Kidney stones are hard deposits of salt and minerals in the kidneys. These stones usually cause immense pain whenever they move or obstruct the urinary tract. Kidney stones differ in size. While some stones can be a few millimetres in size, others can grow to inches. Kidney stones are quite prevalent and can affect both men and women equally. Kidney stones can be divided into four major types- calcium stones, uric acid stones, struvite stones and cystine stones.
Causes
Lack of water
High animal protein diet
High salt in diet
High Blood Sugar
Family History
Bowel disorders
Obesity
Symptoms
Pain in abdomen or back
Burning in urine
Hematuria
Foul smelling urine
Frequency
Harmful Effects
Diagnosis
Why Laser Treatment?
How can I prevent Kidney Stones
Harmful Effects
Harmful Effects
→ Recurrent Urinary tract infections
→ Infections in the kidney
→ Loss of kidney function
→ Renal failure
→ Hydronephrosis
→ Ureteral stricture
Diagnosis
Diagnosis
You should reach out to a urologist as soon as you notice the symptoms of kidney stones. The urologist will discuss your medical history to get a better understanding of your condition. The doctor may perform a physical examination and ask you to undergo some imaging tests for the proper diagnosis of the size and the location of the kidney stones.
Common imaging techniques used are ultrasound of kidney, ureter & bladder , CT scan with or without contrast. If you are allergic to contrast or dye used in imaging , inform your doctor beforehand.
In addition to imaging tests, the doctor may also conduct some blood and urine tests to get a detailed insight into the condition of your kidney stones.
Why Laser Treatment?
Laser Treatment
→ 30 min procedure
→ No major incisions
→ No long hospital stays required
→ No stitches| No scars
→ Negligible postoperative complications
How can I prevent Kidney Stones
How can I prevent Kidney Stones
The best way to prevent most kidney stones is to drink enough fluids every day. Most people should drink eight to 12 cups of fluid per day. If you have kidney disease and need to limit fluids, ask your doctor how much fluid you should have each day. Limiting sodium and animal protein (meat, eggs) in your diet may also help to prevent kidney stones. If your doctor can find out what your kidney stone is made of, he or she may be able to give you specific diet recommendations to help prevent future kidney stones.
If you have a health condition that makes you more likely to have kidney stones, your doctor might tell you to take medicine to treat this condition.
Never start or stop any treatment or diet without talking to your doctor first!
Treatment
The treatment for a kidney stone depends on the size of the stone, what it is made of, whether it is causing pain and whether it is blocking your urinary tract.
If your test results show that your kidney stone is small, your doctor may tell you to take pain medicine and drink plenty of fluids to help push the stone through your urinary tract. If your kidney stone is large, or if it is blocking your urinary tract, additional treatment may be necessary.
ESWL
Extracorporeal shock wave lithotripsy : This treatment uses shock waves to break up the kidney stones into small pieces. After the treatment, the small pieces of the kidney stone will pass through your urinary tract and out of your body with your urine. This treatment usually takes 45 minutes to one hour and may be done under general anesthesia, which means you will be asleep and unable to feel pain. It has limited use in today’s scenario with laser treatment options available.
URS :
In this a small slender ureteroscope is passed through the urinary passage and stone is broken in ureter and fragments evacuated.
RIRS :
This is the latest technique in which a sleek flexible ureteroscope is passed through urinary passage through the ureter into the kidney. The stone is broken through laser and fragments are dusted & retrieved .
PCNL/MINIPERC :
in percutaneous nephrolihotomy , a small keyhole puncture is made from back into the kidney and stones are removed.
HOW CAN I PREVENT KIDNEY STONES?
The best way to prevent most kidney stones is to drink enough fluids every day. Most people should drink eight to 12 cups of fluid per day. If you have kidney disease and need to limit fluids, ask your doctor how much fluid you should have each day. Limiting sodium and animal protein (meat, eggs) in your diet may also help to prevent kidney stones. If your doctor can find out what your kidney stone is made of, he or she may be able to give you specific diet recommendations to help prevent future kidney stones.If you have a health condition that makes you more likely to have kidney stones, your doctor might tell you to take medicine to treat this condition.Never start or stop any treatment or diet without talking to your doctor first!
Dr. Venkatesh Kumar is a highly motivated and compassionate board certified Urologist, Andrologist & Uro-Oncologist in Noida. He has over 10 years of experience in Urology and has been trained in Indraprastha Apollo Hospital, New Delhi, India’s first JCI accredited 750 bedded superspeciality hospital.