Kidney Stones

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For small stones in the urinary tract most people don't need any treatment other than taking medicine and drinking enough fluids. If the stone is of a size that is passable then Urologists at KK Hospital will prescribe medicine pass the stone. If the stone is not passable Team of Dr. Krishna Kishore have in their armamentarium the best and most sophisticated equipment and skills to get rid of the stone quickly and efficiently.

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Laser Surgery/ RIRS - Retrograde Intracranial Surgery:

Retrograde intracranial surgery (RIRS) is a procedure for doing surgery within the kidney using a viewing tube called a fibrotic 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 (intracranial). RIRS may be done to remove a stone. The stone is seen through the scope and can then be manipulated or crushed by an ultrasound probe or evaporated by a laser probe or grabbed by small forceps, etc. RIRS is performed by a specialist, a urologist (end urologist) with special expertise in RIRS. The procedure is usually done under general or spinal anaesthesia. 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.

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PCNL - Per Cutaneous Nephro Lithotomy

Kidney stones are formed in the urinary tract due to crystallization of chemical compounds in the urine. PCNL is a technique used to remove certain stones in the kidney or upper ureter (the tube that drains urine from the kidney to the bladder) that are too large for other forms of stone treatment.

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URSL

This is the endoscopic treatment of ureter stones using a mini-scope. Under general anaesthesia, the ureteroscope is passed via the urethra into the bladder and up the ureter. A laser fibre or lithoclast probe is used to break the stone into smaller pieces. These tiny stone pieces will pass out on their own. Sometimes a wire basket is used to fish out the stone pieces. This surgery takes 30 mins on average and can be done as a day case. Occasionally, a double-J (DJ) stent may need to be inserted if there be any injury to the ureter wall or if there is already gross hydronephrosis (swelling) of the kidney due to the impacted stone. The success rate for stones lodged in the lower ureter is near 100%. For stones lodged at the mid to upper ureter, there is a chance they may float up into the kidney beyond the reach of the scope.

Cystolithotripsy

Cystolithotripsy is a surgical treatment for the patients who are suffering from symptomatic bladder stones including open cystolithotomy, percutaneous cystolithotomy, or cystoscopic laser lithotripsy with stone extraction. The part of cystolithotripsy from past 10 years has undergone a remarkable evolution, due to the advent of holmium laser. Cystolithotripsy (or) CLT is the removal of bladder stones by the procedure of crushing (or) destruction of the stones.