{"meta":{"humanUrl":"https://ar.bookimed.com/clinics/country=mexico/procedure=percutaneous-nephrolithotomy/","canonicalUrl":"https://ar.bookimed.com/clinics/country=mexico/procedure=percutaneous-nephrolithotomy/","jsonUrl":"https://ar.bookimed.com/clinics/country=mexico/procedure=percutaneous-nephrolithotomy/data.json","title":"(PCNL) استئصال حصاة الكلية عن طريق الجلد في المكسيك عام 2026: عيادة وأسعار","description":"تبدأ تكلفة (PCNL) استئصال حصاة الكلية عن طريق الجلد في المكسيك من $6,800. قارن 1 عيادة — مراجعات موثقة واستشارة مجانية.","heading":"(PCNL) استئصال حصاة الكلية عن طريق الجلد في المكسيك: 1 عيادة","locale":"ar","schemaVersion":"ClinicListingPageDataV1","snapshotId":"992ac24c-73a35494","contentVersion":"992ac24c","generatedAt":"2026-11-06T22:15:09.862Z"},"filters":{"country":"mexico","procedure":"percutaneous-nephrolithotomy","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"المكسيك","url":"/clinics/country=mexico/"},{"name":"(PCNL) استئصال حصاة الكلية عن طريق الجلد","url":"/clinics/country=mexico/procedure=percutaneous-nephrolithotomy/"}],"entities":[{"name":"المكسيك","alias":"mexico","type":"country","id":40},{"name":"(PCNL) استئصال حصاة الكلية عن طريق الجلد","alias":"percutaneous-nephrolithotomy","type":"procedure","id":1385}],"clinics":{"clinics":[{"text":"<p>أجرى الدكتور إسماعيل أفيلا إينيغيز أكثر من 3,000 إجراء في طب المسالك البولية والأورام. وهو حاصل على اعتماد المجلس المكسيكي لأطباء المسالك البولية منذ عام 1991. مستشفى العائلة معتمد من المجلس العام للصحة في المكسيك. ويقع على بُعد 200 ياردة من الحدود بين الولايات المتحدة والمكسيك، ويعمل قسم السياحة العلاجية فيه منذ عام 2009. المستشفى مملوك بالكامل ويُدار من قبل متخصصين في المجال الطبي.</p>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":6800,"price_to":7800,"currency":"USD","id":64158},"operation":{"id":1385,"name":"(PCNL) استئصال حصاة الكلية عن طريق الجلد","alias":"percutaneous-nephrolithotomy"}},{"prices":{"price_from":300,"price_to":300,"currency":"USD","id":64089},"diagnostic":{"id":33,"name":"الحوض بالموجات فوق الصوتية","alias":"pelvic-ultrasound"}}],"reviews":[],"clinic":{"id":692,"alias":"hospital-de-la-familia","name":"Hospital de la Familia","short_description":"<p style=\"text-align:right;direction:rtl;\">Hospital de la Familia عبارة عن مستشفى بوتيكي يضم 32 غرفة خاصة تقع على بعد ياردات فقط من حدود Calexico CA USA / Mexicali BC في المكسيك. تقدم العيادة أسعارًا معقولة وجودة عالية من النتائج الجراحية للمسافرين للعلاج الذين يسعون للحصول على رعاية طبية ممتازة في أمراض الجهاز الهضمي وجراحة القلب وجراحة الأعصاب والتخصصات الأخرى.</p>\n","images":[{"base_url":"clinic/6422b9c98dc70","title":"الواجهة الخارجية لمستشفى دي لا فاميليا في المكسيك بتصميم حديث"},{"base_url":"clinic/cb2858de1f4ee","title":"الواجهة الخارجية لمستشفى Hospital de la Familia مع مدخل حديث ونافورة مركزية"},{"base_url":"clinic/36f49149125cf","title":"واجهة مستشفى Hospital de la Familia في مكسيكالي، مبنى طبي حديث"},{"base_url":"clinic/5d1b47df1d3df","title":"الواجهة الخارجية لمستشفى دي لا فاميليا في مكسيكالي، منشأة طبية حديثة"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"المكسيك","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"ميكسيكالي","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"المجلس العام للصحة العامة","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"المجلس المكسيكي لطب العيون","country_code":"MX"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":22},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":20585,"user":{"id":829865,"name":"Luis  Frausto ","country_code":"US","country_name":{"ar":"الولايات المتحدة الامريكيه","en":"United States of America"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":3},{"name":"comfort","value":3},{"name":"coordination","value":3},{"name":"translation","value":4},{"name":"nps","value":8},{"name":"manager","value":4}],"text":{"ar":"رحلة موفقة ذهاباً وإياباً من سان دييغو.","en":"Good travels over and back from San Diego."