DANARTO

UROLOGIEST

URINERY STONE SURGERY

www.annurhospital.com / dr.danarto@yahoo.co.id

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Renal stone (renal calculus) does not pass out

or is causing an obstruction of the urinary

tract, other forms of medical intervention is
considered. A range of kidney stone
medication is available, not only for pain
relief, but also to assist with passing out the
kidney stone. If these measures fail, number
of methods and it depends on the availability
of facilities and equipment as well as the
individual case.

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Methods for Removal of Kidney Stone, Urinary

Stones
Open surgery for kidney stone removal is rare these
days. A host of other options are available which are
lower risk and quicker. These techniques crush the
stone (lithotripsy) into smaller stones so that it can
be passed out easily or physically removed in the
operating theater. The most common of these is
extracorporeal shockwave lithotripsy or ESWL for
short. Other options include ureteroscopic
lithotripsy or percutaneous nephrolithotomy.

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Urinary Stone Locations

Depending on the location of the kidney

stone, the urologist will select the most

appropriate method. Despite the general

guidelines below, your urologist may decide
upon a certain procedure based on multiple
factors that is taken into consideration

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Kidney Stone in Renal Pelvis of Kidney

The best methods for removal of a kidney

stone in this location is an ESWL or

percutaneous nephrolithotomy. Open surgery

is the last option.

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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 in the Lower Ureter

This is the part of the ureter closer to the

bladder. The best methods for kidney stone

removal at this location is ESWL or

ureteroscopic destruction (laser or
mechanical). Basket extraction may be
necessary.

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Urinary Stone in Bladder

Cystoscopic destruction is usually considered.

However, stones in the bladder can become

quite large and open surgery may be

necessary in this instance.

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Percutaneous Nephrolithotomy

To remove large stones in the kidney, a small

incision is made in the lower back. The stones

are directly removed from the kidney through

a scope.

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ESWL

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PCNL

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Rigid Ureteroscopy

To remove stones in the ureter, a rigid scope

is inserted through the bladder into the

ureter. Stones are broken up with a laser and

extracted through the scope.

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URS

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Flexible Ureteronephroscopy

To remove small stones in the kidney, a

flexible scope is inserted through the bladder

and ureter into the kidney. Stones are broken

up with a laser and extracted through the
scope.

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LITHOTRIPSY

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