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Kidney Stones Treatment

Kidney Stones Treatment


Expert & Painless Kidney Stones Treatment in Delhi by Lithotripsy/ESWL, PCNL or Ureteroscopy (all non surgical procedures) at the Best Packages. We Offer Free Consultation & Diagnosis.

True Fact: 99% of Kidney Stones can be treated without Surgery, that means No Cut, No Blood & No Pain

ESWL, PCNL & Ureteroscopy are few of the best treatments for Kidney Stones without surgery. All these three treatments are proven therapies of breaking or extracting stones. We at Care Well Medical Center are providing kidney stones treatment in Delhi, India at very affordable prices.  This non surgical procedure is done by a renowned cosmetic surgeon Dr. Sandeep Bhasin. In case of stones bigger than 28 mm, surgery is required.

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Why Us

  • Treatment is done by an Experienced Surgeon
  • Till now, maximum no. of patients were being treated without surgery
  • Best consultation is provided
  • Procedure is done at 15 bedded nursing home with all facilities available
  • Best cost is offered in Delhi with quality treatment
  • Free session to guide how to prevent development of Kidney stones again

 

Step by Step Guide to treat Kidney Stones without Surgery

  1. Size of stones are diagnosed
  2. Stones which are too large are broken down to small pieces (1 mm to 2 mm size) by ESWL (Lasers/Shockwaves)
  3. Small stones (Broken by ESWL) automatically pass out of the body through urine
  4. Treatment is over without Surgery, blood or cut & is absolutely safe

 

WE MADE KIDNEY STONE TREATMENT & SURGERY AFFORDABLE

Get the best cost on Kidney Stone Treatment (without surgery) with free consultation & diagnosis by Dr. Sandeep Bhasin (Cosmetic Surgeon)

Kidney Stones Treatment by ESWL Image

Things you need to know about Kidney Stones

Kidney stone is one such problem that of course is painful and needs immediate attention of the doctor. This type of disorder at some point of time if left untreated can cause severe damages to the body part. Such stones are formed in the kidney especially when the normal substances in urine get concentrated. When anything like this happens, the solid material does not get utilized instead it stays in the kidney and may move down to the urinary tract while passing out from the body.

A hard yet crystalline material that gets form in the kidney is kidney stone which is also known by the name of Nephrolithiasis. This problem happens to 20 people at least in a month at some point of stage. It is either due to excess of stone forming substances or lack of water.

 

Know the Symptoms

Sometimes, the symptoms of kidney stone are common to that of other issues due to which, you might end up getting confused. That is why, if there is any kind of pain from kidney stone that you actually start notice either late at night or early in the morning like pain in back, extreme pain in stomach the probably this could be the risk of kidney stone. It is because people usually urinate less frequently at night or early morning and that is the time when ureter is constricted.

Other symptoms are:

  • Fever and chills
  • Pain while urinating
  • Pink, red or brown urine
  • Foul-smelling urine
  • Fluctuating and waving pain
  • Pain that is located at the lower abdomen area

 

Diagnosis of Kidney Stone

When the above given symptoms are noticed, instead of just ignoring the pain by taking pain killers, you are advised to visit the doctor. On response to the same, your doctor might perform certain medicines such as calcium-based antacids, diuretics, and topiramate to name a few. Other than this, there are some tests that your doctor may advise you such as checking the blood to know the presence of excess calcium or uric acid or taking the urine sample for 24 to 48 hours

 

Quick facts about Kidney and Urinary System

Our body once consumes food starts producing different kinds of waste such as carbon dioxide gas, sweat and feces to name a few. If there is any kind of food material which is undigested, it gets excreted from the body as the solid waste. Urine is one such waste produced by the body which has metabolism byproducts such as toxins, salts, and water that gets mixed up in the blood. It eliminates the waste substances from the blood and eradicates it through urine.

But when there is a due buildup of salts and minerals like calcium in the urinary tracts, it sometimes can cause infection but the main problem is called kidneys tine. It is quite large enough that can block the kidney and if you are lucky it can be extremely tiny to just pass from the urine without any need of the medicine.

 

What Are Kidney Stones made of?

As you have learnt that kidney stones are actually made of the crystals but every kidney stone is not the same, there can be many different types, such as:

  • Struvite: This is another type of stone that you will find in women more. It is also considered to be a kidney infection and for which to treat the underlying infection is important.
  • Calcium Stones: It is one of the most common one which is made of calcium oxalate, maleate or phosphate. To deal with it, you are advised to eat less oxalate rich foods.
  • Cystine: This is extremely rare type of material causing kidney store which is naturally available in the body. But when it leaks from the kidney in the urine, it causes kidney stone.
  • Uric Acid: Kidney stone is made of this type of crystal as well. It can be a result of chemotherapy or people who have gout problem. It gets developed when urine is too accident and for this, a patient needs to stop including the diet rich in purines so that acidic level can be controlled.

