Surgical Options for Kidney Stones
A kidney stone (also known as renal lithiasis) is a hard mass of crystals made of minerals and salts (such as calcium, sodium, potassium, oxalate, uric acid and phosphate) that form inside your kidney. Conservative treatment or treatment using Extracorporeal Shock Wave Lithotripsy (ESWL) is suitable for small and softer stones. However, larger and harder kidney stones require surgical treatment because if left untreated, can damage kidney function
1. Laparoscopic Removal of Kidney Stone
A uteroroscope equipped with a camera and a snare will be used to remove stones which are stuck at the ureter. Sometimes, the doctor may need to place a stent in the ureter to relieve the swelling and blockage and allow urine to flow unobstructed. The stent will be left in place for some time and removed at a later date.
Click to view European Association of Urology video on URS
2. Percutaneous Nephrolitotomy Surgery to Remove Kidney Stones (PCNL)
PCNL involves removing a kidney stone using small telescopes and special instruments inserted through a small opening in your back over the kidney care. The surgery is necessary for larger or hard kidney stones not suitable for ESWL. You will need a general anaesthesia and stay in the hospital for 1-2 days after the surgery
Click to view European Association of Urology video on PCNL
Taking Care After Treatment
- You may experience nausea and vomiting, bruising and pain on your affected side, some discomfort on passing urine as well as blood in your urine. As such, do take some medication for pain relief.
- You can usually get back to your normal activities within 1-2 weeks.
- You should drink lots of later to help flush out residual stone fragments
- Do consult a dietician to help you modify your diet to prevent further stone formation
See your Urologist to discuss your treatment options
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