Cost of Holmium Laser Lithotripsy with Percutaneous Nephroscope

Percutaneous nephrolithotomy (PCNL) is a minimally invasive surgical procedure used to remove kidney stones. During the procedure, a small incision is made in the back and a nephroscope is inserted directly into the kidney through a narrow tube. This allows the surgeon to visualize the stone and break it apart using tools such as a holmium laser or ultrasound device. The fragments are then removed through the same channel.

One of the key advantages of this technique is that it avoids open surgery, resulting in shorter recovery times and less postoperative pain. However, it does require creating a small access point through the skin into the kidney, which can sometimes lead to complications such as bleeding. In some cases, patients may require blood transfusions or even interventional radiology procedures to control bleeding.

It's important to note that complex or large kidney stones may require more than one procedure to ensure complete stone clearance. The number of sessions needed depends on the size, location, and composition of the stones, as well as the patient's overall health and anatomy.

The overall cost of percutaneous nephrolithotomy with holmium laser lithotripsy varies depending on several factors, including the hospital or clinic, the complexity of the case, and the required postoperative care. In many regions where this procedure is widely performed, the average cost is around $10,000. Patients should also consider additional expenses such as preoperative evaluations, anesthesia, and follow-up imaging or treatments.

As with any medical procedure, it's recommended to consult with a urologist to understand the best treatment plan and associated costs based on individual circumstances.