This can be pretty painful and that is why, even if you notice one single symptom, you must speak with your doctor on the same.

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Kidney Stone Removal Treatments

About ESWL

ESWL stand for extracorporeal shock wave lithotripsy and it is a procedure with which kidney stones are treated. The kidney stone is broken into small pieces with the help of shock waves. Then the broken pieces can easily move down to the urinary tract and get removed from the body with the urine. It is one of the most simple procedure yet effective for the people having small stones in their kidney. ESWL doesn’t take much preparation and time also and the patient can go back home within few hours of the treatment.

 

Please check the animation video to see how ESWL procedure treat Kidney Stones without Surgery

 

When can ESWL be done?

When the kidney stone’s diameter is in between 4mm to 2cm, then this treatment can be used for treating the problem. The stone also needs to be close to the ureter so that the broken pieces can easily pass through the urinary tract.

Risks involved

There are certain risks which are associated with this treatment and they are as follows:

  1. When the broken pieces of stones pass through the urinary tract, it causes pain
  2. Due to the fragmented stones, the urine might get blocked
  3. There are chances of having a urinary infection but with better consultation & medication it can be taken care of
  4. Bleeding can be witnessed in extremely severe cases.

The patient needs to have a high intake of fluids and also have to follow the preventive guidelines so that the stones fragments passes easily without causing any of the risks.

Know more about ESWL

 

About PCNL

PCNL stands for Percutaneous Nephrolithotomy which is used to cure the kidney stone problem. It is one of the preferred procedures when it comes treating kidney stones that are little large in size but the process includes so open or major surgery rather a small incision is made to remove the stone.

When can PCNL be done?

PCNL technique is normally undertaken by the doctor when the diameter of the stone present in the kidney is over and above 2cm. The minimally invasive method helps treating the disease in the very smooth way and the recovery period is also short.

 

Please check the animation video to see how PCNL procedure is done to treat Kidney Stones

 

Risks involved

The risks factors are really negligible in this procedure. But the doctors and the assisting people needs to be very careful otherwise there might be:

  1. Infection in the urinary tract or in the adjacent area
  2. There might be huge blood loss and bleeding which needs to be treated immediately
  3. There are chances of injuring the adjacent organs which might lead to the death of the patient also

The procedure normally completed within 2-3 hours if there are no complications. The follow-up is necessary to keep the condition better and to prevent future development of any other stones.

Know more about PCNL/Keyhole Surgery|More details on PCNL/Keyhole Surgery

 

About Ureteroscopy

This procedure is for removing the stones which are already got down to the urinary tract or is nearby the bladder. This is not any surgery but here the urologists insert an instrument which is thin and is used for locating the stone inside the ureter.

The instrument is known as ureteroscope and it passes from the bladder to the ureter and views the picture of the stone on the computer. Then the stone if smaller in size can be removed using an instrument called basket which grabs the stones and removes it and it the stone is larger in size then it needs to be broken down into fragments then rest follows.

 

 

Please check the animation video to see how Ureteroscopy procedure is done to treat Kidney Stones

 

When can Ureteroscopy be done?

It is done when the stone is in the ureter and is close to the urinary bladder. The process is simple and takes much lesser time and is quite effective.

Risks involved

The risks involved in this procedure are:

  1. The ureter might get affected or injured.
  2. Infection of the urinary tract is another problem that might happen.
  3. Bleeding due to injury or stone fragments might happen.
  4. There might pain in the abdomen.

The new form of this treatment also allows stones to be removed which are present in the kidney or in the nearby area.

Know more about Ureteroscopy

 

About Kidney Stone Surgery

It is an open surgery which is done to remove the larger stones developed in the kidney of the patient. An incision is made in the abdomen or on the side through which the kidney is reached and thereby the stone is removed. Then the doctor fits a catheter for the drainage of the urine till the patient gets completely recovered. The patients normally are discharged after a week or more depending on the condition of the wound.

When can Kidney Stone Surgery be done?

This procedure is normally undertaken by the doctors when the size of the stone present is large and cannot be dealt with any of the above-mentioned procedures ESWL or PCNL.

Risks involved

The procedure is safe but every surgery has it’s own risks and the risks are as follows:

  1. The patient might bleed which can be only dealt with by supplying additional blood.
  2. Infection due to the surgery might occur.
  3. There are risks involved in the application of anesthetic drugs.

After surgery, patients normally recover within a period of 4-6 weeks and then can get back to normal life.

 

What is the cost of Kidney Stone Removal Treatment?

