Kidney Stone
Kidney Stone
URINARY STONES
Urinary stones are conglomeration of multiple small crystals of chemicals like calcium, oxalate, phosphate, uric acid, xanthine.
They are expelled out of body through natural body tubes called ureter and urethra. Stones are formed almost always in kidney exception being bladder stones which are formed due to obstruction to urine passage outlet.
These stones look like any stones you would find in geological museums with a wide variety of colours, hardness, texture and shapes.
Causes of stones
These stones form in the kidneys when the conditions favour their formation.
Firstly, some people are more prone than others i.e they have metabolic reasons to form more chemicals in the urine.
Secondly, there can be structural abnormalities in the urinary tract leading to stagnation of urine and thus leading to increased chances of crystals getting converted to stones.
hirdly, urinary ph, and infection in urine lead to increased accumulation of certain chemicals like ammonia leading to large sized stones almost resembling horn of a stag.
Symptoms:
➾ Pain
➾ Blood in urine
➾ Fever
➾ Vomiting
➾ Strangury
Natural expulsion
Just like urine which keeps moving out of the system by waves generated by the body, these stones also move along the waves to be expelled out.
Whenever these stones get stuck at some point in the path pressure builds up in the kidney and kidney gets balooned up causing pain. This swelling in the kidney is called as hydronephrosis. If the stone passes off, then hydronephrosis obviously dissapears. If the stone persists for a longer time hydronephrosis becomes irreversible and is pemanent even if the stone has passed out. This is called as residual hydronephrosis.
Evaluation
A detailed history of present ant past pains with complete details of natural expulsion and procedures is done. Investigations like ultrasound, creatinine, IVU, CT –IVU is performed to know the status of stone and kidney. Occasionally isotope renal scan is done to know the exact function of each kidney.
Treatment
Natural expulsion of stones is possible with tiny stones and in drainage systems of people with history of regular lithuria(stone in voided urine).
People needing any intervention by a urologist are the ones whose stones have got stuck up at some point in the whole tract or when stone is causing reduction of kidney function due to infection or obstruction.
Pain may or may not persist when the stone is lodged in the tract blocking the path of urine. Reduction in pain is a natural mechanism by body wherein the volume of urine generated by that kidney is reduced. Persistence of this reduction causes kidney to initially function sub-normally and to completely stop functioning later.
Treatment methods
➾ ESWL(Extracorporeal shock wave lithotripsy)
➾ Endoscopic removal of stones
➾ Laparoscopic removal of stones
➾ Combined techniques
➾ Medical dissolution of stones in rare variety of stones.
ESWL(Extra –corporeal shock wave lithotripsy)
Shock wave lithotripsy is an out-patient procedure where a modified sound wave is focussed on to the stone while visualising it by sonography or x-ray. Stone is fragmented and it passes off the normal urinary tract like tiny stones do.
The selection of this procedure is based on the size, site and impaction of the stone. 2 to 4 sittings are needed for harder stones and complete clearance.
Sometimes the fragments of stone come together and can get jammed in the ureter(pipe that carries urine from kidney to bladder). This can lead to severe pain or infection. It is corrected by placing a stent across the fragments and thus bypassing the block till all stones have cleared up. Some larger stones will need pre-stenting before ESWL to prevent the above said complication.
ESWL(Extra –corporeal shock wave lithotripsy)
Shock wave lithotripsy is an out-patient procedure where a modified sound wave is focussed on to the stone while visualising it by sonography or x-ray. Stone is fragmented and it passes off the normal urinary tract like tiny stones do.
The selection of this procedure is based on the size, site and impaction of the stone. 2 to 4 sittings are needed for harder stones and complete clearance.
Sometimes the fragments of stone come together and can get jammed in the ureter(pipe that carries urine from kidney to bladder). This can lead to severe pain or infection. It is corrected by placing a stent across the fragments and thus bypassing the block till all stones have cleared up. Some larger stones will need pre-stenting before ESWL to prevent the above said complication.
Endoscopic Techniques
PCNL(Percutaneous Nephrolithotomy)
A tiny hole made in the back takes the telescope into the kidney and removes the stones either by fragmenting it or by directly picking it up.
Patient needs to be admitted in the hospital for 2 days till he is comfortable and the tubes inserted during procedure are removed. It requires anesthesia to be given before the procedure and occasionally pain killers may be needed for 1 or 2 days.
The stones suitable for this procedure are large stones (more than 20 mm) and stones in special locations like pockets in the kidney(diverticulum).
URS (uretero-renoscopy)
A telescope which is has the diameter of a ballpoint refill inserted under anesthesia through natural urine passage and carried into ureter and kidney. Stone is visualized on a large screen and fragmentesd using a suitable energy source.
It is a day care procedure where patient walks out of the center in 6 hours .
Ureteric stones of any size and kidney stones for less than 20 mm size are easily treated by this technique.
Two varieties are available – Flexi and semirigid.