},"order":{"operation":{"id":247,"name":{"ar":"التبخير (باستخدام ليزر GreenLight)","en":"Vaporization (with GreenLight Laser)"}}},"clinic_info":{"id":692,"name":"Hospital de la Familia","alias":"hospital-de-la-familia","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-06-29T20:41:58.644+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"deactivated_clinic","value":false},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"preview_to_review_text":{"ar":"رحلة موفقة ذهاباً وإياباً من سان دييغو.","en":"Good travels over and back from San Diego."},"what_like_text":{"ar":"الفريق المحترف","en":"The professional team"},"what_not_like_text":{"ar":"الانتقال من المستشفى إلى الفندق.","en":"Moving from hospital to hotel."}},"summary":{"positive":{"ar":"رحلات موفقة ذهاباً وإياباً من سان دييغو.","en":"Good travels over and back from San Diego."}}}],"meta":{"total_count":2,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"<p>تتراوح تكلفة استئصال حصى الكلى عن طريق الجلد (PCNL) في المكسيك عادةً <strong>من _price_from_ إلى _price_to_</strong>. قد تختلف الأسعار حسب العيادة، خبرة الجراح، حجم وتعقيد الحصى، وما إذا تم استخدام تقنيات التصوير أو الليزر المتقدمة. في ألمانيا، يبلغ متوسط التكلفة <strong>_price_compare_de_average_</strong> (حسب DGU). هذا يعني أن تكلفة PCNL في المكسيك أقل بحوالي _price_percent_discount_% مقارنة بألمانيا.</p>\n\n<p>عادةً ما تشمل المستشفيات المكسيكية التحاليل المخبرية قبل العملية، والتخدير، وإجراء PCNL، والإقامة في المستشفى (1–3 أيام)، والتصوير الطبي، وزيارات المتابعة ضمن السعر. في ألمانيا، غالبًا ما يتم احتساب التخدير والتصوير الطبي ورسوم المستشفى بشكل منفصل عن أتعاب الجراح. يجب دائمًا التأكد من تفاصيل ما يشمله كل عرض من العيادات.</p>"}},"texts":{}},"faq":[{"id":"5ed8fa0331e78b0abb286636","question":"ما الذي تحتاج لمعرفته حول المكسيك قبل رحلتك؟","answer":"<figure class=\"table\"><table style=\";text-align:right;direction:rtl\"><tbody><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\">عملة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> البيزو المكسيكي (الدفع مقابل الخدمات ممكن أيضًا بالدولار)</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> أفضل فترة للسفر</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> ديسمبر - أبريل</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> لغة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> الإسبانية (معظم الطاقم الطبي يتحدث الإنجليزية بطلاقة)</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> تأشيرة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> مطلوب <a href=\"https://embamex.sre.gob.mx/australia/index.php/visitorvisa\"><u>لبعض البلدان</u></a></p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> فارق التوقيت مع أوروبا</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> الساعه 7</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> فارق التوقيت من الولايات المتحدة الأمريكية</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> 1 ساعة</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> عاصمة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> مدينة المكسيك</p></td","is_active":true,"category":{"id":"5e3aa27eb517bb3ffb486c42","name":"texts","title":"texts"}},{"id":"5ed8fa7c6f5798138223b285","question":"ما هي الخدمات الفندقية المقدمة هنا؟","answer":"<p style=\";text-align:right;direction:rtl\">في المكسيك ، توجد <a href=\"https://www.tripadvisor.co.uk/TravelersChoice-Hotels-cTop-g150768\">فنادق ذات نطاقات أسعار ومستويات خدمة مختلفة</a> . يختار معظم السياح فنادق 4 و 5 نجوم مع وجبات شاملة كليًا. تحتوي هذه الفنادق على كل شيء لإقامة مريحة: طعام متنوع ، منطقة كبيرة جيدة الإعداد ، رسوم متحركة للأطفال والكبار. تحتوي بعض الفنادق على حديقة مائية خاصة بها ، والتي يمكن للضيوف استخدامها مجانًا. يمكن للمسافرين ذوي الميزانية المحدودة حجز فندق اقتصادي من فئة 3 نجوم مع إقامة مع وجبتي طعام أو بدون وجبات على الإطلاق.