Kidney Stone Treatment

Kidney Stone Treatment

Recently Answered

  • 1 Answer
    A
    The main risk of extracorporeal shock wave lithotripsy (ESWL) for kidney stones is that it doesn't always work. After ESWL, about 50% of people will be free of kidney stones within a month. In others, stone fragments of various sizes remain, and a repeat procedure (or a different procedure) is needed.

    ESWL has the potential to cause kidney injury. Whether or not ESWL causes or leads to the development of high blood pressure and diabetes remains controversial. These possibilities are still being studied. You should ask your doctor about risks and benefits of ESWL in your situation.
  • 1 Answer
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    The procedures used to remove large kidney stones -- percutaneous nephrolithotomy and percutaneous nephrolithotripsy -- require general anesthesia and a short hospital stay, usually two or three days. The recovery time takes a week or so. Depending on the position of the stone, the procedure itself takes about 20 to 45 minutes. The goal is to take out all of the stones so that none are left to pass through the urinary tract.
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    AJayram Krishnan, DO, Urology, answered on behalf of Sunrise Hospital & Medical Center
    What Can I Expect after My Kidney Stone Is Removed?
    After a kidney stone is removed, your doctor will perform a series of tests that will help tailor your diet for future prevention, says Jayram Krishnan, DO, a urologist at Sunrise Hospital. In this video, he explains what each test analyzes.
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    AJayram Krishnan, DO, Urology, answered on behalf of Sunrise Hospital & Medical Center
    How Are Stones Outside of the Kidney Treated?
    Once a stone leaves the kidney, where it might lodge in the ureter determines treatment, says Jayram Krishnan, DO, a urologist at Sunrise Hospital. In this video, he explains when ureteroscopy might be needed.
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    AGregory Jack, MD, Urology, answered on behalf of UCLA Health
    Stents are inserted to unblock a ureteral stone, often in the setting of emergency for infection or pain. 
     
    For instance if the kidney is infected, a doctor won’t want to perform lithotripsy so they may put in a stent to drain it and then return when the infection has settled. They can also be used to relieve severe pain until lithotripsy can be performed.
     
  • 1 Answer
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    AGregory Jack, MD, Urology, answered on behalf of UCLA Health
    Drinking alkaline water is a popular internet remedy for kidney stones but the effects on kidney stones are uncertain. 
     
    Instead we use potassium citrate or sodium bicarbonate (baking soda) to put your kidney in an alkaline state, which can help dissolve uric acid stones or prevent calcium stones.  
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    AGregory Jack, MD, Urology, answered on behalf of UCLA Health
    It is not a good idea to drink vast amounts of dark beer to help pass a kidney stone, although alcohol is a diuretic. It is important to be careful regarding the herbal remedies you see on the Internet.
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    AGregory Jack, MD, Urology, answered on behalf of UCLA Health
    During PCNL to remove a large kidney stone, doctors can advance a larger camera directly into the kidney. Since the procedure provides direct access into the kidney, doctors can use larger instruments to remove larger stones. Most commonly used are an ultrasound  that can grind the stone up and suction it out, or a pneumatic device that operates like a jackhammer to shatter hard stones along with a variety of graspers to remove the pieces through the sheath in your back. The surgeon will usually have all these devices at his or her disposal and will use whatever works best for the type of stone.

    This procedure is often done in the hospital with an overnight stay because it is invasive.
  • 3 Answers
    A
    If you have large kidney stones -- stones that are bigger than 2 cm, or about the size of a marble -- your doctor may remove them with either percutaneous nephrolithotomy and percutaneous nephrolithotripsy. Both of these treatments are used for people with large or irregularly shaped kidney stones, people with infections, stones that have not been broken up enough by ESWL (extracorporeal shock wave lithotripsy) or people who are not candidates for another common stone treatment called ureteroscopy.

    Both procedures involve entering the kidney through a small incision in the back. Once the surgeon gets to the kidney, a nephroscope (a miniature fiber optic camera on a thin tube) and other small instruments are threaded in through the hole. lf the stone is removed through the tube, it is called nephrolithotomy. lf the stone is broken up and then removed, it is called nephrolithotripsy. The surgeon can see the stone, use high frequency sound waves to break up the stone, and "vacuum" up the dust using a suction machine.

    This is what the words mean:
    • Percutaneous means through the skin.
    • Nephrolithotomy is a combination of the word roots nephro- (kidney), litho-(stone) and -tomy (removal).
    • Nephrolithotripsy is a combination of the word roots nephro- (kidney), litho (stone), and -tripsy (crushed).
    See All 3 Answers
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    AGregory Jack, MD, Urology, answered on behalf of UCLA Health
    Lithotripsy -- litho (stone) and tripsy (break) -- is any way of saying “to break a stone”. It can refer to any energy source or procedure that is used to break up a stone. The most common energy sources used today are acoustic shock waves (ESWL), laser energy, and pneumatic energy.