Around 5% of the world population goes through kidney stone treatment in their lifetime. With modern surgical techniques and treatment options at SMKH , Kidney stones are removed with relative ease and safety . If not treated early , prolonged impact can result in damage to the kidneys .

Kidney Stones :

Common Signs and Symptoms :
  • Sharp pain in the groin region and side areas
  • Blood while passing  urine (hematuria)
  • TSH (Thyroid Stimulating Hormone) Quantification Urinalysis.
  • Frequent nausea and vomiting
  • Pus in urine
  • Passing less amount of urine
  • Burning and itching sensation when  passing urine
  • The frequent feeling of urination

Diagnostic tests and procedures :

Blood Tests :  Urine Test :
Imaging :  X-rays, CT Scan and ultrasound ,and in some cases Intravenous urography is
advised .
Stone Analysis : To analyze the composition of the stone
Kidney Stones Treatment :
At SMKH , latest and the most advanced surgical treatment is used for kidney , ureter
and bladder stones .The complete armamentarium for the management of kidney stone
is US FDA CE Europe , Japan approved offering maximum safety and early recovery .


Retrograde Intrarenal Surgery (RIRS) for Kidney Stone


Latest technique for the treatment of stones in the kidney is RIRS . The advancement in Ureteroscope from rigid to flexible has made  intrarenal ( inside Kidney ) stone removal possible . Ureterorenoscopy using flexible ureteroscope is called Retrograde Intrarenal Surgery (RIRS). It can be easily used for stones anywhere in the tract. It is specially suited for patients where ESWL cannot be performed or has failed. With these flexible scopes, virtually any area of the urinary system can be visualized by the surgeon. 

Its advantages include: no incision on the body, short hospital stay & early recovery. The procedure is expensive as the equipment is costly, even doctors need special training to perform it. It is a major leap in endourology in managing urinary stones and other problems in kidney. (URS) with Holmium Laser for Kidney Stone When the stone is stuck within the bladder or Ureter, surgeon use a device called Ureteroscope for its removal. It is a non-invasive method as there is no incision required.

A rigid ureteroscope along with laser fiber is inserted through the Urethra into the Bladder and Ureter. The laser fiber is used to transmit the Holmium energy that breaku up the kidney stone and the surgeon removes the broken pieces through the urethra. Smaller pieces pass through urination.  Sometimes, doctors insert a tube known as a stent between bladder and kidney to make it easy to pass kidney stones and improve healing.
Extracorporeal Shock Wave Lithotripsy (ESWL) for Kidney Stone Lithotripsy can be understood as the extracorporeal shock waves (electromagnetic), which are the sound waves, mostly used for breaking down the stones into smaller particles, and the smaller particles smoothly pass into the bladder.

Percutaneous Nephrostolithotomy (PCNL) Procedure for Kidney Stone

This is mainly performed with a small incision / puncture in the kidney depending on the location of the stone . Stones which are very large and when they can not be removed through URS , RIRS or Lithotripsy are removed by doing PCNL . At SMKH , Mini PCNL gives an added advantage of smaller incision and is the latest advancement in PCNL .