PCNL surgery duration varies based on stone size, number, and complexity. Simple cases with single large stones may take approximately 60-90 minutes, while complex staghorn calculi or multiple stones can require 2-3 hours.

PCNL is performed under general anaesthesia, so you won’t feel anything during the procedure. Post-operative pain is typically mild to moderate and well-controlled with medications. Pain levels vary among patients in the first few days, improving thereafter. Compared to open surgery, PCNL causes less pain due to the small incision.

PCNL can achieve stone clearance for large kidney stones in a single procedure. Success depends on factors including stone size, location, and composition, as well as kidney anatomy and surgeon experience. Modern techniques like flexible nephroscopy improve access to difficult areas. If residual fragments remain, they may pass naturally or require additional treatment.

Bilateral PCNL (treating both kidneys) can be performed as staged procedures or simultaneously in selected cases. Single-session bilateral PCNL may be considered for younger, healthy patients with good kidney function and bilateral large stones.

Return to work timing depends on your job’s physical demands and recovery progress. Desk-based work may be possible within 7-10 days, while physically demanding jobs may require 2-3 weeks off. Light activities can typically be resumed within one week, but heavy lifting should be avoided for at least two weeks.