{"id":279,"date":"2014-07-30T15:40:21","date_gmt":"2014-07-30T15:40:21","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/?page_id=279"},"modified":"2026-04-18T18:57:27","modified_gmt":"2026-04-18T18:57:27","slug":"pcnl","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/pcnl\/","title":{"rendered":"Kidney Stone Treatment: PCNL (Percutaneous nephro-lithotomy)"},"content":{"rendered":"

PCNL (or PNL) Treatment for Large Kidney Stones and Staghorn Calculi (Percutaneous Nephro-Lithotomy)<\/h1>\n

 <\/p>\n

Kidney Stone Treatment<\/strong> in New York City<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

\n

If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-4421<\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n

Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating kidney stones and urinary problems in men and women.   He has performed hundreds of urethral, bladder, and kidney surgeries, including cystoscopy, kidney stone removal with lithotripsy and laser, PCNL, and many other procedures.  <\/strong><\/p>\n

\n

What is Percutaneous Nephrolithotomy?<\/h2>\n

\"KidneyPercutaneous nephrolithotomy or PCNL refers to minimally invasive treatment for large kidney stones.  In contrast to ureteroscopy where a kidney stone is reached by going through the urethra (pee hole) into the ureter with ureteroscope, during PCNL a small opening is made through the skin directly into the kidney under guidance using ultrasound or x-rays (fluoroscopy). This opening is typically the size of a quarter coin.<\/p>\n

An endoscope which is a small camera is inserted through an instrument called a nephroscope, the stone is visualized by the surgeon and broken. The stone can be broken using Holmium laser<\/a> or Lithoclast.<\/p>\n

Stone fragments are removed and send for biochemical analysis.  Depending on the stone size and location surgery can last from anywhere an hour to 4-6 hours.<\/p>\n

When is Percutaneous Nephrolithotomy or PCNL Performed?<\/h3>\n

PCNL is considered to be more effective for treatment of larger stones than ESWL lithotripsy <\/a>or ureteroscopy.  On the other hand, PCNL is more involved and associated with more frequent complications than ESWL lithotripsy or ureteroscopy.<\/p>\n

The choice of treatment selection is often complex<\/strong> and is based on stone size stone location, presumed stone composition, patient’s physique and a number of other factors including other medical conditions that the patient has.<\/p>\n

In general PCNL cannot be performed in patients who cannot stop taking blood thinning medications such as aspirin Plavix, Coumadin and Xarelto.<\/p>\n

In patients with severely compromised lung function PCNL may also be  limited by their medical condition.<\/p>\n

 <\/p>\n

\"\"<\/a><\/strong><\/p>\n

If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-4421<\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n

 <\/p>\n

 <\/p>\n

Did you know?<\/strong><\/span> Dr. Shteynshlyuger<\/a> <\/strong>has performed over 1,000 kidney and bladder surgeries,<\/strong> including ureteroscopy, cystoscopy, ESWL lithotripsy, and PCNL<\/b>.  He performs 150-200 surgeries a year.<\/p>\n

Where to Get Treatment for Kidney Stones in NYC?<\/h2>\n

At New York Urology Specialists, we offer same-day treatment of kidney stones for men and women<\/strong>.  Same-day virtual video appointments<\/strong> and in-person<\/strong> appointments are available.<\/p>\n

Call\/text today: 1-646-663-4421<\/a> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

We perform kidney stone lithotripsy, ureteroscopy with laser, PCNL, ureteral stent insertion, and stent removal.<\/strong>  <\/strong>We offer treatment for kidney stones, ureteral stones, bladder stones, urinary retention, frequent urination, painful urination, frequent UTIs, and pelvic pain.  We offer confidential<\/strong> appointments.<\/p>\n

Our appointment costs<\/a> are affordable with or without insurance<\/strong>.  We offer free insurance verification<\/strong>.<\/p>\n

We perform cystoscopy<\/a> and a kidney ultrasound in our office.  We offer ureteral stent removal in our office.   We treat urinary<\/strong> problems<\/strong>. We offer confidential<\/strong> appointments.<\/p>\n

Read Real Stories of Men and Women who Underwent Treatment for Kidney Stones at New York Urology Specialists.<\/a><\/h2>\n

Read RealStories<\/strong>:  Kidney stones in a 33-year-old woman.<\/p>\n

Read RealStories<\/strong>:  Left staghorn stone with hydronephrosis in a 62-year-old man. <\/p>\n

Read RealStories<\/strong>:  Right ureteral stone with severe pain in a 32-year-old woman.<\/p>\n

Read RealStories<\/strong>:  Bilateral kidney stones in a 53-year-old man.<\/p>\n

Cost of Kidney Stone Removal without Insurance<\/h2>\n

At New York Urology Specialists, we offer affordable treatment<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as cystoscopy, ureteral stent insertion and removal, ureteroscopy, laser lithotripsy, shockwave therapy (lithotripsy), bladder biopsy, urodynamic studies, kidney ultrasound, PCNL, and many more<\/strong>.  The procedures are performed in our office under local anesthesia or at an affiliated surgical center. Men and women from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles<\/strong>.<\/p>\n

Cost of Stone Treatment and Insurance<\/h2>\n

\"InexpensiveAt New York Urology Specialists, we offer affordable treatment for men and women<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

We accept many health insurance plans.<\/strong>  We would be happy to verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan’s coverage.  Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n

Why Choose New York Urology Specialists for Treatment of Kidney Stones?<\/h2>\n