1 hr : 30 min
The kidneys are a bean shaped organ. They are two in number.Its located in the back side of the lower abdomen. Its main function is to eliminate waste products and excess fluids from the body.
Urine is carried from the kidney to the urinary bladder (Organ that stores the urine) with help of tube like connection known as the ureter. Waste products include mainly salts like urea, sodium, potassium, etc.”
When the amount of water in urine decreases or the salts in urine increases, they tend to clump to become hard small masses known as stones or calculus. When such stones forms and stays either in the kidney or the ureters they are known as kidney stones. Stones that occur in the junction in between ureter and bladder is lower ureteric stone. The stone in urinary bladder is bladder stone.
Understanding painless kidney stone removal
The given procedures are done to remove the stone and save the kidney. By this the obstruction in the urinary flow is relieved.
This can be done by various methods depending on the size and location of the stone. That includes fragmenting the stones by laser, removing it with laparoscopic surgical techniques, etc.
How is painless kidney stone removal Performed
At first an Ultrasound or CT scan is done to identify the Location, size, position and number of stones. Smaller stones less than 5 millimeter in size can be flushed out through urine without surgical intervention. Drinking lots of water helps in passing out these stones.
Larger stones are broken down or removed using the procedures described below. Here there are two main procedures which is actually done depending on the size of stone present.
1. PCNL (Percutaneous Nephrolithotomy )-
A needle is sent through the patient’s lower back, right or left side, depending on the location of the stone. A guide wire is sent through the needle. The needle is then removed with the wire still inside. A device known as Nephroscope is inserted through the guide wire. This instrument finds the stone, and removes it.
2. URS (Uretero Reno Scopy)-This procedure is usually preferred for stones smaller than 2cms, located in the lower part of the ureter. A minute camera is sent through the urethra to locate the kidney stone. The stones are then broken down into fragments with the help of laser which by heating the mineral, slowly breaks it down. The particles are then washed away with normal urine flow.
3.ESWL (Extracorporeal Shock Wave Lithotripsy)- When a large stone is in the kidneys or in the upper ureters, we push it back into kidneys and attack it shock waves from outside. This is the process of stone breakage.
4.Laparoscopic Stone Removal- One can access the ureter and loop it. Make a small nick in the wall and take out the stone that is impacted there. Although it is rarely done, it is very useful in some situations.
The kidney stones should be removed within 6 weeks to 3 months. If not the obstruction would cause injury to the kidneys and might even lead to kidney failure. The surgery should be performed at an early stage to save the kidneys.
life after PAINLESS KIDNEY STONE REMOVAL
- To drink plenty of fluids.
- Take rest.
painless kidney stone removal FAQ
Dr. Ilamparuthi Chennakrishnan
GENITO- URINARY SURGEON
M.B.B.S., M.S. (General surgery), M.Ch. (Urology), D.N.B. (GUS), F.I.C.S.