Kidney Stone Removal Surgery in Pilibhit

Dietary habits, excessive body weight, specific medical conditions, and the use of certain supplements and medications often contribute to the formation of solid deposits consisting of minerals and salts within the kidneys, commonly referred to as kidney stones. The minerals crystallize and bind together in the presence of urine, leading to the concentration and growth of these stones.

As kidney stones navigate through the kidney or make their way into the ureters—the tubes connecting the kidneys to the bladder—they can provoke symptoms. If a stone becomes lodged in the ureter, it can obstruct the flow of urine, leading to kidney swelling and uterine contractions. Both of these effects can result in intense pain.

At this point of time the following symptoms are experienced:

• Severe pain the side and back, below the ribs
• Difficulty in starting urination
• Pain that radiates to the lower addomen and groin
• Pain or burning sensation while urinating

The pain induced by a kidney stone can fluctuate as it travels through the urinary tract. Its location may change, leading to variations in intensity that can either amplify or alleviate the discomfort.

The patient is administered spinal or general anesthesia to induce sedation, and then the endoscope is introduced through the urethra and directed into the kidney. Notably, this surgery is minimally invasive and does not necessitate any incisions, resulting in a swift recovery period. RIRS demonstrates its capability to effectively address a significant proportion of renal stones without resorting to open surgery. Continual breakthroughs in renal stone treatment have firmly established RIRS as a dependable, safe, and efficient therapeutic approach.

The principal objective of treating renal stones is their complete elimination with minimal discomfort. RIRS accomplishes this by employing flexible ureterorenoscopy and lithotripters, such as the holmium laser, to obliterate the stones completely. Innovations in associated equipment like control wires, ureteral access sheaths, and stone baskets have bolstered the practicality of the RIRS procedure. As of now, RIRS is considered the standard of care for renal stones measuring less than 2 cm in diameter that cannot be adequately managed through alternative methods.

The urologist employs the Percutaneous Nephrolithotomy (PCNL) approach to create a 1cm entry point in the rear or side of the abdomen. Through this incision, a nephroscope is introduced into the region containing the stone. For smaller stones, physical fragmentation can often be accomplished at this stage. In cases of larger stones, ultrasonic, electrohydraulic, or laser-equipped probes may be employed to disintegrate the stones before their removal (referred to as PCNL with laser lithotripsy). A tube, known as a catheter, may be positioned within the kidney to facilitate waste collection.

Mini-PCNL (minimally invasive percutaneous nephrolitholapaxy) is an endoscopic technique designed for the extraction of kidney stones. To minimize the procedure's impact on the patient, Mini-PCNL employs a 12-14F nephroscope and a 15-18F Amplatz sheath, in contrast to the larger 24-30F sheaths employed in traditional PCNL procedures. With the integration of smaller cameras, more precise stone lasers, and specialized instruments, mini-PCNL represents a refined approach to the process.

Individuals with kidney stones of intermediate size, slightly larger than one centimeter but not occupying the entire kidney, are prime candidates for mini-PCNL. The reduced scale of the procedure diminishes the risk of organ damage. Compared to other treatment options, patients undergoing mini-PCNL have a greater likelihood of achieving complete kidney stone removal, rendering it a superior choice for such cases.