Cystoscopic removal
A rigid or flexi cystoscope is inserted through natural urinary opening and stone removed intact or after fragmentation.
PCCL(Percutaneous cystolithotrity)
A small puncture just below umbilicus leads a telescope directly into bladder thus avoiding natural urine passage which is important in children and unfit adults.
Laparoscopic removal of stones
Large stones in the ureter and renal pelvis are removed by laparoscopic technique thus avoiding long period instrumentation of ureters and thus removing the stone intact.
Patients need to stay for 24 hours in the urology center.
Combined techniques
For large and complex stones 2 or more than two techniques are utilized for complete stone clearance. They can either be in one sitting or in multiple sittings as deemed fit.
Medical dissolution of stones
Rare stones like pure uric acid stones, small infection stones and stones due to medications for HIV can be dissolved with oral medications.
Complications
Untreated long standing stones can cause failure of that kidney. Recurrent infections can lead to decrease in the function of the kidney. Severe infections especially in diabetics can be life threatening. Occasionally, bleeding in urine can be very severe. Blockage of common tract called urethra can cause retention of urine. Simultaneous blockage of both ureters can cause life threatening anuria(no urine formation).
Testimonials
Real reviews from our patients on Google
Kranti Tandel
2 months ago
From the moment I walked into the hospital until the day I was discharged, I felt genuinely cared for.
A heartfelt thank you to Dr. Manish Dubey for making such a stressful time feel so much easier. His calm nature, patience, and the way he explains everything instantly put me at ease. They say half the healing begins when you trust your doctor, and that’s exactly how I felt with him. The procedure was far less painful than I had imagined, and I truly believe that’s because of his skill and the confidence he gives his patients.
The nursing staff was absolutely wonderful
kind, compassionate, attentive, and always there whenever I needed help. Every member of the hospital and hospitality staff treated me with warmth, respect, and genuine care, which made all the difference during my recovery.
It’s rare to find a team that is not only excellent at what they do but also so humane and compassionate. Thank you to Dr. Manish Dubey and the entire team for making my journey so comfortable. I will always be grateful and would wholeheartedly recommend this hospital to anyone looking for exceptional medical care.
Read moreA heartfelt thank you to Dr. Manish Dubey for making such a stressful time feel so much easier. His calm nature, patience, and the way he explains everything instantly put me at ease. They say half the healing begins when you trust your doctor, and that’s exactly how I felt with him. The procedure was far less painful than I had imagined, and I truly believe that’s because of his skill and the confidence he gives his patients.
The nursing staff was absolutely wonderful
kind, compassionate, attentive, and always there whenever I needed help. Every member of the hospital and hospitality staff treated me with warmth, respect, and genuine care, which made all the difference during my recovery.
It’s rare to find a team that is not only excellent at what they do but also so humane and compassionate. Thank you to Dr. Manish Dubey and the entire team for making my journey so comfortable. I will always be grateful and would wholeheartedly recommend this hospital to anyone looking for exceptional medical care.
Shilpa Nair
4 months ago
I had an excellent experience and am very grateful for the care and support I received. The entire staff was professional, friendly, and attentive, making me feel comfortable throughout the process.
A special thank you to Dr. Vijaykumar Yadav for his expertise, patience, and compassionate approach. He took the time to explain everything clearly and ensured that all my concerns were addressed. His dedication to patient care is truly commendable.
I highly recommend this place to anyone seeking quality treatment and outstanding service. Thank you once again, Dr. Vijaykumar Yadav, for your exceptional care!
Read moreA special thank you to Dr. Vijaykumar Yadav for his expertise, patience, and compassionate approach. He took the time to explain everything clearly and ensured that all my concerns were addressed. His dedication to patient care is truly commendable.
I highly recommend this place to anyone seeking quality treatment and outstanding service. Thank you once again, Dr. Vijaykumar Yadav, for your exceptional care!
Mahendra Patil
4 months ago
My 3 years 11 month year old daughter was diagnosed with 10 mm kidney stone Dr.A.k.Singhal,Dr.Manish Dubey,and Dr.Ashwita Shenoy performed the surgery to remove the stone on May 30th with immense success. I am deeply grateful for the exceptional care and professionalism demonstrated by this entire team.
From the very beginning,the doctors explained every detail of the treatment process with great patience and clarity, this provided us as parents with immense relief and put our minds completely at ease. The surgery proceeded very smoothly and thanks to the doctors expertise and dedication my daughter is now completely healthy and in excellent health
I would also like to extend my special thanks Dr.A.k. Singhal , Dr. Ashwita Shenoy for providing us with constant support and guidance throughout this entire process.they were always available to answer our questions and ensured that our daughter received the very best treatment . Thank you mitra hospital. Thank you so very much for taking such excellent care of my daughter and for making this difficult time for our family SO much more bearable.
