Kidney stones
Kidney stones are among the commonest problems affecting us all. You may experience pain in your back, flanks, lower abdomen, or inner aspect of your thighs, with nausea and vomiting. You may experience blood in urine, urinary frequency, burning pain during urination, feeling of inability to pass urine, with passage of only few drops of urine each time. The commonest cause of stone formation is low water intake. These urinary stones can damage your kidneys, if not treated in a timely manner. You must consult your Urologist immediately. Your urologist can assess you and guide you through the best treatment options available. Most tiny stones may not need any surgery, but this assessment should be made a urology expert.
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Medical Management
Small stones may not need any surgery and can be easily flushed out of your system using oral medicines. You do not need hospital admission. If these stones do not pass out with medicines, then only you may need surgery.
Book AppointmentRIRS (RETROGRADE INTRA-RENAL SURGERY)
In this technique, a flexible camera, around approximately 3 mm wide, is passed into the kidney through your urinary bladder. Using Holimum/ thullium laser, the stone is broken down and retrieved. There is no incision over the skin and depending on your recovery, you may get discharged the same day or the next day. You can resume your routine activities from next day of procedure, and no special precautions are needed.
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PCNL (PERCUTANEOUS NEPHROLITHOTOMY)
This procedure involves making a cut over your back, approximately 1 cm or less. Nephroscope is passed through this tract to see and break the stone. This procedure is mostly done for larger stones (≥ 2 cm). Stones may be broken using laser or pneumatic device. You will need to stay admitted in hospital for at least 2 days after the surgery, and need further rest for 7 days at home. Your urologist may place a double J stent inside, depending on the assessment of damage done by the stone. As precaution you will need is to take rest, and stay hydrated. Bleeding is the major risk with this procedure, but with proper guidance of your urologist, the risk should be minimal.
Book AppointmentMini PCNL
This is a miniaturized version of PCNL, suitable for small stones, not accessible to RIRS. The recovery is faster, and chances of bleeding are less as compared to PCNL.
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URS (URETERO-RENOSCOPY)
When stones fall down from the kidney into the ureter (Note: ureter is thin tube that brings urine down from kidneys, into the urinary baldder), they might get stuck in this thin tube. Now picture this: your ureter is around 3 to 4 mm wide. If a stone larger than this, falls into this tube. It will get stuck easily. URS is a thin scope, usually around 2 to 2.5 mm wide, that is passed from your bladder into the ureter. Laser is then used to break down the stone. Stone fragments are removed. At the end a double J stent may be placed depending on the assessment of damage done by the stone. This stent is removed easily later on under local anesthesia. You can resume your routine activities next day. No special precautions needed.
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This technique uses sound waves to break stones without surgery. There is no needle, no scars and no need for anesthesia. You will need to stay in hospital for few hours only. You may need 2 to 3 sittings to break the stones, and stones will pass out with urine. However, this technique is effective for few types of stones only.
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