September 1, 2019
About urinary stones
Urinary stones are very common and in hot countries like India, the incidence can be as high as 10 % of the people. And in middle eastern countries up to 25% can form stones.
The most common stone in urinary tract is made of Calcium Oxalate.
Stones form mostly in the kidneys and occasionally in the bladder. They form in the form of calcium oxalate crystals, then aggregate together to form microliths and then this slowly enlarges to form larger stones. When they fill the entire kidney, they are called staghorn calculi.
Stones may not cause any problems when in the kidney but they sometimes drop down into the tubes draining urine from the kidney called ureter. Only then they case sever pain on one side of the lower back and this pain goes down to the groin area. This pain can be one of the severest pain that one experiences.
Treatment of stone in the ureter
Small stones may pass by itself but larger stones need treatment. At Dr Rela Hospital we have holmium laser by which the stones can be broken down to dust enabling complete treatment with minimal injury to the ureter.
Treatment of stone in the kidney
Small stones in the kidney were previously treated only by a procedure called PCNL which involves puncturing the kidney. This can have complications and can be painful. Now at Dr Rela Hospital we have a special camera called Flexible ureteroscope which enables using laser to treat small stones in the kidney with minimal discomfort and the patient gets discharged earlier from the hospital and also gets back to their normal activity early.
For larger stones, in place of the conventional PCNL, at Dr Rela Hospital we offer mini PCNL whereby the hole made in the kidney to break the stone from the back is smaller and hence it leads to less pain and quicker recovery.
Prevention of stones
About half of the patients who have had stones form stones again within 10 years’ time unless we find the reason and correct the cause for forming the stones. At Dr Rela Hospital we have the facilities to do stone analysis to find the type of stone and we also do 24 hour urine analysis to find the cause for stone formation. This has been shown to reduce the formation of stones.