B/L PCNL + DJ stenting

Bilateral Percutaneous Nephrolithotomy (B/L PCNL) with DJ  A minimally invasive surgical technique called stenting can be used to remove complicated or large kidney stones from both kidneys. To break up and remove stones, a nephroscope is inserted through tiny back incisions. To guarantee drainage and avoid blockage, Double-J (DJ) stents are inserted in both ureters. Compared to open surgery, the treatment has a faster recovery time and is helpful for staghorn calculi or numerous bilateral stones.  Bleeding, infection, and stent pain are among the risks.

Symptoms Before Surgery (Due to Kidney Stones)

1. Flank pain (severe, colicky pain on one or both sides).
2. Hematuria (blood in urine).
3. Urinary tract infections (UTIs) (fever, burning urination).
4. Nausea/vomiting (due to pain or obstruction).
5. Decreased urine output (if obstruction is severe).

Symptoms After Surgery (Post-PCNL & DJ Stent Placement)

Common & Expected Symptoms (First Few Days to Weeks)

1. Mild hematuria (pink/red urine) – Due to stent irritation.
2. Urinary frequency/urgency – DJ stent can irritate the bladder.
3. Flank or bladder discomfort – Especially during urination.
4. Mild pain at incision site – From the PCNL tract.
5. Mild fever (low-grade) – Normal inflammatory response.

Symptoms Requiring Medical Attention (Possible Complications)

1. Severe pain/uncontrolled bleeding – May indicate infection or injury.
2. High fever/chills – Sign of UTI or sepsis.
3. No urine output – Suggests blocked stent or kidney dysfunction.
4. Pus/discharge from incision site – Indicates infection.
5. Stent migration symptoms (severe pain, inability to urinate).