Dismiss Modal

Treatment

Treating Kidney Stones: Percutaneous Nephrolithotomy

Choose a preferred language

Percutaneous nephrolithotomy may be done before, after, or instead of other treatments. This procedure is done if you are not able to pass larger stones on your own. If you need this procedure, your healthcare provider will discuss its risks and possible complications. You will be told how to prepare. They will discuss the medicine (anesthesia) given to you during the procedure. It will keep you comfortable and pain-free.


Nephrolithotomy with incision

Percutaneous nephrolithotomy is a procedure that removes larger stones through a small incision in your side. Your healthcare provider places a viewing tube through your incision. The stone is sighted and either removed or shattered with a special device, if needed, and then removed. Afterward, you’ll briefly have a small soft tube in your incision. This tube carries urine away from your kidney and out of your body.


Your recovery

You may spend 1 to 3 days in the hospital. The tube in your side will be removed during or shortly after your hospital stay. A follow-up visit in 3 months will check that your stone is gone. Later visits and testing will help your healthcare provider spot new stones if any form.


When to call your healthcare provider

Contact your healthcare provider right away if you have:

  • Sudden pain or flank pain

  • A fever of 100.4°F (38°C) or higher, or as directed by your provider

  • Nausea that lasts for days

  • Heavy bleeding when you urinate or through your drainage tube

  • Swelling or redness around your incision

  • New symptoms or symptoms that get worse

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Find the right providers for your needs.

CalOptima Health works with thousands of Orange County providers, including doctors, specialists, health networks, medical groups and more.

Find a Doctor

Get Care Now

Your health is everything to us. Please reach out for support if you need it.

Get Care Now
Related Articles
Read article
Urology
Treating Kidney Stones: Open Surgery

Open surgery may be done before, after, or instead of other treatments. This is usually done if the stone is very large, if you have a serious infection, or the kidney has blockage even after waiting for a while.

Read article
Urology
Peritoneal Dialysis (PD)

Peritoneal dialysis is a way to cleanse the blood to treat kidney failure. It uses the lining of your abdomen, called the peritoneal membrane, and a special solution (dialysate).

Read article
Urology
Shock Wave Lithotripsy

Passing a kidney stone can be very painful. Shock wave lithotripsy is a treatment that helps by breaking the kidney stone into smaller pieces that are easier to pass. This treatment is also called extracorporeal shock wave lithotripsy (ESWL).

Read article
Urology
Understanding Kidney Transplant

A kidney transplant is the preferred treatment for kidney failure. It is a surgery to place a donated kidney into your body. This kidney takes over the job of filtering your blood. The transplant is the treatment closest to having your own healthy kidney.