Doctor insights on:
Ureteroscopic Holmium Laser Lithotripsy Post
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 moreSee 1 more doctor answer
Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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
Drainage kidney ston: go back to the percutaneous lithotripter now. ...Read more
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
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
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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