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Kidney Stone Removal is a procedure involves breaking the stones using techniques like lithotripsy, ureteroscopy or nephrolithotomy. In most cases, these stones can be passed out of the body through urine once they are broken into smaller pieces.
There are 3 main techniques for removing kidney stones:
1. Lithotripsy is the most widely used procedure for kidney stone removal. It can be performed in following 3 ways
2. Ureteroscopy is a surgical procedure performed by inserting ureteroscope in the urethra.
3. Percutaneous Nephrolithotomy is used when lithotripsy and ureteroscopy does not prove sucessful. It is used for comparatively larger kidney stones.
The indications for Kidney Stone Removal procedure include:
The tests to be carried out before the procedure include:
Kidney Stone Removal procedure is generally performed by an experienced urologist.
1. Lithotripsy - In this procedure, the kidney stones are broken down into small pieces using either of the below mentioned techniques. The broken pieces are passed out of the body via urine. A standard lithotripsy procedure is completed within 45 minutes to an hour.
2. Ureteroscopy - An incision is made in the body to insert a ureteroscope (a viewing instrument) into the urethra. Ureteroscope is then via bladder and ureter and kidney stone is located. Using forceps, stone is grabbed and removed surgically.
3. Percutaneous Nephrolithotomy - It is an elaborate surgery which is performed under general anesthesia. The surgeon puts a cut in the back of the body to insert a tube into the kidney via bladder. X-ray will be used to find the exact location of the stone and access them. If the stone is large to fit the tube, then it is broken into smaller pieces. Stones are drained through the tube.
The patient is generally discharged on the same day if lithotripsy is used. In case of ureteroscopy and percutaneous nephrolitotomy, the patient has to stay in hospital for 1 to 2 days.
Tests like X - ray and ultrasound are carried out after a few days to make sure that none of the stone particles are left behind.
The recovery time after this procedure ranges between a few days to several weeks depending on the condition of the patient before the procedure and the effects that the stone had on the organ. If there are no complications following the procedure, the patient can recover completely in a week’s time.
The doctor will recommend increasing intake of water considerably. The patients are advised to limit the intake of foods with high protein content and salt. Meats, bananas, pulses, nuts, coffee and green leafy vegetables should be avoided during the recovery period.
Patients may witness some side effects after the procedure. These include: