हिं Consult Now
Major Surgeries

Kidney Stones

What it is, when surgery is advised, what it typically costs, and what the alternatives are — before you decide anything.

A kidney stone is a solid crystalline mass that develops in the kidneys. It is sometimes referred to as a renal calculus or nephrolithiasis. It is made up of many elements like calcium, oxalate, uric acid, cystine, and struvite. The size of kidney stones can vary, from tiny particles that pass through the urinary canal undetected to bigger stones that can be quite painful and uncomfortable.

Symptoms

  • Pain in back
  • Pain below the ribs
  • Blood to appear in the urine
  • Increased frequency of urination
  • Urgency to urinate
  • Pain or a burning sensation during urination
  • Nausea and vomiting
  • urinary tract infection

Common causes

  • Dehydration
  • Family history
  • Age and gender
  • Obesity
  • Medications

Surgical options

Costs are 2023 estimates from our network, for reference only — the hospital and surgeon set the actual charge, and you will see it before anything is booked.

Ureteroscopy

₹30,000 – ₹1,40,000 · typically ₹75,000

A tiny tube called a ureteroscope is placed into the urethra and bladder during a minimally invasive procedure called a ureteroscopy to access the kidney or ureteral stone. The stone is subsequently cut into bits with the aid of mechanical, ultrasonic, or laser tools, and the smaller fragments are either removed or allowed to pass naturally.

Common questions

What is ureteroscopy?
Ureteroscopy is a minimally invasive medical treatment used to identify and treat diseases of the urinary tract, particularly those affecting the ureter and kidney. It involves using a ureteroscope, a small, flexible tube that is inserted through the urethra, advanced into the bladder, and further into the ureter or kidney.
How is ureteroscopy surgery performed?

The procedure of ureteroscopy surgery involves the following steps:

    Preparation: In order to assess your urinary tract and choose the most effective surgical strategy, you may need to perform a number of tests prior to the procedure, such as imaging scans, blood tests, or urine tests.

    Both general anaesthesia, which renders you unconscious, and local anaesthesia with sedation, which keeps you awake but relaxed and pain-free, are options for ureteroscopy anaesthesia.

    The ureteroscope is inserted into your urethra, the orifice through which urine exits the body, after you've been given anaesthesia by a surgeon or urologist.

    Treatment and visualisation: The surgeon can view the urinary tract on a monitor attached to the camera as it is directed into the ureter and kidney. This gives the surgeon a thorough look of the structures, enabling him or her to spot any anomalies or stones.

    Placement of a stent (if necessary): To facilitate urine flow and prevent obstruction while the ureter heals, a stent, which is a tiny tube, may occasionally be inserted. If there is a chance of edoema or obstruction following the procedure, this is usually done.

After the required procedures are finished, the ureteroscope is taken out, and you are then transferred to a recovery area for observation.

Is ureteroscopy a painful procedure?
Ureteroscopy is typically not a painful procedure as it is performed under anesthesia. The type of anesthesia used may vary depending on factors such as the complexity of the procedure, your overall health, and your preference.
Are there any dietary restrictions after ureteroscopy?
Depending on your specific circumstance and any particular diseases or concerns, doctor may give special food recommendations after ureteroscopy. However, the following basic recommendations are frequently made following the procedure:Keep hydrated. restricting alcohol and caffeine, Don't eat anything spicy or acidic. Eat oxalate-rich foods sparingly and maintain a balanced diet.
Can ureteroscopy cause damage to the urinary tract?
Ureteroscopy is a minimally invasive procedure used to diagnose and treat conditions affecting the urinary tract, particularly the ureters and kidneys. While it is generally considered safe, like any medical procedure, it carries some risks, including the potential for damage to the urinary tract. However, severe problems are not common. Potential complications and risks associated with ureteroscopy include:Injury to the ureter or other structures, Urinary tract infection,Bleeding, Stent-related discomfort.
What are the advantages of ureteroscopy?
Ureteroscopy offers several advantages as a diagnostic and therapeutic procedure for conditions affecting the urinary tract. Some of the key advantages of ureteroscopy include:Minimally invasive, Direct visualization, Treatment of various conditions, Higher success rates, Shorter hospital stays, Reduced recovery time.

Percutaneous Nephrolithotripsy

₹65,000 – ₹1,50,000 · typically ₹97,000

Large kidney stones or complex kidney stones that cannot be adequately treated with non-invasive techniques like medicine or shock wave lithotripsy are removed by a surgical procedure called percutaneous nephrolithotripsy (PCNL). Through a small incision in the back, the kidney is accessed during this minimally invasive treatment.

Once the stones have been discovered, several methods can be employed to fragment them. This can entail shattering the stones with pneumatic or ultrasonic energy. Additionally, the surgeon may employ laser radiation to fragment the stones before removing them whole with specialised tools.

Common questions

What is percutaneous nephrolithotripsy ?
The large or complicated kidney stones can be removed from the body using the minimally invasive surgical approach known as percutaneous nephrolithotripsy (PCNL). An expert urologist often does it while under general anesthesia.
Which technique is used to locate the stone within the kidney ?
Using imaging techniques, such as fluoroscopy or ultrasound, the surgeon locates the kidney stone or stones within the kidney.
What is Nephrostomy tube placement ?
Through the incision, a nephrostomy tube—a skinny plastic tube—is introduced into the kidney. This tube makes it possible to drain the urine and gives access to the tools needed for the surgery.
What is the flow to perform this surgery process ?
There are various steps for PCNL surgery such as Preparation, Access kidney pathway, Nephrostomy tube placement, Stone localization, Stone fragmentation, Stone removal, Drainage and closure, Recovery.
What are the potential risks and complications of percutaneous nephrolithotripsy?
The procedure known as percutaneous nephrolithotripsy (PCNL) entails some dangers and potential issues including pain and discomfort, bleeding, infection, organ damage, urine leakage, scarring or strictures, persistent or recurring stones, and so forth.
Are there any dietary restrictions after percutaneous nephrolithotripsy?
What to eat or drink:
1. Stay hydrated
2. Dairy products could be included but in diluted form.
3. Foods rich in high fiber should be included in the diet
What should not eat or drink:
1. Green leafy vegetables like spinach, mustard, and beet greens
2. Banana, mango, apricot, grapes
3. Alcohol, Soft drinks, Soda
4. Caffeinated drinks like tea and coffee
What are the benefits of percutaneous nephrolithotripsy?
Kidney stone therapy using percutaneous nephrolithotripsy (PCNL) has a number of benefits. Here are some of the benefits associated with PCNL: Effective treatment for large and complex stones, Complete stone removal, Minimally invasive approach, Customized approach, Single-session treatment, Reduced need for additional procedures.

How treatment proceeds

Usually, a medical history, physical examination, and diagnostic testing are used to diagnose kidney stones. Here is a summary of the kidney stone diagnostic process:

Medical History: The doctor will inquire about your symptoms, such as the kind and location of discomfort, any prior kidney stone experiences, and any risk factors you may have, such as dietary habits, medical diseases with which you may be living, or your family history.

Physical Exam: The doctor might do a physical exam to evaluate your general health and search for indications of kidney stone-related issues, such as fever, soreness over the kidneys, or unusual urine colour.

Imaging examinations: A variety of imaging methods are used to identify the existence, size, and location of kidney stones. These tests consist of:

X-rays: The majority of kidney stones, especially those that contain calcium, can be identified with the aid of X-ray pictures. However, some kinds of stones, including those made of uric acid, could not be noticeable on standard X-rays.

Ultrasound: The urinary tract and kidneys can be visualised using sound waves in ultrasound imaging. It is helpful for assessing problems or obstructions brought on by stones and can detect larger stones.

Computed Tomography (CT) Scan: CT scans give precise pictures of the kidneys and urinary system, making it possible to identify and diagnose kidney stones with accuracy. When determining the size of the obstruction and finding tiny stones, CT scans are especially useful.

Urine testing: Analysing a urine sample can reveal important details about the composition of kidney stones and assist in locating any underlying disorders that might be responsible for stone production. A urinalysis, which analyses the physical and chemical characteristics of the urine, and/or a urine culture, which screens for any infection, may be required for this.

Non-surgical care

For the treatment of kidney stones, there are non-surgical options. Smaller stones that are most likely to pass naturally or with the aid of medical intervention are often treated using these treatments. Here are a few typical non-surgical methods:

Observation and Fluids: In certain circumstances, tiny kidney stones can be removed from the urinary tract by increasing fluid intake and managing pain. To encourage urine flow and aid in the passage of stones, the patient may be recommended to drink plenty of water. During the procedure, painkillers may be provided to treat any discomfort. The progress of the stone may be monitored often using imaging techniques.

Medication: Medication can be used to dissolve some types of stones or to help kidney stones pass more easily. Tamsulosin is an example of an alpha-blocker that can ease ureteric muscle tension, facilitating the passage of stones. It may be necessary to take additional drugs, like potassium citrate, to assist prevent the development of specific kinds of kidney stones.

Ureteral Stent Insertion: To temporarily relieve an obstruction brought on by a kidney stone, a thin, flexible tube known as a ureteral stent may be put into the urethra, bladder, and ureter. The stent aids in preserving urine flow and permits passage of the stone or later treatment with alternative methods.

This page is general information about a medical condition, not a diagnosis or a recommendation to undergo surgery. Decisions about surgery should be made with a qualified doctor who has examined you.

← All conditions