</p>","is_active":true,"category":{"id":"5e3aa27eb517bb3ffb486c42","name":"texts","title":"texts"}},{"id":"5ed8fab531e02c46c85d4676","question":"ما هي المستندات المطلوبة للتقدم للحصول على تأشيرة إلى المكسيك للعلاج؟","answer":"<p style=\";text-align:right;direction:rtl\">تتطلب تأشيرات السفر إلى المكسيك <a href=\"https://www.mexicocity.com/v/visa-requirements/\">عددًا من المستندات</a> . قائمة الوثائق تشمل:</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> بطاقة الهوية</li><li style=\";text-align:right;direction:rtl\"> تأكيد التسجيل عبر الإنترنت وملء الاستبيان</li><li style=\";text-align:right;direction:rtl\"> شهادة الدخل وتوافر الأموال</li><li style=\";text-align:right;direction:rtl\"> بوليصة تأمين طوال مدة إقامتك في المكسيك (أصلية ونسخة)</li><li style=\";text-align:right;direction:rtl\"> صورتان (5x6)</li><li style=\";text-align:right;direction:rtl\"> الحصول على تأشيرة</li><li style=\";text-align:right;direction:rtl\"> حجز الطيران والفنادق</li><li style=\";text-align:right;direction:rtl\"> رأي الطبيب في الحاجة للعلاج.</li></ul>","is_active":true,"category":{"id":"5e3aa27eb517bb3ffb486c42","name":"texts","title":"texts"}}],"faqInSchema":false,"relations":{"countries":[{"name":"أذربيجان","alias":"azerbaijan","iso_code":"AZ"},{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"المكسيك","alias":"mexico","iso_code":"MX"},{"name":"الهند","alias":"india","iso_code":"IN"},{"name":"بلغاريا","alias":"bulgaria","iso_code":"BG"},{"name":"بولندا","alias":"poland","iso_code":"PL"},{"name":"تايلاند","alias":"thailand","iso_code":"TH"},{"name":"تركيا","alias":"turkey","iso_code":"TR"},{"name":"كوريا الجنوبية","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"ميكسيكالي","alias":"mexicali"}],"operations":[{"name":"الختان","alias":"circumcision"},{"name":"قطع القناة الدافقة","alias":"vasectomy"},{"name":"Peniflex","alias":"peniflex"},{"name":"استئصال الكلية","alias":"nephrectomy"},{"name":"العلاج بالهرمونات البديلة المتطابقة بيولوجيًا (BHRT)","alias":"bioidentical-hormone-replacement-therapy-bhrt"},{"name":"تصحيح انحناء القضيب (العلاج الجراحي لمرض بيروني)","alias":"penile-curvature-correction-surgical-treatment-for-peyronies-disease"},{"name":"جراحة إعادة تشكيل الأعضاء التناسلية","alias":"bottom-surgery"},{"name":"الانصمام من دوالي الخصية","alias":"embolization-of-varicocele"},{"name":"استئصال البروستاتا","alias":"prostatectomy"},{"name":"استئصال القيلة الدوالية","alias":"varicocelectomy"},{"name":"هولميوم ليزر إزالة البروستاتا","alias":"holmium-laser-enucleation-of-the-prostate"},{"name":"تحفيز العصب العجزي (SNS) (التعديل العصبي العجزي (SNM))","alias":"sacral-nerve-stimulation-sns-sacral-neuromodulation-snm"},{"name":"زرع العضلة العاصرة البولية","alias":"artificial-urinary-sphincter-implantation"},{"name":"استئصال المثانة","alias":"rezekcia-mocevogo-puzyra"},{"name":"رأب الإحليل","alias":"uretheroplasty"},{"name":"إزالة المثانة مع إعادة الإعمار","alias":"bladder-removal-with-reconstruction"},{"name":"التبخير (باستخدام ليزر GreenLight)","alias":"vaporization-with-greenlight-laser"},{"name":"استئصال المثانة عبر الاحليل","alias":"transurethral-resection-of-the-bladder"},{"name":"إعادة وصل القناة الدافقة","alias":"vasectomy-reversal-vasovasostomy"},{"name":"(PCNL) استئصال حصاة الكلية عن طريق الجلد","alias":"percutaneous-nephrolithotomy"}],"diagnostics":[{"name":"التشاور مع طبيب المسالك البولية","alias":"urologist-consultation"},{"name":"استشارة أمراض الكلى","alias":"consultation-nephrologist"},{"name":"PET-CT مع Gallium 68 (PSMA)","alias":"pet-ct-with-gallium-68"},{"name":"كشف طبي للرجال","alias":"check-up-for-men"},{"name":"الفحص مبدئي","alias":"basic-check-up"},{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan"},{"name":"استشارة طبيب المسالك البولية عبر الإنترنت","alias":"online-consultation-with-urologist"},{"name":"التصوير المقطعي المحوسب للبطن","alias":"abdominal-ct-scan"},{"name":"الحوض بالموجات فوق الصوتية","alias":"pelvic-ultrasound"}],"illnesses":[{"name":"تضخم البروستاتا الحميد (BPH)","alias":"bph"},{"name":"دوالي الخصية","alias":"varicocele"},{"name":"الإحليل تضيق","alias":"urethral-stricture"}],"illnessKinds":[{"name":"طب الجهاز البولي","alias":"urology"}],"illness_kinds":[{"name":"طب الجهاز البولي","alias":"urology"}]},"popularSearches":[{"name":"الختان","alias":"circumcision","type":"operation","id":824},{"name":"قطع القناة الدافقة","alias":"vasectomy","type":"operation","id":891},{"name":"Peniflex","alias":"peniflex","type":"operation","id":1363},{"name":"استئصال الكلية","alias":"nephrectomy","type":"operation","id":121},{"name":"العلاج بالهرمونات البديلة المتطابقة بيولوجيًا (BHRT)","alias":"bioidentical-hormone-replacement-therapy-bhrt","type":"operation","id":1008},{"name":"التشاور مع طبيب المسالك البولية","alias":"urologist-consultation","type":"diagnostic","id":48},{"name":"الفحص مبدئي","alias":"basic-check-up","type":"diagnostic","id":420},{"name":"كشف طبي للرجال","alias":"check-up-for-men","type":"diagnostic","id":417},{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"فحص استثنائي","alias":"premium-check-up","type":"diagnostic","id":421}],"operationPrices":{"operation_prices":{"1385":{"operation":{"name":"(PCNL) استئصال حصاة الكلية عن طريق الجلد","alias":"percutaneous-nephrolithotomy","use_for_listing":true},"country_price":{"TR":{"amount":3800,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":6800,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"DE":{"amount":8500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":4500,"max_amount":6200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6800,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"MX":true,"DE":false,"TH":false,"ES":false}}}},"cityPrices":{"operation_prices":{"1385":{"operation":{"id":1385,"name":"(PCNL) استئصال حصاة الكلية عن طريق الجلد","alias":"percutaneous-nephrolithotomy"},"city_price":[{"amount":6800,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":437,"name":"ميكسيكالي","alias":"mexicali","profile":{"city_id":437,"city_type":"Border city opposite Calexico, California","access":["Calexico crossing, about five minute walk into Mexicali","Mexicali Airport (MXL), 20 km east of the city"],"sources":["https://en.wikipedia.org/wiki/Mexicali","https://en.wikivoyage.org/wiki/Mexicali"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":423,"name":"مكسيكو سيتي","alias":"mexico-city","profile":{"city_id":423,"city_type":"Capital and largest city of Mexico","access":["Mexico City Airport (MEX), 5 km east of downtown"],"sources":["https://en.wikipedia.org/wiki/Mexico_City","https://en.wikipedia.org/wiki/Mexico_City_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":5200,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":454,"name":"كانكون","alias":"cancun","profile":{"city_id":454,"city_type":"Planned Mexican tourist destination city","access":["Cancún Airport (CUN), under 10 km from the Hotel Zone"],"sources":["https://en.wikipedia.org/wiki/Cancún","https://en.wikipedia.org/wiki/Cancún_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"53074d0e-9c37-4b1f-86a1-a168d8a910a7","link":"https://player.vimeo.com/video/1004438748?