Stone Treatment
Most kidney stones will be small enough (no more than 4mm or 0.2in in diameter) to be passed out in your urine. It may be possible to treat these at home.
However, small kidney stones may still cause pain. The pain from smaller kidney stones usually lasts a couple of days and disappears when the stone has been passed.
If a kidney stone is too big to be passed naturally (6-7mm in diameter or larger), you may need to have treatment to remove it another way.
This could include:
- extracorporeal shock wave lithotripsy (ESWL)
- ureteroscopy
- percutaneous nephrolithotomy (PCNL)
- open surgery
These procedures are explained in more detail below. The type of treatment you have will depend on the size and location of your stones.
Ureteroscopy
A ureteroscopy is an examination or procedure using a ureteroscope. A ureteroscope, like a cystoscope, is an instrument for examining the inside of the urinary tract. A ureteroscope is longer and thinner than a cystoscope and is used to see beyond the bladder into the ureters, the tubes that carry urine from the kidneys to the bladder. Some ureteroscopes are flexible like a thin, long straw. Others are more rigid and firm. Through the ureteroscope, the doctor can see a stone in the ureter and then remove it with a small basket at the end of a wire inserted through an extra channel in the ureteroscope. Another way to treat a stone through a ureteroscope is to extend a flexible fiber through the scope up to the stone and then, with a laser beam shone through the fiber, break the stone into smaller pieces that can then pass out of the body in the urine. How and what the doctor will do is determined by the location, size, and composition of the stone.
PCNL
Percutaneous nephrolithotomy (PCNL) is a common surgical treatment appropriate for removal of kidney stones when they are large or when the patient presents with anatomic issues in the urinary tract. Olympus percutaneous nephroscopes and flexible cysto-nephro videoscopes offer crystal clear visualization and exceptional performance while innovative technologies like the Olympus CyberWand Dual Ultrasonic Lithotriptor System can deliver rapid fragmentation and improved procedural efficiency.
Micro PCNL
Microperc’ (Micro PCNL) is a procedure is which is performed using a 16-gauge needle.One of the major disadvantages of Extracorporeal Shock Wave Lithotripsy (ESWL) is its unpredictable results. While the prominent limitation of Retrograde Intrarenal Surgery is high cost and extremely poor durability. a major limitation of PCNL is its invasiveness and associated morbidity.
Reduction in the tract size helps to significantly reduce the invasiveness of the procedure and the potential complications too. In Microperc or Micro PCNL, the procedure is performed through a 4.85-Fr (16 gauge) tract. The underlying hypothesis of the ‘All-seeing needle’ is that if the initial tract is perfect, then the tract-related morbidity can be substantially reduced. The optical needle helps to eliminate any traversing viscera. Yet another advantage of microperc is that it is a single-step renal access procedure, which results in a shorter insertion. Thus, this procedure provides a novel standard of obtaining renal access.
Mini PCNL
Mini PCNL Surgery is the newer and improvised version of PCNL as it is performed with a miniaturized nephroscope. It has been found that this procedure is 99% effective in removing stones of 1 to 2.5 cm in size. Though, Kidney Treatment by Mini-PCNL can not be used for larger kidney stones, it has the advantage of less complications and shorter execution time. Further, there is an another advantage of shorter recovery time. With specialized and well-trained surgeons, we, Eagle Stone & Kidney Care Centre provide patients comprehensive Specialized Surgery and have become a prominent name among the Mini-PCNL Treatment Centers in Delhi. Also, our offered healthcare treatments are accessible and affordable.
Features
We are the first to do large number of TUBELESS MINIPERC (i.e. mini PCNL).
Standard PCNL (which means removal of kidney stone through a hole at the back).
We perform the same procedure using only a 3-4mm hole at the back & use new/sophisticated instruments to perform surgery in adults & paediatric.
As a result of which there is risk of minimal bleeding and patients are discharged within 24-36 hours (Daycare).
RIRS
Retrograde intrarenal surgery (RIRS) is a procedure for doing surgery within the kidney using a viewing tube called a fiberoptic endoscope.
In RIRS the scope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The scope thus is moved retrograde (up the urinary tract system) to within the kidney (intrarenal).
RIRS may be done to remove a stone. The stone is seen through the scope and can then be manipulated or crushed by anprobe or evaporated by a laser probe or grabbed by small forceps, etc.
RIRS is performed by a specialist, a urologist (endourologist) with special expertise in RIRS. The procedure is usually done under general or spinal anesthesia.
The advantages of RIRS over open surgery include a quicker solution of the problem, the elimination of prolonged pain after surgery, and much faster recovery.
Bladder stones
Bladder stones form when substances (such as calcium oxalate) in the urine concentrate and coalesce into hard, solid lumps that lodge in the bladder. Often, several stones form at once. Normally, they are fairly small and are excreted in the urine without complications, but sometimes stones become trapped in the neck of the bladder and—as residues in the urine continue to accumulate—grow large enough to cause pain, urinary blockage, or infections, thus requiring surgical intervention. Bladder stones almost exclusively affect middle-aged and older men, but, for unknown reasons, are becoming increasingly rare.
How to Treat Bladder Stones
Your doctor may prescribe narcotic analgesics to relieve pain and antibiotics to treat an infection.
Smaller stones can be removed through a cystoscope, a tube inserted through the urethra that allows the doctor to view the stones. The scope can also be outfitted with a device that crushes the stones, after which the fragments are washed away.
Larger stones can be treated with extracorporeal shock-wave lithotripsy, which aims concentrated bursts of sound waves that pulverize the stones.
On rare occasions, very large stones may require surgical removal (suprapubic lithotomy).
The underlying problem (such as prostate enlargement) causing stones to be trapped in the bladder must be identified and treated to prevent recurrence.