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Doctor insights on: Ureteroscopic Holmium Laser Lithotripsy Post

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Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Stone size determine: Shockwave lithotripsy minimally invasive, but not very effective for stones larger than 1 cm in diameter, and can not be used for branching "staghorn" stones. Can be used for larger stones if infectious in origin because they break up more easier. Percutaneous is more invasive, but usually a "one shot" procedure to clean out all the stone material.Swl requires minimal to no skill, pcnl needs skill. ...Read more

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Dr. Elizabeth Finley-Belgrad
149 doctors shared insights

Lithotripsy (Definition)

It is a medical procedure which uses shock waves to break up stones in kidney or ureter, sa these can pass ...Read more


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Gall stone surgery, is open or laser surgery better?

Gall stone surgery, is open or laser surgery better?

Most surgeons: would agree that laparoscopic cholecystectomy, when technically feasible, is better than open cholecystectomy in the vast majority of cases. Ask your surgeon for specific recommendation in your case. ...Read more

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Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?

Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?

Lithotripsy limited: To breaking up the stone and it must still pass. The stone can grow and get worse if that is all that is done. Removal has less overall risk, despite stents... ...Read more

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Is lithotripsy better or percutaneous nephrolithotomy better?

Is  lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material. Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

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Extracorporeal shock wave lithotripsy (eswl) - how long for recovery?

Extracorporeal shock wave lithotripsy (eswl) - how long for recovery?

Vary...: Do you mean get over eswl-related discomfort or total post-eswl stone/fragment passage? For post-eswl discomfort, it may highly vary, days to weeks, depending on what you're and how your body/kidney responds to eswl. For stone/fragment passage, it may take 1 week to months, depending on the load ; density of stones and the eswl effectiveness to disintegrate them; it may take 1 week to months, or.. ...Read more

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

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How much is extracorporeal shock wave lithotripsy for gall stones?

How much is extracorporeal shock wave lithotripsy for gall stones?

Who Cares?: Lithotripsy, though useful for large kidney stones, is pretty much useless for gallstones. The only effective way to treat gallstone disease and prevent recurrence of their symptoms is to have the gallbladder surgically removed as it is the source of gallstone formation. ...Read more

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Is endovenous laser ablation procedure painful?

Is endovenous laser ablation procedure painful?

No: There is minor discomfort from the initial puncture and during the course of getting the vein anesthetized. There should be no pain at all when the laser is running. People have varying amounts of bruising and discomfort after the procedure. This is almost never enough to interrupt regular activities. Laser ablation is much easier (both during the procedure and recovery) than surgical procedures s. ...Read more

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How complicated is kidney stone removal surgery?

How complicated is kidney stone removal surgery?

It depends: To make a generalization, it depends primarily on the size of the stone as well as the location. Anatomic factors may also play a role. Most stone procedures are not complicated; some may be if stones are large and/or multiple, infection is present, etc. ...Read more

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How do they remove a stent placed after kidney stone removal surgery?

How do they remove a stent placed after kidney stone removal surgery?

Two ways: If the stent is left with a long "string" if intended to be short term, this can be grasped and pulled out easily. If there is no visible string, an office procedure to retrieve it with a flexible fiberoptic scope (cystoscopy) is a rapid and relatively painless method to remove the stent. ...Read more

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Pain after stint removal for kidney stone surgery?

Can be normal: After removing a stent following ureteroscopy, it may feel like a "stone" is still there. This usually resolves within 48 hours and is a result of swelling in the "kidney tube". Use pain relievers as prescribed and it should improve with time. If it doesn't, you are having fevers above 101 f or have nonstop nausea/vomiting, then seek medical attention. ...Read more

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How to remove gall stone 13mm without operation?

How to remove gall stone 13mm without operation?

Gallstone removal: No gallstone removal without surgery. A single large stone is less likely to travel down the small duct that empties your gallbladder. Travelling stones can be dangerous to your health. If you have symptoms of gallbladder irritation, pain, bloating, belching, nausea, vomiting then a surgery consult is in order. Gallbladder removal with laprascopic cholecystectomy is safe, effective and durable. ...Read more

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22days post ureteroscopic kidney stone removal&stent placement still passing stones not on CT ? Scans show nonobstructing stones how can this be?

22days post ureteroscopic kidney stone removal&stent placement still passing stones not on CT ?  Scans show nonobstructing  stones  how  can  this be?

Possible: It is good to pass the stones- obstructing or non- obstructing is only a matter of size of the stone and diameter of the ureter ( which is the tube from kidney to the bladder) small size stones may not be seen on ct. Check with your doctor- if kidney stones is a recurrent issue, may benefit if you see a nephrologist who can do some special tests and advise preventive measures. ...Read more

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Will urethral stent removal be painful?

Will urethral stent removal be painful?

Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read more

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Does traditional kidney stone surgery leave a scar?

Does traditional kidney stone surgery leave a scar?

Possibly: If by "traditional", you mean the need to surgically cut out stones from the kidney, ureter, or bladder then yes. These operations are rare in the western world nowadays, but they can be done via minimally invasive methods to minimize scarring. However, nearly all stones can be managed with external lithotripsy (noninvasive), endoscopically (no scar) or percutaneously (small scar) these days. ...Read more

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Can you tell me about (renal) stone surgeries having details of pcnl (percutaneous nephrolithotomy)?

Can you tell me about (renal) stone surgeries having details of pcnl (percutaneous nephrolithotomy)?

See below: Please consult this site for information on this topic. http://www.mayoclinic.org/diseases-conditions/kidney-stones/basics/definition/con-20024829 ...Read more

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Can doctors remove a stone through urethroscopy?

Can doctors remove a stone through urethroscopy?

Here are some...: Nowadays, transureteroscopic procedure to disintegrate the stone in the ureter usually with Holmium laser has become the commonplace in urological practice, which has been proven to be effective and safe. But, nothing is free because many patients have to endure stent-related discomfort after the procedures. ...Read more

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Are you asleep for ureteroscopic stone removal?

Are you asleep for ureteroscopic stone removal?

Ureteroscopy: Yes. All ureteroscopic stone surgery is done with the patient under anesthesia. This is done for 2 reasons: painful procedure and patient must be completely still. ...Read more

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Dr. Christine Hom
9 doctors shared insights

Laser (Definition)

Laser is an abbreviation for light amplification ...Read more