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"جعل Bookimed هذه الرحلة الطبية سهلة للغاية.","userName":"Jamie","user_name":"Jamie","preview":"https://i.vimeocdn.com/video/1920976253-73e5c27c2f0cb21175de7829a9ba81f50e09c7dac0961f61876317387430849f-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:20.298+00:00","clinicName":"Bangkok Plastic Surgery","clinic":{"name":"Bangkok Plastic Surgery","alias":"bangkok-plastic-surgery"},"clinicUrl":"/clinic/bangkok-plastic-surgery/","relations":{"operations":[{"name":"جراحة إعادة تحديد الجنس","alias":"sex-reassignment-surgery"},{"name":"جراحة إعادة تحديد الجنس (ذكر-أنثى)","alias":"male-to-female-mtf-surgery"}]}},{"id":"1459d636-7240-40f5-b1db-9724aac71a40","link":"https://player.vimeo.com/video/1096295117?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"الطريق صعب — لكننا لا نسير فيه وحدنا. وهذا يعني الكثير. شكرًا مرة أخرى لـ Bookimed.","userName":"Niculcea","user_name":"Niculcea","preview":"https://i.vimeocdn.com/video/2030328444-0a107eefecced974a12fde60e60b7af63ca4956df519db9d6750cfe33f659559-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:50:36.255+00:00","clinicName":"Memorial Şişli Hospital","clinic":{"name":"Memorial Şişli Hospital","alias":"memorial-healthcare-group"},"clinicUrl":"/clinic/memorial-healthcare-group/","relations":{"operations":[{"name":"العلاج بـ Lutetium-177","alias":"lutetium-177-therapy"},{"name":"العلاج الكيميائي لسرطان البروستاتا","alias":"chemotherapy-for-prostate-cancer"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-03T20:24:33.000Z","activeCountries":["MX","TR","ES","DE","TH"],"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":10917}},"direction":{"id":16,"name":"طب الجهاز البولي","alias":"urology","name_forms":{"base_form":"طب الجهاز البولي","form_4":"طب الجهاز البولي","form_6":"طب الجهاز البولي","form_11":"أطباء المسالك البولية"}},"illness_kind":{"id":16,"name":{"en":"Urology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after standard uncomplicated PCNL; heavier physical work usually later and depends on nephrostomy tube status and surgeon advice."},"complication_rate_pct":{"min":15,"max":30,"unit":"percent","qualifier":"Any complication within 30 days, mostly minor (fever, bleeding); transfusion about 2-6%, serious under 5%."},"contraindications":["Uncorrected bleeding disorder or unmanageable anticoagulation","Untreated urinary tract infection or urosepsis","Pregnancy (relative; usually deferred or alternative approach used)","No safe access, e.g. interposed bowel, severe spinal deformity (relative)","Severe cardiopulmonary disease precluding general anesthesia and prone positioning (relative)","Suspected renal malignancy at the stone site"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical inpatient stay after standard PCNL for a renal stone; shorter with tubeless protocols, longer if nephrostomy tube or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise and heavy lifting usually avoided for several weeks until cleared by the surgeon."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Stone-free status is usually confirmed by imaging within weeks to a few months; residual fragments may need further treatment."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After nephrostomy tube removal, stable hemoglobin, no fever and surgeon clearance; longer if tube, stent or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound review and, if present, tube or stent management."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":90,"unit":"days","qualifier":"Imaging to confirm stone clearance and stone analysis/prevention review; timing varies."