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Types of Kidney Stone Surgeries

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Advanced Urology Kidney Diseases

Types of Kidney Stone Surgeries

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Kidney stones are deposits of minerals or uric acid in the kidney that become rock solid over the period of time. These stones can be of different sizes, and some may become very large. The stones can cause a range of problems, including pain and kidney dysfunction. While small kidney stones can easily pass out of the body, the large-sized stones are often the problematic ones. To remove these large-sized kidney stones, doctors recommend surgical procedures.

Some of the common conditions when the doctors suggest kidney stone surgery include:

  • The large-sized stone that cannot pass on its own.
  • Acute pain
  • The stone causes blockage of urine from the bladder
  • The stone causes urinary tract infections

Different types of kidney stone surgeries

There are various surgical procedures aimed at treating kidney stones. The four popular surgical treatments for kidney stones include:

  • Shock wave lithotripsy
  • Ureteroscopy
  • Percutaneous nephrolithotomy or percutaneous nephrolithotripsy
  • Open surgery
  • Shock wave lithotripsy (SWL)

One of the popularly recommended kidney stone treatment is Shock wave lithotripsy (SWL). The treatment is effective when the patients have small to medium-sized stones. It is a non-invasive treatment and performed under general anesthesia. High energy shockwaves (ultrasound or X-rays) are aimed at the kidney from the outside. The shockwaves burst the stones into several small pieces and these pieces pass out with the urine. In certain cases, the doctor might place a stent into the ureter to make more passage. The treatment has a great success rate and is rated as one of the most efficient options.

Ureteroscopy

Ureteroscopy is an effective treatment for kidney and ureter stones. The stones are removed using a thin and flexible scope. The patient is under the influence of general anesthesia while the scope is passed through the ureter to the kidney. The stones are taken out one after another. In case there is a larger stone, the doctor would use the Shock Wave Lithotripsy treatment first to break the large stone into smaller pieces. It is a versatile treatment option which is successful in most of the cases. However, sometimes, it may give rise to infections or bleeding.

Percutaneous Nephrolithotomy or Percutaneous Nephrolithotripsy

In case the patient has large stones that are tough to break, the doctors use Percutaneous Nephrolithotomy or Percutaneous Nephrolithotripsy as a surgical procedure. In this procedure, the doctor uses a high-frequency sound wave to burst the stone into small pieces. A small scope is inserted in your body through a small incision made on the back or side of your body. This surgical procedure takes 20-45 minutes for the complete removal of stones. The stones are either removed through a tube or a shock wave is used to burst them and then the pieces are vacuumed out of the body. The treatment is primarily for large and medium-sized complex stones. It is a successful procedure as it clears the kidney stones, no matter how many in numbers, in one go.

Open Surgery:

Once a popular procedure, open surgery for kidney stones is not much recommended nowadays. However, in certain cases, doctors may recommend open surgery depending upon various factors. Most of the time open surgery is recommended in case there are large stones stuck in your ureter or the patient is in a lot of pain. However, the best kidney stone hospitals are now well-equipped to perform such operation with minimally invasive methods. The use of open surgery has become limited and is recommended only if the patient has bleeding, infection, or the flow of urine is obstructed completely. The patient is given anesthesia to stay unconscious while the doctors perform the procedure. The doctor uses specialized equipment to perform the surgery.

 

Categories
Advanced Urology Kidney Diseases

Kidney Stone Home Remedies – Tips to help with the discomfort & pain

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With the rising rate of risk factors, one of the common diseases that has affected a lot of people is Kidney Stones. These stones are hard, a rock-like structure that forms inside the kidney when the malicious products do not completely drain out. The natural way of getting rid of these stones is passing them through urine. However, it is one of the most painful experiences. Also, the chances of their re-occurrence are also very high.

While kidney stone surgery is a great way to get rid of these stones permanently, you can always try some of the best home remedies to eliminate them in the first place. In this article, we have explained some of the proven kidney stone home remedies.

Drink plenty of water

Keeping yourself well hydrated is one of the best ways to get rid of kidney stones. This is not only care but also preventive measures from kidney stones. When you drink plenty of fluids, the water content in your body increases, which dilutes the stone forming contents. The body then releases the excess water, along with these contents, in the form of urine. While water along with beverages like coffee, tea, beer, wine, and orange juice is a great fluid to prevent kidney stones, soda and high carbonated drinks are considered contributing to the cause.

Add more citric acid to your diet

Citric acid works on calcium oxalate kidney stones. The two ways it is helpful are:

  • Avoid stone formation: Citric acid gets associated with the calcium in the urine and prevents the stone formation in the first place.
  • Reduce stone enlargement: In case you already have kidney stones, an increase in citric acid levels in the body means the excess calcium is being absorbed.

Some rich sources of citric acid are lemons, limes, oranges, and various other fruits and vegetables.

Limit oxalates intake

Oxalate, also known as Oxalic acid is found in various dietary items such as leafy greens, fruits, and vegetables. Our body also produces oxalate naturally. When the body gets richer with oxalate, they start showing in the urine. In case you tend to develop calcium oxalate stones, this can be an alarming condition for you.  However, before you avoid eating your leafy greens and vegetables, consult with your doctor first.

Limit your dose of Vitamin C

If you are taking vitamin D supplements you might be at a higher risk of developing kidney stones. This is because when you consume high Vitamin C supplement they trigger the production of oxalate in the urine. However, consuming Vitamin C rich food items does not cause any such problem.

Reduce your salt intake

Studies show that eating a diet high in salt can increase your risk of developing kidney stones. When you consume a lot of table salt, the sodium content in it works on your body resulting in calcium excretion in the urine.

Increase calcium intake

The more calcium-rich diet you will have, the lower are your chances of developing kidney stones. However, you must limit the intake of dietary calcium and increase the consumption of foods like milk, cheese and yogurt, and other good dietary sources of calcium. The recommended dose of calcium is 1000 mg per day.

Limit eating animal protein

Meat, fish, and dairy are a rich source of protein, but this animal protein is also associated with a higher rate of kidney stones. The animal protein can influence calcium excretion and have the opposite effects of citrate.

Make medicinal juices

There is a range of juices that act against the development of kidney stones. Some of the finest examples of such juices are Basil Juice, Lemon Juice, Apple Cider Vinegar Juice, Pomegranate juices, and more. These juices increase the fluid amount in your body and are also a rich source of citric acid.

Preventing and treating Kidney stones is possible. However, in case of a severe condition, it is important to consult the best surgeon for kidney stones first.

 

Categories
Advanced Urology Kidney Diseases Minimal Invasive Surgery

Laparoscopic Pyeloplasty to cure Horse Shoe Kidney with PUJ Obstruction

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A young female patient named Mrs. Tripta Goel age 25 years from Mandi Gobind Garh (Punjab) India, presented with pain in the left flank. Her initial investigations showed that she was having an anomaly in her kidney, which is called the horseshoe kidney. In addition, she was having obstruction at the junction of pelvis and ureter (PUJ Obstruction). This problem requires surgery (Pyeloplasty).

The chief urologist at RG Stone, Ludhiana, Dr. Anand Sehgal (Mch, Urology) performed the procedure of laparoscopic pyeloplasty on 29th October 2009. Conventionally, this surgery is being done through a large incision in the abdomen which requires prolonged hospitalization and painful recovery. However, surgery at our center was done laparoscopically through three small holes. Mrs. Tripta was discharged from hospital on 4th day in satisfactory condition. This is a technically demanding procedure and is considered to be an advanced laparoscopic urological procedure that is being done in very few centers in India.

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