Supine percutaneous nephrolithotomy (PCNL) removes large or complex kidney stones through a small incision in the back, under general anaesthetic. No GP referral needed.
Performed personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045
Platinum Consultant
142 verified reviewsSupine PCNL is a major procedure for kidney stones larger than 2cm, performed under general anaesthetic in around 2 to 2.5 hours, with a 1-2 day hospital stay.
Difficult to treat with less invasive methods such as ureteroscopy or ESWL, typically larger than 2cm.
Supine PCNL is an option when other stone removal techniques have not worked.
Some anatomical issues make other procedures less viable, and PCNL is used in these cases.
A non-invasive treatment using shock waves, best suited to small to medium-sized stones.
A scope and laser reach the stone through the urethra - suitable for stones in the ureter or kidney that are not excessively large.
Some small stones can be managed with medication to aid passage, alongside dietary and fluid changes to prevent further stones.
As a major operation, fees depend on your case and hospital. Every cost is set out and agreed before you decide anything.
Most patients are seen within a few days for imaging and an assessment with Mr Ghei.
Performed under general anaesthetic through a small incision in the back, typically lasting 2 to 2.5 hours.
A 1-2 day hospital stay, then activity restrictions for 4-6 weeks while imaging confirms the stones have cleared.
Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.
In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.
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