What is a Kidney stone?
Kidney stones are one of the most common disorders of the urinary tract. A kidney stone is a solid piece of material that forms in a kidney when substances that are normally found in the urine become highly concentrated. A stone may stay in the kidney or travel down the urinary tract. People with kidney stones may have pain while urinating, see blood in the urine, or feel a sharp pain in the back or lower abdomen. The pain may last for a short or long time. People may experience nausea and vomiting with the pain.
What causes Kidney stones?
According to the urologist at Aarvy Hospital, Gurgaon, Kidney stones can run in families or be due to environmental factors. Some causes of kidney stones include:
Kidney Stone Removal at Aarvy Hospital, Gurgaon
Treatment for kidney stones usually depends on their size and what they are made of, as well as whether they are causing pain or obstructing the urinary tract. Pain control may consist of oral or intravenous (IV) medication, depending on the duration and severity of the pain. IV fluids may be needed if the person becomes dehydrated from vomiting or an inability to drink. A person with a larger stone, or one that blocks urine flow and causes great pain, may need more urgent treatment, such as:
Lithotripsy: It is the easiest procedure. The patient lies in a tub and shock waves are focused on the stone. It is non-invasive, but if the stone is over 1 cm, you will likely need a cystoscopy and stent to help the pieces pass. Patients can go home the same day. The effectiveness of removal of kidney stone by lithotripsy is 85%.
Endoscopy: A urologist looks inside the bladder and all the way up to the kidney with a small scope and either remove the stone or break it up with a laser and remove the pieces. It is a minimally invasive procedure. The effectiveness of this method of kidney stone removal is 95%.
Percutaneous removal: PCNL is the treatment of choice for stones over 15 - 20 mm (1.5 to 2 cm). The Urologist at Aarvy Hospital, Gurgaon routinely uses this technique for patients. While it is minimally invasive, it requires a one inch incision in the back. A channel is made from the skin straight into the kidney. Patients typically spend one night in the hospital (two for older patients). The effectiveness for this method of removal of kidney stone is 90 - 95%.
Open surgery: It is extremely rare to need a large incision to remove a stone from the urinary tract. At Aarvy Hospital, Gurgaon we have highly skilled urologists who will advice the best treatment for you regarding removal of kidney stones.