PCNL Surgery in Gopalganj for Large Kidney Stones

Patients often ask us who the best PCNL surgeon in Gopalganj is. Families from Siwan, Saran, the Champarans and Uttar Pradesh trust Dr. Rajnish Kumar Thakur, our founder and chief surgeon, and our Senior Consultant Laparoscopic, Laser, Urology and General Surgeon. He has 16+ years of surgical experience and more than 10,000 surgeries performed. He has worked at IGIMS Patna and Lady Hardinge Medical College, New Delhi, and served as a Specialist Medical Officer under the Government of Bihar. You can read our patients' reviews on our reviews page.

PCNL is done through one small keyhole in the back, usually about 1 cm long. For some large or branched stones, a second small keyhole may be needed. This is much smaller than the long cut of old open stone surgery, so pain is usually less and recovery is quicker. The keyhole usually heals within one to two weeks, and we explain wound care before you go home.

Many patients have a DJ stent, a thin soft tube inside the body from the kidney to the bladder, and some also have a small nephrostomy tube coming out of the back for 1 to 3 days. These help urine drain while the kidney heals. The DJ stent cannot be seen from outside, but it must be removed on the advised date, usually within a few weeks, through a short procedure.

We perform PCNL in many older patients and in people with diabetes or high blood pressure, after a proper fitness check. We first bring sugar and blood pressure under control, and heart tests such as ECG and ECHO can be done at our hospital if needed. Our anaesthesia team decides the safest type of anaesthesia. Our surgeon explains your personal risk before you decide.

Ayushman Bharat PM-JAY coverage at a hospital depends on the specialities it is empanelled for. As of mid-2025, our empanelment covered general and laparoscopic surgery packages, and urology packages such as PCNL were not included. This can change, so please ask our Ayushman help desk for the current status before admission. For patients who are not covered, we explain the costs clearly before admission.

Yes, many people call it doorbeen se pathri ka operation, meaning a stone operation with a telescope. Under anaesthesia and with X-ray or ultrasound guidance, our surgeon makes a keyhole of about 1 cm in the back and passes a thin telescope called a nephroscope into the kidney. The stone is broken into pieces with a lithotripsy device and removed. A DJ stent and sometimes a small nephrostomy tube help urine drain while the kidney heals.

The operation usually takes 1 to 2 hours, depending on the size and number of stones. Most patients stay in hospital for 2 to 4 days. If a nephrostomy tube is placed, it is usually removed within 1 to 3 days. Very large or branched stones sometimes need a second sitting, and our surgeon tells you this before surgery so that you can plan time off work.

Most patients sit up and walk the next day and eat normally soon after. Some pain near the keyhole and blood-tinged urine for a few days are common. Light work can usually start in 1 to 2 weeks. Heavy lifting and hard physical work should wait about 4 weeks. Recovery can be slower in older patients or when there were many stones, so please follow our surgeon's advice.

For PCNL, the cost depends on the size and number of stones, tests such as a CT scan, the anaesthesia, the tubes and stents used, the days in hospital, the room type, medicines, and any second sitting or stent removal. Other illnesses such as diabetes can add tests. We do not quote a price without seeing your reports. We give you a clear written estimate before admission, and you are welcome to send your reports on WhatsApp first.

Medicines and extra water usually help only small stones, generally below about 5 to 6 mm. A stone above about 1.5 to 2 cm rarely passes on its own. Only some uric acid stones can be dissolved with medicines, and we check for this. Leaving a large stone can lead to repeated pain, infection and damage to the kidney. Our surgeon decides after seeing your CT scan and kidney function tests.

Yes. Many patients from Siwan, Chhapra, Motihari, Bettiah, Kushinagar and Deoria come to us for PCNL. Please send your CT scan or ultrasound and kidney function report on WhatsApp to +91 72739 94786 first, and our team will guide you on the OPD visit and admission. Please bring one attendant, all your old reports and a list of the medicines you take when you come.

Start with light home food such as dal, rice, roti, khichdi and vegetables, and drink plenty of water. Eat less salt, pickles, papad and packaged snacks, and do not overeat meat. Do not stop milk or curd on your own. Fruit and vegetables help you avoid constipation. Once the stone test report comes, we may give you special diet advice for your type of stone.