The average cost of Kidney Stone Removal Treatment would range from Rs. 12,000 to 35,000 Rupees. Cost depends upon the size of the stone & the complexity of the treatment and at Care Well Medical Center we are trying to make the treatment as affordable as possible while maintaining the quality of treatment.

 

Frequently Asked Questions about Kidney Stone

What is a kidney stone?

Kidney stones are hard crystalline mineral and salty materials which develop within the kidneys or the urinary tract. While filtering waste from blood, kidneys create urine. Often, salt and mineral particles present in the urine stick together and takes the shape of stones. These stones are initially formed in the kidneys and as they grow in size, they cause a blockage and gradually push into the ureters. In the early stages, the kidney stones are as small as sugar crystal and are hardly noticed. With time, the stones grow as a bigger as a ping pong ball and cause severe pain to the patient. The medical term for kidney stones is Neephrolithiasis.

How common are kidney stones?

According to kidney surgeons, 1 in 20 people have kidney stones, at least once in a life. Every year, more than half a million individuals are reported to develop stones in their kidneys. Men face 19% risk of forming stones in their kidneys. Women are 9% at risk. In most men, the first stone forms after 30 years. However, it can also happen before. Certain medical problems like obesity, high blood pressure and diabetes can also increase the chances of having kidney stone.

In US, the percentage of kidney stone gradually increased from 3.8% in the late 1970s to 8.8% in the 2000s. In other countries including India, kidney stone is becoming a common concern among the masses.

What causes kidney stones to form?

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  • Dehydration is the primary cause for stone formations in kidneys. When body suffers from acute deficiency of water, it forms stones. Also, those who consume less than 8 glasses of water, face the risk of kidney stones.
  • Uric acid is a significant component of urine and needs to be diluted. Due to lack of adequate water, the acid remains in concentrated state and makes urine more acidic by nature. This gradually leads to the development of stones.
  • Certain substances in urine help to prevent crystals from sticking together. Lack of such vital substances makes an ideal environment and influences kidney stone formation.
  • Medical issues like infections in urinary tract, hyperparathyroidism, Crohn’s disease, renal tubular acidosis, medullary sponge kidney and Dent’s disease increase the chances of developing kidney stones.
  • Natural imbalance of salt, water, minerals and other constituents of urine bring potential threat of kidney stones.
  • Changes in calcium levels in the urine also cause kidney stones.

Can you have kidney stones and not know it?

Well, initial stages are unknown since small stones easily pass through urine, provided the person consumes sufficient amount of water. However, if the stone is large in size, it blocks the urine passage and moves into the ureter. Sharp pain in back or lower abdomen becomes common. It is then that people become aware about the presence of a stone in their kidneys.

Are kidney stones hereditary?

Yes. People coming from a family history of kidney stones are more likely to suffer. Also, rare hereditary diseases like renal tubular acidosis accounts for more than 70% of kidney stone patients. Two other genetic metabolic disorder, cystinuria and hyperoxaluria, also increases the risk of having kidney stone.

What are the symptoms of a kidney stone?

Early stage stones don’t show any symptoms and easily passes through urine. Larger stones block the flow of urine and might also get stuck in the ureter- the tube connecting the bladder to the kidneys. In such circumstances, the following symptoms are more common:

  • Different Forms of Pain: Based on the location of the stone, patients are subjected to experience different types of pain. It all starts with mils pain in flanks, ribs, pelvis, upper and lower abdomen. Gradually, as the stone moves through the ureter and its muscles contract and relax surrounding the stone; there’s steep and sharp pain. The stone also migrates through the urinary tract, which brings severe pain in the testicles. There can be changes in the intensity of pain, since it largely depends on the exact location and movement of the stone. Pain while urinating is another typical pain symptom of having kidney stone.
  • Cloudy, Stinking and Bloody Urine: Kidney stone affected people have smelly urine. Their urine is not clear, rather appears to be cloudy. Kidney stones also bring blood in the urine. As a result, urine often appears pink, red or brown in colour. Most people also face difficulty while urinating.
  • Frequent Urination: Another common symptom of having a kidney stone is frequent need to urinate. Most people develop an urge to urinate more frequently than normal hours. While urinating, they have burning sensations.
  • Nausea: Vomiting and nausea are some other warning signs of having a large kidney stone. People start feeling weak, develop sickness and become unable to move. Acute pain in various parts of body makes them confined to bed.
  • Fever and Chills: In addition to the above signs, high fever and a constant feeling of restlessness gives a sure signal of having a kidney stone.

How are stones diagnosed?

