As a prevalent urological issue, kidney stones impact millions of people across the globe. If left untreated, these solid deposits of salts and minerals can cause terrible pain and perhaps serious problems.
It may be possible for tiny stones to pass naturally through the urinary tract, but larger stones typically necessitate medical intervention, such as surgery. Various surgical procedures, recuperation times, and preventative methods for kidney stones are discussed in this article.
A Kidney Stone Is…
Solid crystalline crystals called kidney stones can develop inside the kidneys. They form when specific chemicals, such as uric acid, calcium, and oxalate, crystallize in the urine due to their concentration. Size matters when it comes to kidney stones; larger stones can obstruct the urinary tract, causing severe discomfort, nausea, and problems passing urine.
The four most common forms of kidney stones are:
- Calcium oxalate and calcium phosphate are the most common forms of calcium stone formation.
- Sturvite stones are most commonly found in cases of UTIs.
- Uric acid stones can develop as a result of either not drinking enough water or eating too much protein.
- Cystine stones are extremely rare and mostly caused by a hereditary condition known as cystinuria.
When Can Kidney Stones Require Surgery?
- Surgeries aren’t necessary for every kidney stone. If the stone is smaller (less than 4 to 6 mm), increasing fluid intake and pain medication may help it pass spontaneously. When the stone is too big to pass naturally, however (more than 6 mm), surgery is the only option.
- There’s no way to alleviate the excruciating anguish it’s producing.
- The stone is either creating an infection problem or blocking the urinary tract.
- The patient’s kidney function is hindered because of the stone.
- Less intrusive methods of treatment, such medicine or extracorporeal shock wave lithotripsy (ESWL), have not been successful.
Various Kidney Stone Removal Procedures
Kidney stones can be removed surgically using one of many methods. Size, location, and general health of the patient determine the surgery option. These are the most typical surgical procedures:
- Ureteroscopy (URS): The ureteroscope is a thin, flexible tube that is introduced into the urethra and bladder to reach the kidney or ureter stone. Ureteroscopy is a minimally invasive technique. Depending on the situation, a tiny basket can be used to remove the stone or alternatively, a laser or other energy sources can be used to break it into smaller pieces (laser lithotripsy).
Benefits: The of URS include its effectiveness in removing kidney and lower ureter stones. No incision is necessary, and the procedure is carried out under general anesthetic.
Getting Well: After a one to two week recuperation period, patients are typically able to return home the very next day.
- ESWL: Extracorporeal Shock Wave Lithotripsy, is a non-invasive technique that shatters kidney stones into tiny pieces by means of sound waves. Over time, these pieces might be expelled from the body through the urine. Stones in the upper ureter or kidney less than 2 cm in diameter are the usual candidates for endoscopic stone removal (ESWL).
Benefits: The treatment is normally done on an outpatient basis, and there is no need to make incisions. It is also rather uncomplicated.
Getting Well:Â Although some patients may feel sore or bruised after the procedure, the majority are able to resume their regular routines in a few of days. The passage of all stone particles could take several weeks.
- PCNL: Percutaneous Nephrolithotomy (PCNL) is suggested for kidney stones that are bigger or more complicated, usually ones that are bigger than 2 cm or situated in hard-to-reach places of the kidney. A little incision is made in the back by the surgeon and a nephoscopy is inserted straight into the kidney during this surgery. Ultrasound or laser radiation is used to either remove the stone or break it into smaller fragments.
Benefits: PCNL reduces the necessity for open surgery and is very successful for bigger stones.
Getting Well:Â In most cases, patients will require a one- or two-day hospital stay, followed by a one- to two-week recuperation time.
- Laparoscopic vs. Open Surgery
When all other less invasive options have been exhausted, open surgery to remove kidney stones is the last resort. A bigger incision is created in the side or belly during open surgery in order to remove the stone. Although laparoscopic surgery is less intrusive than other operations due to the smaller incisions used, the recovery period is still longer.
Benefits:Â When other methods are impractical, this is employed for really big or complicated stones.
Getting Well: The recovery time for laparoscopic surgery is typically 2-3 weeks, compared to 4–6 weeks for open surgery.
Conclusion
Surgical procedures have come a long way in the last several decades, and they can remove even the most stubborn kidney stones. Patients can make better judgments and lower their risk of future stone formation if they are knowledgeable about the various surgical options, recuperation times, and preventative measures. To find the best treatment choice that fits your unique situation, it’s always better to talk with a healthcare expert.