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Percutaneous Nephrolithotomy/nephrolithotripsy or PCNL is a minimally invasive procedure to remove significantly large stones present in the kidneys or the upper ureter. PCNL involves a tiny incision in the flank area that allows the surgeon to remove or break the stones into smaller pieces with almost zero complications. PCNL is an effective procedure when the stone size is too large to be treated with other treatment methods. Moreover, the procedure offers an excellent stone-free rate with minimal complications for the diameter of stones greater than 2cm, thus, replacing the need for open surgery. Get in touch with us to know more about PCNL surgery in Kollam.
PCNL Surgery is an excellent treatment procedure for patients with large kidney stones (greater than 15mm), which are otherwise difficult to treat using ureteroscopy or lithotripsy procedures. Patients with a history of recurrent kidney stones also benefit immensely from the surgery. Moreover, in the case of multiple stones in the kidneys, or upper ureter that may cause urinary retention, PCNL is considered the optimum treatment procedure.
RIRS Treatment For Kidney Stones in Kollam
Several diagnostic tests done before the RIRS treatment include the following –
After the diagnosis, the patient is scheduled for a day for the surgery. Refer to our READ MORE section to know about surgery preparation. Before the surgery, the patient is administered spinal or general anesthesia. Spinal anesthesia sedates the lower half of the body. General anesthesia makes the patients unconscious (they will be asleep during the entire procedure). The choice of anesthesia is usually based on the preference of the patient.
After the anesthesia is given, the urologist inserts a long, flexible tube called an endoscope into the urethral passage to the ureter to reach the urine-collecting part of the kidneys. The surgeon simultaneously also leverages x-rays and image screening to generate live images of the kidneys on an external screen for extreme precision. The endoscope is moved up in retrograde towards the kidneys. Once the stones are located through the endoscope, the surgeon uses a laser probe to crush or manipulate the kidney stones accordingly. Then the stones are removed using small forceps in their intact form. We use an advanced holmium laser to target stubborn stones and break them without damaging the surrounding organs. The stone fragments are then subsequently collected or caught in the stone basket. Once the surgeon makes sure all the stone fragments are collected, the basket is removed.
The surgeon usually inserts double J stents to expand the ureteral passage. The stent is a flexible, hollow tube that runs from the kidneys to the ureter. The stent may be kept in the kidneys for as long as it takes for stones to flush out of the body completely. Usually, it is 10 to 14 days under normal circumstances. The objective of the stent is to enlarge the ureteral passage to help flush out stone fragments from the body smoothly. Further, the viability of the RIRS procedure has been upgraded by the progression and advancements in related tools and equipment like wires, ureteral access sheath, and stone containers.
Delivering Seamless Surgical Experience in India
Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.
A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.
Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.
We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.
No, RIRS is not a painful procedure as it is done under anesthesia. However, there may be mild discomfort after the procedure due to stent insertion when the effect of anesthesia wears off.
Yes, some insurance companies cover the cost of RIRS in Kollam. RIRS surgery is done as a medical necessity to avoid complications involving kidneys. However, the insurance coverage depends on the insurance policies and the terms and conditions set by the insurance provider.
Yes, kidney stones are often associated with several gastrointestinal symptoms such as nausea, vomiting, and pain in the lower back. Large-sized stones can also obstruct urinal passage, causing several GI issues, including gas, constipation, etc.
Weight loss is not directly associated with kidney stones. However, some people may lose their appetite due to kidney stones that can result in weight loss.
RIRS generally takes around 1 hour to 1.5 hours, depending on several factors such as the size, number, and location of stones. Surgery time also depends on the medical condition of the patient and the surgical expertise of the urologist.
Your doctor or healthcare institute generally provides instructions before the RIRS procedure to help you prepare for the surgery. Here is how you can prepare for your RIRS surgery –
RIRS is an advanced laser treatment that offers great results for patients experiencing immense pain. The surgery is done as an outpatient procedure which means the patient is usually discharged within 24 hours after the surgery if the doctor does not suspect any complications. In addition, RIRS offers a high stone passage rate in a single sitting as compared to the other treatment methods for kidney stone removal. Some of the advantages of RIRS are –
RIRS and PCNL both offer excellent results for large-sized kidney stones. However, for stones greater than 20 mm in diameter, RIRS may not always produce satisfactory results. While RIRS is a great alternative to PCNL, it is observed that PCNL has a higher success rate for kidney stones of size 2-3cm in diameter. Retrograde intrarenal surgery or RIRS, however, only offers a comparable success rate for a stone size greater than 15 mm. Some patients who undergo RIRS may regard it as a good alternative to PCNL. However, there are certain parameters that must be taken into consideration, such as the age of the patient, location of the stone, prior history of open surgery, number of stones, degree of hydronephrosis, etc.
Pristyn Care is a full-stack healthcare service provider that offers several benefits in terms of surgery experience and financial assistance. Our associated hospitals are equipped with the latest technology and modern infrastructure for a high success rate. Some of the benefits of choosing Pristyn Care for your RIRS surgery in Kollam include –
Here is how you can book an appointment with some of the best urologists in Kollam through Pristyn Care –