On suspecting kidney stones, doctors suggest the following medical tests and examinations:

  • Urine Test: Doctors recommend urine collection for two consecutive days, in a 24-hour period. The test reveals if the patient in excreting too many minerals that form stones or fewer substances that prevent stone formation. From the test reports, doctors get good idea about the condition of the patient and can devise a solution accordingly.
  • Blood Test: Blood test reports speak about the health and condition of the kidneys. It also reveals the amount of calcium and uric acid present in the blood. Based on these reports, doctors also check other medical conditions of the patient.
  • Imaging: Imaging shows the exact location of kidney stones in the urinary tract. There are different imaging tests like simple abdominal X-rays, high-speed tomography, ultrasound and non-invasive tests. X-rays done in abdomens does not reflect the small kidney stones (if any). Therefore, to get a better picture of the tiniest stones; high-speed or dual energy computerized tomography (CT) is performed. In intravenous urography, surgeons inject dyes into the veins of an arm. As the dues travel through the kidney and the bladder; they take X-rays (the process known as intravenous pyelogram) or CT images (the process known as CT urogram). After the imaging test, doctors get a complete idea about the travel of stone.
  • Passed Stones Analysis: Doctors also ask patients to urinate through a strainer and they catch stones that might pass through the urine. The collected stones are sent to the lab analyst who thoroughly assesses and talks about the formation and structure of the kidney stones. Using such information, the doctors start determining the causes behind the formation of stones and also form a plan to prevent the growth and development of kidney stones.

Why does the doctor need to examine the contents of the stone?

The contents of the stone tell a lot about the major constituents responsible for causing stone in kidneys. In some cases, kidneys develop stone due to excess amount of uric acid or less amount of calcium in urine. In other cases, stones get formed from dehydration. By examining the stone components, doctors understand the reason behind its development and can then plan out the right treatment for preventing kidney stones.

Can you treat stones with medicine?

Only if the stones are small enough to be passed through urine, doctors provide oral medications. In such cases, patients are advised to drink enough water so that the stone can pass along with their urine. However, while the stone passes, it brings potential pain and discomfort to the patient. To ease this, doctors prescribe pain medications to reduce the pain and enable the patient to pass out the stones, conveniently.

What procedures are there for treating kidney stones?

The following three procedures are more prevalent for treating kidney stones:

  • Extracorporeal Shockwave Lithotripsy (ESWL): The most prevalent kidney stone treatment, ESWL involves the creation of shock waves outside the body. These waves then travel through the tissues of body and skin and finally hit the denser stones, where it breaks them down into minute particles and passes the small particulate stones via the urinary tract in the urine. Different kinds of ESWL equipment like x-rays and ultrasound are used in this procedure. Such devices enable the surgeons to locate the stone in its exact location. Local anaesthesia is provided to the patients, at the time of treatment.
  • Ureteroscopy: Stones located in the mid and lower-ureter are best removed through ureteroscopy. In this process, surgeons don’t make any incision; rather inject a small fiberoptic instrument known as ureteroscope. The instrument passes through the urethra and the bladder and finally reaches the uterer. Surgeons then pinpoint the stone and remove it using a cage-like device. In many cases, they also use a specialised instrument and break the stone; thereby producing a shockwave. After this, they leave a small tube (stent) for few days to facilitate proper flow of urine.
  • Percutaneous Nephrolithotomy (PCNL) : Cases when the stone is too large or its location does not allow ESWL treatment, PCNL is performed. In this treatment, doctors create a small incision at the back and form a tunnel directly into the kidney. They use an instrument known as nephroscope, which helps in locating and eliminating the stones. To treat large size stones, the surgeons apply some kind of energy probe such as ultrasonic or electrohydraulic and break the stones into smaller particles. In this procedure, patients have to stay in hospital for quite a few days after surgery. A small tube called nephrostomy is left in the kidney during the recovery tenure.

Are there any long term consequences of having a kidney stone?

If kidney stones are left untreated, it may gradually lead to kidney failure.

Do children get kidney stones?

Kidney stone formation has no age. Kids and teens, especially those having a family history have potential chances of having stones in kidneys. Imbalanced diet and the kind of fluids consumed by children develop stones in kidneys. Some other causes include infections in kidneys, blockage in urinal flow and inherited problems.

What can I do to decrease my risk of having kidney stones?

  • The very first step towards preventing kidney stone is by drinking sufficient amount of water, all throughout the day. On an average, a person must consume 2.5L of water. Those living in tropical weather must increase their water consumption since their body tends to dehydrate naturally.
  • Going less on animal protein and salt can also prevent risks of developing stone.
  • Cutting down on foods that are rich in oxalate like nuts, tea soy products, chocolates, Swiss chard, spinach, etc, is another good way to restrict kidney stones.
  • And finally, incorporating calcium-rich food into regular diet works wonders in lowering the risks of forming stones.

For more information please contact us.

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Note: Following links will take you to our other website exclusively designed for Kidney stones & treatment
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After Care

Prevention from Kidney Stones

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Oxalate and Calcium Intake: How much is enough?

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