Second Opinion
ESWL is a form of shock wave therapy in which shock waves are projected from outside the body by a generator and it is used to break the stones into multiple small pieces which will pass by itself in the urine. ESWL requires no hole or incision as it is a completely scarless surgery.
Stones upto 10 mm in the kidney and the upper part of the urinary tube and soft stones can be treated by this method.
This procedure is done as day care and the patients are discharged on the same day
URS is a form of endoscopic surgery in which a slender endoscope which can be as small as 1.5 mm in diameter is passed into the ureter and the stone is visualized and broken into small fragments either by laser or lithoclast( pneumatic energy) and the stones are completely removed. This is a scarless natural orifice surgery.
Sometimes patients might need a Double j stent which is placed and removed after couple of weeks
This procedure is done as day care and the patients are discharged on the same day
RIRS is a form of endoscopic surgery in which a slender flexible endoscope is passed via the ureter into the kidney and stones are dusted into powder with laser and the fragments are removed by basket.
Stones in the kidney upto 2 cm can be treated by this method .This a scarless natural orifice surgery .
We have state of the art disposable digital flexible ureteroscopes which reduces the risk of infection while achieving good stone clearance
Sometimes patients might need a Double j stent which is placed and removed after couple of weeks
This procedure is done as day care and the patients are discharged on the same day
PCNL is a form of endoscopic surgery in which small telescope placed through a small puncture in
the back into kidney and the stones are fragmented either by laser /pnematic or ultrasonic energy and the fragments are removed.
It is a minimally invasive procedure.
Sometimes patients might need a small tube in the back from the kidney and a stent to drain the kidney
The tube in the back can be removed in the same admission and the stent is usually removed after a couple of weeks
In the era of endoscopic stone surgery most of the stones can be treated by endoscopic methods
Laproscopy is a form of surgery in which the abdomen is entered through small holes and the kidney is reached and the stones are removed .
Even though this is also a minimally invasive procedure it is more invasive than the endoscopic procedures
The usual indications are:
Removal of stones along with correction for anatomic defects like pyeloplasty, reimplantation etc.
Dr Mohankumar is a consultant Urologist, Andrologist, Robotic and Renal transplant Surgeon with special expertise in Advanced Endourological and complex Laparoscopic Surgery and Renal transplantation with more than 6 years experience in his field.
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