}}],"indications":["Large kidney stones (generally over about 2 cm)","Staghorn or complex branched renal calculi","Stones unsuitable for shock wave lithotripsy or ureteroscopy","Lower pole stones with unfavorable anatomy","Large proximal ureteral stones in selected cases"],"main_risks":["Bleeding, occasionally requiring transfusion or embolization","Infection, fever or urosepsis","Injury to adjacent organs such as pleura, colon or spleen","Urine leak or collecting system perforation","Pain at nephrostomy site","Need for further procedures"],"pain":"Moderate flank and incision-site pain in the first days, usually controlled with oral analgesics; nephrostomy tube, if left, can add discomfort.","preparation":["Pre-operative imaging (usually CT) and blood tests","Urine culture and treatment of any infection beforehand","Care team reviews bleeding risk and medicines","Fasting before general anesthesia","Anesthesia assessment"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Monitoring for bleeding and infection, pain control, possible nephrostomy tube and/or ureteral stent, early mobilization.","restrictions":["No driving","Avoid strenuous activity"]},{"phase":"Early home recovery (week 1-2)","description":"Mild flank discomfort and blood-tinged urine are common; hydration and gradual return to light activity.","restrictions":["No heavy lifting","Keep access site clean and dry"]},{"phase":"Later recovery (weeks 2-6)","description":"Gradual return to full activity; stent removal if placed and follow-up imaging.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities after uncomplicated PCNL."},"result_longevity":"Removed stones do not return, but kidney stones recur in about 30-50% of patients within 5-10 years. Recurrence risk falls with stone analysis-guided prevention, high fluid intake and dietary or medical measures.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Secondary procedure for residual stones or complications (second-look PCNL, ureteroscopy, lithotripsy); higher for staghorn stones."},"scars":"A single small flank incision about 1 cm, occasionally slightly larger, that heals to a small scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically a single operation; a second-look procedure is needed only for residual stones."},"stages":[{"code":"pcnl_procedure","label":"Percutaneous access, stone fragmentation and removal","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standard single-session PCNL."},"success":{"metric":"Stone-free rate after single PCNL","value":85,"unit":"percent","horizon":"1-3 months, on follow-up CT","population":"Adults with large renal stones (over 2 cm) treated with standard PCNL","evidence_status":"limited"},"techniques":[{"name":"Standard PCNL (prone, about 24-30 Fr tract)","suits_whom":"Large or complex renal stones","recovery":"Typically 1-3 nights in hospital."},{"name":"Mini-PCNL (smaller tract)","suits_whom":"Medium-sized stones, selected patients","recovery":"Often somewhat shorter stay and less pain."},{"name":"Tubeless PCNL","suits_whom":"Uncomplicated cases without significant bleeding or residual stones","recovery":"Shorter hospital stay, less tube-related discomfort."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operative time for a single-session standard PCNL; longer for complex staghorn stones."},"initial_assessment_documents":["Non-contrast kidney CT scan report and images","Recent urine culture result","Blood tests: creatinine and clotting","Previous kidney stone treatment reports","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay about 5-10 days including 1-3 hospital nights and pre-flight clearance. Follow-up imaging usually done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/procedure=perkutannaya-nefrolitotripsiya-chreskozhnaya-nefrolitotomiya/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":17,"name":"بولندا","alias":"poland","iso_code":"PL"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}