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URINERY STONE SURGERY
DANARTOUROLOGIEST
www.annurhospital.com/ [email protected]
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URINARY STONE SURGERY
Renal stone (renal calculus) does not pass outor is causing an obstruction of the urinarytract, other forms of medical intervention is
considered. A range of kidney stonemedicationis available, not only for painrelief, but also to assist with passing out thekidney stone. If these measures fail, number
of methods and it depends on the availabilityof facilities and equipment as well as theindividual case.
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URINARY STONE SURGERY
Methods for Removal of Kidney Stone, UrinaryStones
Open surgery for kidney stoneremoval is rare these
days. A host of other options are available which arelower risk and quicker. These techniques crush thestone (lithotripsy) into smaller stones so that it canbe passed out easily or physically removed in theoperating theater. The most common of these isextracorporeal shockwave lithotripsyor ESWL forshort. Other options include ureteroscopiclithotripsyor percutaneous nephrolithotomy.
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URINARY STONE SURGERY
Urinary Stone Locations
Depending on the location of the kidney
stone, the urologist will select the mostappropriate method. Despite the generalguidelines below, your urologist may decideupon a certain procedure based on multiple
factors that is taken into consideration
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URINARY STONE SURGERY
Urinary Stone in Upper Ureter
This is the part of the ureter closer to the kidney.ESWL for breaking down a stone near the middle
of the ureter is less successful and ureteroscopic
destruction may be a better option . The best
methods for this location is ESWL or
ureteroscopic destruction (laser or mechanical).Laparoscopic removal may be considered if the
other options are not available or feasible but it
is rarely used. Open surgery is the last option.
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URINARY STONE SURGERY
Urinary Stone in the Lower Ureter
This is the part of the ureter closer to the
bladder. The best methods for kidney stoneremoval at this location is ESWL orureteroscopic destruction (laser ormechanical). Basket extraction may be
necessary.
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URINARY STONE SURGERY
Urinary Stone in Bladder
Cystoscopic destruction is usually considered.
However, stones in the bladder can becomequite large and open surgery may benecessary in this instance.
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URINARY STONE SURGERY
Percutaneous Nephrolithotomy
To remove large stones in the kidney, a small
incision is made in the lower back. The stonesare directly removed from the kidney througha scope.
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ESWL
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URINARY STONE SURGERY
PCNL
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URINARY STONE SURGERY
Rigid Ureteroscopy
To remove stones in the ureter, a rigid scope
is inserted through the bladder into theureter. Stones are broken up with a laser andextracted through the scope.
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URINARY STONE SURGERY
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URS
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URINARY STONE SURGERY
Flexible Ureteronephroscopy
To remove small stones in the kidney, a
flexible scope is inserted through the bladderand ureter into the kidney. Stones are brokenup with a laser and extracted through thescope.
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URINARY STONE SURGERY
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URINARY STONE SURGERY
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URINARY STONE SURGERY
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URINARY STONE SURGERY
LITHOTRIPSY
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URINARY STONE SURGERY
THANKS
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