Most Advanced Non-Surgical Treatment for Urinary Stones at World Best Hospitals in India
Kidney stones are small pebbles initially and become stones later, after growing in the size. These are formed by crystal aggregation of the dietary mineral present in the urine. They are formed in different locations in the kidney. These might be present in bladder or ureter. These are also classified on the basis of the chemical composition, like having uric acid, struvite or calcium. After the stones are grown more than 3 mm size, they cannot be passed through the urine and start causing the symptom. Mostly men are affected from the kidney stone problems.
Uric Acid
Percutaneous Nephrolithotomy (PCNL) is a procedure to remove medium-sized or large stones from the kidney by means of a nephroscope passed into the kidney through a small puncture created in the patient's back. A nephroscope uses an ultrasonic or laser probe to break up large kidney stones and suction it out. This procedure is usually done under general anaesthesia or spinal anaesthesia.
Kidney stones are small pebbles initially and become stones later, after growing in the size. These are formed by crystal aggregation of the dietary mineral present in the urine. They are formed in different locations in the kidney. These might be present in bladder or ureter. These are also classified on the basis of the chemical composition, like having uric acid, struvite or calcium. After the stones are grown more than 3 mm size, they cannot be passed through the urine and start causing the symptom. Mostly men are affected from the kidney stone problems.
The kidney stones lead to dehydration, by developing the body fluids to lose gradually. The acid content in the body will be increased when high protein food is consumed.
Calcium
Calcium stones are the most common. They can be made of calcium oxalate (most common), phosphate, or maleate. Vitamin C and spinach contain oxalate. Calcium-based kidney stones are most commonly seen in young men between the ages of 20 and 30.
Uric Acid
This type of kidney stone is more common in men than in women. They can occur in people with gout or those going through chemotherapy.
Struvite
This type of stone is found mostly in women with urinary tract infection. These stones can be quite large and cause urinary obstruction.
Cystine
Cystine stones are rare. They occur in both men and women who have the genetic disorder cystinuria.
- Laser prostatectomy or Laser for prostatic surgery is recently developed minimally invasive treatment modalities for patients having BPH i.e benign prostatic hyperplasia or benign prostatic hypertrophy. The term Benign prostatic hyperplasia or benign prostatic hypertrophy means increase in size of the prostate gland in the men above 50 years of age.
- Extracorporeal shock wave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. The stones break down into small particles and are easily passed through the urinary tract in the urine.
- Several types of ESWL devices exist. Most devices use either x-rays or ultrasound to help the surgeon pinpoint the stone during treatment. For most types of ESWL procedures, anesthesia is needed.
- Prostatectomy is used mainly to remove the prostate gland when there is no cancer in it but its size enlarges due to which it creates problem in the urinary tract. Laser prostatectomy is a short and easy procedure, usually after which the patient can return to their home on the day of operation itself.
Percutaneous Nephrolithotomy (PCNL) is a procedure to remove medium-sized or large stones from the kidney by means of a nephroscope passed into the kidney through a small puncture created in the patient's back. A nephroscope uses an ultrasonic or laser probe to break up large kidney stones and suction it out. This procedure is usually done under general anaesthesia or spinal anaesthesia.
Extracorporeal shock wave lithotripsy (ESWL)
Extracorporeal Shock wave lithotripsy uses shock waves to break stone smaller than 2 cm into small fragments that can more easily flushed out of the urinary tract and pass out from the body.
After identification of the position of the stone with X-ray or ultrasound, shockwaves are applied to fragment the stones.
Ureteroscopy (URS)
Renal stones that do not respond to lithotripsy (ESWL), that are very hard or located in areas where ESWL does not work well can be treated by flexible ureteroscopy. Many men and women who have contraindication to ESWL or for whom ESWL is unlikely to work (such as morbid obesity) may do well with ureteroscopy.
Holmium Laser:
During the procedure, holmium laser is used to break up the stones in the kidney, ureter or bladder through a small endoscopic camera. A small scope (ureteroscope) is passed through the urethra into the bladder, and from there up into the ureter to reach stones in the ureter and the kidneys.
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