Approx. 10 to 15 % of Population have a Kidney Stone once in their lifetime.
Do all people who have Kidney Stones need treatment ???? – The answer is big NO.
Who needs Kidney Stone Treatment?
Some people ( I do not know the figures & data is not available & not possible also ) who have small Kidney Stones lying in calyces will never know that they ever had or they have Kidney Stones unless & until they undergo routine imaging studies or they undergo imaging studies for some other reasons – Dr. Pawan K. Gupta
Do all people who have Kidney Stones seek medical advice for getting their Kidney Stones removed ????
– Answer is again a big NO.
These are big questions with no authentic answer, however, I will try to answer these questions with some accuracy to the best of my knowledge of treating Kidney Stones for around 40 years now and to help a Kidney Stone patient understand Kidney Stones better – Dr Pawan K. Gupta
Let us divide Kidney Stones in to three types depending on their presentation
- Symtomatic Kidney Stones.
- Asymptomatic Kidney Stones
- Unnoticed Kidney Stones
Unnoticed Kidney Stones cannot be treated as patient as well as the doctor will never know about them.
All Kidney Stones are not the same, so is the treatment.
The Treatment of Kidney Stones will depend on various factors like: –
- Size of the Kidney Stone.
- Location of the Kidney Stone.
- Type of the Kidney Stone.
- Infected and non-infected Kidney Stones.
- Kidney Stones in anomalous kidneys such as horseshoe kidney, crossed ectopic kidney, simple ectopic kidney, pelvic ectopic kidney, duplex system and malrotated kidney.
- Kidney Stones with associated comorbidities. Comorbidities mean the other diseases present in a patient which can influence the treatment of kidney stone. These comorbidities include obesity, Bleeding disorders, chronic renal failure, Hypertension, Diabetes and several other diseases.
- Treatment of the Kidney Stones can also depend upon the extent of facilities available at a particular location.
- The requirement of emergency Intervention which may include placement of Double J Stent or Nephrostomy Tube to decompress the Kidney.
Non-Surgical Treatment of Kidney Stones
Non-Surgical treatment of kidney stones will consist of plenty of fluids and medical management.
Surgical Treatment of Kidney Stones
Know About the best Surgical treatment of Kidney Stones
Kidney stone treatment has seen dramatic changes in the last three decades. Open Kidney Stone Surgery was replaced by Extracorporeal Shock Wave Lithotripsy & Percutaneous Surgery of Kidney Stones in Nineteen eighties & the incidence of Open Kidney Stone Surgery was reduced to 1 to 2 %. Similarly, Open Surgery for Ureteric Stones was replaced by rigid Ureteroscopy.
Extracorporeal Shock Wave Lithotripsy
Kidney stone treatment by SWL Has a limited but definite use today. It should be used for stones of around one cm. preferably in the upper part of the Kidney.
Percutaneous Surgery of Kidney Stones
This is a widely practised Keyhole surgery for Kidney stones & has good results particularly for large stones in the Kidney. Surgery has a significant complication rate.
Flexible Ureteroscopy / Retrograde Intrarenal Surgery is the best treatment modality for treating Kidney Stones
During the last decade, a new modality of treatment in the form of Flexible Ureteroscopy / Retrograde intrarenal Surgery is picking up fast for treatment of Kidney Stones. This procedure is a natural hole surgery & is associated with minimal complications. The procedure is expensive because of the higher cost of Equipment & disposables & also has a long learning curve.
In the present time, “RIRS” is the best procedure for the removal of kidney stones. RIRS is an abbreviation for Retrograde Intra Renal Surgery. This is a Natural hole, No cut, No artificial hole, Daycare & Safest procedure for kidney stone removal.
The videos & Animations below shows the different methods of removal of Kidney Stones available today. These are not a perfect reproduction of the procedures but give some education of the different procedures. The procedure of OSS ( Open Stone Surgery ) has not been shown here. Some procedures like MINI-PCNL, MICRO-PCNL, Combined use of RIRS & PCNL & some other modifications have not been shown here.
R P Stone Clinic is a Pioneer Center for removal of Kidney Stones by RIRS in India
R P Stone Clinic provides the Best Kidney Stone Treatment by RIRS in India,we have satisfied patients from Delhi, NCR, Haryana, Jammu and Kashmir, Punjab, Sri Ganga Nagar, Chandigarh, Dehradun, Pathankot, Himachal Pardesh, Kaithal, Karnal, Rohtak, Iran and Middle East.
Dr. Pawan Kumar Gupta single-handedly revolutionized the treatment of Urinary Tract & Kidney Stones in Haryana, India by introducing the Extracorporeal Shock Wave Lithotripsy, Percutaneous Surgery of Kidney Stones & Ureterorenoscopy with Holmium: Yag laser lithotripsy in the nineties.
R P Stone Clinic at Panipat is treating the majority of Kidney Stones including large Kidney Stones & Staghorn Kidney Stones by RIRS.
We have tried to demonstrate the procedure of RIRS in the Videos shown below.
Kidney Stones visualised with digital flexible ureteroscopes during RIRS Surgery at R P Stone Clinic, Panipat
Laser Lithotripsy (Holmium Laser) of kidney stones visualised with digital flexible ureteroscopes during RIRS Surgery at R P Stone Clinic, Panipat
Basketing and Removal of kidney stone Fragments with Basket during RIRS Surgery at R P Stone Clinic, Panipat
Complete Clearence of kidney stones except Debris and small fragments at the end of RIRS Surgery at R P Stone Clinic, Panipat