Kidney/Urinary stones are pieces that form when minerals in the urine become very concentrated and solidify. While small kidney stones often pass through the body causing only a little discomfort, larger stones can be extremely painful and may even block the urinary tract. Usually, urinary stones occur in adults, but, they can also occur in children of any age. There are growing incidences of more children developing stones in recent years, possibly because of lifestyle and dietary factors.
Extracorporeal Shock Wave Lithotrispy (ESWL)
This treatment uses electro magnetic waves which are projected from outside the body, with a very high focus on the kidney stones, in order to crush them into minute sand like particles. The pulverized stones then easily pass in the urine. Large stones may require two or more sittings. The advantage of ESWL is that it can be used for patients of all age groups and those who have heart and breathing problems. However, this procedure is not preferred for women who are pregnant.
With the help of the 4th generation "SIEMENS LITHOTRIPTER" with ultrasound attachment, even radioluscent stones can be treated, which are not visible in normal fluoroscopy Lithotripters.
Percutaneous Nephrolithotomy (PCNL)
PCNL is a surgical procedure in which a small puncture wound (up to about 1 cm) is made through the skin. It is recommended when stones are of more than 2 cm in size and are present near the pelvic region. The patient is usually given general anesthesia or spinal anesthesia to carry out this procedure Percutaneous removal of kidney stones (lithotomy) is accomplished using a telescope along with the mechanical lithotripter inserted to break the stone into fine particles, so as to achieve a stone-free status in large and complicated stones. The patient is usually admitted in the hospital, and most patients resume normal activity within 2 weeks.
PCNL is a very good procedure for kidney stone. Nowadays almost all type of kidney stone san be managed by PCNL. PCNL has almost eliminated the need of open surgery for kidney stones. It is a very safe procedure, causes very less pain to the patient and the patient can resume his normal life within a short span of time.
Ureterorenoscopic Lithotrispy With Holmium Laser
This procedure is performed under epidural and spinal anaesthesia in order to treat stones located in the middle or lower ureter. To carry out the procedure, a small, fiberoptic instrument called ureteroscope is passed into the ureter. Using 100-Watt Coherent Holmium Laser, large stones are fragmented into sand like particles, which are then flushed out through the natural urinary passage.
The advantage of Holmium Laser is that it accurately fragments stones of all compositions with high precision. So far, it is the most effective laser treatment for urinary stones. Patients are hospitalised on the day of the treatment and are discharged next day, which means only 24 hours of hospitalization is required.