और
मेरी बेटी को left inguinal harniya भी hua था उसकी भी सर्जरी करणी जरुरी थी और DJ स्टेट removal भी करना था june 20 th को मेरे बेटी का Dr. Ashwita Shenoy मॅडम ने left inguinal harniya की surgery बहुत आछी तरह की और DJ स्टेट भी निकाली मेरे बेटी का सब अच्छा हुवा thank you mitr hospital All team thanks Dr. Ashwita Shenoy मॅडम मेरे परिवार के तरफ से आपको और आपके पुरे टीम को धन्यवाद.
excellent treatment my daughter
Thank you mitr hospital
Read moreFrom the very beginning,the doctors explained every detail of the treatment process with great patience and clarity, this provided us as parents with immense relief and put our minds completely at ease. The surgery proceeded very smoothly and thanks to the doctors expertise and dedication my daughter is now completely healthy and in excellent health
I would also like to extend my special thanks Dr.A.k. Singhal , Dr. Ashwita Shenoy for providing us with constant support and guidance throughout this entire process.they were always available to answer our questions and ensured that our daughter received the very best treatment . Thank you mitra hospital. Thank you so very much for taking such excellent care of my daughter and for making this difficult time for our family SO much more bearable.
और
मेरी बेटी को left inguinal harniya भी hua था उसकी भी सर्जरी करणी जरुरी थी और DJ स्टेट removal भी करना था june 20 th को मेरे बेटी का Dr. Ashwita Shenoy मॅडम ने left inguinal harniya की surgery बहुत आछी तरह की और DJ स्टेट भी निकाली मेरे बेटी का सब अच्छा हुवा thank you mitr hospital All team thanks Dr. Ashwita Shenoy मॅडम मेरे परिवार के तरफ से आपको और आपके पुरे टीम को धन्यवाद.
excellent treatment my daughter
Thank you mitr hospital
Purva Shingare
4 months ago
Had kidney stone surgery done by Dr Manish Dubey. All staff was cooperative. Doctor Dubey made me so much relaxed that I was not at all worried about the procedure. Other doctors in the OT were also very sweet. The staff is very nice, hospital is clean ,no smell of medicines, housekeeping services are very good. Hospital food is also very nice,tasty and healthy. Insurance procedure is also very easy. The surgery procedure went so smoothly. I would surely recommend Mitr Hospital and special thanks to Dr Dubey.
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Nikita Ghodke
6 months ago
I had an amazing experience at the hospital, which offers excellent facilities and truly stands out in terms of care and support. I was under the treatment of Dr. Vijaykumar Yadav, who is exceptional in his field. His kindness, compassion, and dedication to his work made a significant difference throughout my journey.
He is highly detail-oriented and experienced, ensuring I felt confident and well-informed at every step. I underwent two surgeries, and he consistently reassured me and focused on my recovery and well-being. What truly sets him apart is his availability, he was always there whenever needed, even late at night.
Overall, the hospital is outstanding and undoubtedly one of the best in Navi Mumbai. I’m truly grateful for the care I received.
Read moreHe is highly detail-oriented and experienced, ensuring I felt confident and well-informed at every step. I underwent two surgeries, and he consistently reassured me and focused on my recovery and well-being. What truly sets him apart is his availability, he was always there whenever needed, even late at night.
Overall, the hospital is outstanding and undoubtedly one of the best in Navi Mumbai. I’m truly grateful for the care I received.
Dimple Choudhary
1 year ago
Very polite staff N great service ☺️
Ketan Bhagat
1 year ago
Excellent,
We had a nice experience with Mitr hospital. Dr.A.K.Singal is such a talented Child urologist and nice person. Staff are good. Thank you so much Dr.A.K.Singal sir and Dr.Ashvitha Mam for treating our daughter so well and saving her life.. We w'l be gratful to you throughout our life..
Read moreWe had a nice experience with Mitr hospital. Dr.A.K.Singal is such a talented Child urologist and nice person. Staff are good. Thank you so much Dr.A.K.Singal sir and Dr.Ashvitha Mam for treating our daughter so well and saving her life.. We w'l be gratful to you throughout our life..
Pankaj Choudhary
1 year ago
Very experienced Doctor and cooperative staff. They give full time to patients for there Query and problems.
Blood test Camp organised for Woman's day was support and very helpful
Read moreBlood test Camp organised for Woman's day was support and very helpful
Sneha Omale
1 year ago
डॉ. अमित घरत इंडॉस्कॉपी खूप छान पध्दती ने केली . धन्यवाद डॉक्टर आणि त्यांची टीम . वेळोवेळी मदत केली बद्दल.
prathamesh palkar
1 year ago
“I am extremely grateful for the excellent service provided by Mr.Aditya Sir from the hospital TPA insurance team. He was incredibly professional, patient, and thorough in explaining my insurance coverage and guiding me through the entire process. His prompt assistance and dedication made everything smooth and hassle-free. I truly appreciate his kindness and efficiency in handling my queries. Thank you, Aditya Sir, for your outstanding support!”
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