KIDNEY STONE REMOVAL

 



Description

Kidney stone removal is a procedure that involves breaking the stones by Lithotripsy, Ureteroscopy or Nephrolithotomy.

In most cases, the stones can be thrown out of the body via the urine after they are broken down into smaller pieces.

There are 3 main techniques for removing stones.

1. Lithotripsy: It is the most widely used procedure for the removal of stones. It can be performed in 3 ways.

- Extracorporeal Shock Wave Lithotripsy: ESWL is a non-invasive procedure. This procedure is generally used for those stones which are smaller than 2 cm in diameter.

- Laser Lithotripsy: The procedure can be adopted for the breakdown of the larger and harder stones.

- Holmium Laser Lithotripsy: It is an improved Laser Lithotripsy procedure.

2. Ureteroscopy: A procedure is performed by inserting a ureteroscope in the urethra.

3. Percutaneous Nephrolithotomy: This procedure is used when lithotripsy and ureteroscopy doesn't prove successful. It is used for the removal of larger stones.

Kidney stone removal procedures are used when there is excessive pain in the organs and the stone is blocking the regular flow of urine. It can also be done in conditions when there are infections arising in the urinary tract.

Pre Procedure

- A physical examination is carried out in order to determine the size, location and number of stones in the body.

- A pregnancy test is done for those women who are of childbearing age to make sure that the woman is not pregnant as the shockwaves can harm the body.

 

During Procedure

1. Lithotripsy

- Extracorporeal Shock Waves Lithotripsy: It involves the passage of certain high-intensity waves that help in the breakdown of the stones that are responsible for causing kidney stones.

- In Laser Lithotripsy: High-intensity laser beams are passed which help in the breakdown of larger and harder stones. Holmium Laser Lithotripsy: Infra-red beams are utilized to break down the stones.

2. Ureteroscopy

An incision is made into the body through which a ureteroscope is inserted into the urethra. The kidney stone is then located and using forceps the stone is grabbed and removed surgically.

3. Percutaneous Nephrolithotomy

This surgery is performed under the influence of general anesthesia. A cut is put at the back of the body to insert a tube into the kidney via the bladder. An x-ray is used to detect the exact location of the stone and access them.

Post Procedure

- In the case of lithotripsy, the patient is slowed to go home on the same day whereas in the case of Percutaneous Nephrolithotomy and ureteroscopy, the patient has to stay in the hospital for 1-2 days. 

- Tests such as X-ray and Ultrasound are carried out in order to make sure that no particles are left behind.

- Recovery may take some time and the patient can recover completely in a week's time.

- Ample intake of water is recommended and the patients are advised to avoid the intake of coffee and nuts and green leafy vegetables as they can accelerate the growth of stone formation.

- Meats, bananas, and pulses have to be avoided by the patients.

 

Risk Complication

Some side effects may be observed which may include small pieces of stones still lodged in the ureters which shall block the flow of urine from the kidneys to the bladder.

The patient may experience bleeding around the organ after the procedure.

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