on your back during surgery.Â
The procedure requires anaesthesia as the doctor passes a nephroscope through the protective sheath. The nephroscope helps the surgeon locate, view, and remove the stone.Â
The doctor will place a DJ stent after the surgery. The stent helps in recovery and enables easy urine flow. Â
The patient may have to stay in the hospital for a day or two after surgery. A recovery period of one or two weeks is necessary before the patient can resume the routine activities.Â
The doctor will recommend pain-relieving medicines and antibiotics to facilitate the recovery. Contact the doctor if there is blood in the urine. The surgeon will remove the stent two weeks after surgery.
Cost of PCNL with DJ Stenting
Cost of PCNL with DJ Stenting Surgery in Hyderabad
Rs 45,000/- to Rs 1,78,000/-Â
Cost of PCNL with DJ Stenting Surgery in India
Rs 49,000/- to 1,96,000/-Â
Number of Days in Hospital
1 to 2 days
Type of Surgery
MajorÂ
Anaesthesia Type
GeneralÂ
Recovery
14 daysÂ
Duration of Procedure
1 to 3 hours
Surgery
Minimally invasiveÂ
Risks and complications of the PCNL with DJ Stenting
The cost incurred and complications for the general well-being are low because PCNL with DJ Stenting is a minimally invasive procedure.Â
Common risk factors may include bleeding, infection, and injuries to other organs, including kidneys. Injury to nearby organs like bladder, liver, bowel, or ureters is another risk of the procedure.Â
Another common complication of this procedure is incomplete stone removal. One may require another surgery for the complete removal of stones.
Who needs a PCNL with DJ Stenting?
PCNL with DJ Stenting may be necessary for individuals who have large kidney stones with irregular shapes. The procedure is also suitable if you have multiple stones causing recurrent infections.Â
Surgeons prefer PCNL if the size and location of kidney stones do not permit the use of other therapies like Extracorporeal Shock Wave Lithotripsy (ESWL).
Frequently Asked Questions about PCNL with DJ Stenting
Placing a DJ Stent prevents blockage of urine that may result from the narrowing of the ureter during the healing process. It also prevents back pressure by allowing urine flow through multiple holes.Â
The DJ Stent can allow the passage of stone fragments that may remain after the PCNL procedure.
Blockage of ureters is possible after the surgery, as there may be swelling because of the healing process.Â
DJ Stenting after PCNL provides adequate drainage to facilitate the diversion of flow away from the locations of leakages. The stent helps in locating the ureters precisely during future surgical procedures.
Removal of the stent requires using a cystoscope to visualise the internal structures like ureters. A surgeon inserts the scope into the bladder through the urethra. They will use a small instrument for grasping and removing the stent.Â
The patient remains awake as the procedure requires local anaesthesia.
Placement of a stent after every kidney stone may not be necessary, though doctors prefer them to prevent complications.Â
There is a possibility of blockage of urinary flow or passage of stone fragments following a kidney stone surgery that involves multiple large stones. Stents can prevent obstruction and facilitate the healing process.
Kidney damage is likely because the procedure requires puncturing the kidney for stone removal. There is a minimal impact on kidney functioning as PCNL surgery is a safe and effective stone removal method.
It is normal to experience discomfort following the placing of the stent during PCNL with DJ Stenting. The patient may have pain and an increased urge to urinate following specific movements.
Doctors recommend medication to relieve spasms and pain. The patient will require antibiotics to prevent possible infections. Drinking plenty of water can also help in flushing the urinary passage.
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