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Laser Treatment of Kidney Stone

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Laser Treatment of Kidney Stone

Kidney stones are hard collections made of minerals like calcium or waste such as uric acid. The formation of stones starts from small, but they may grow as more minerals continue to stick to them.

Sometimes, kidney stones pass on and don’t need any treatment. Some kidney stones get stuck in the urinary tract and result in severe pain, which is treated only through surgery.

When Do You Need Surgery for a Kidney Stone?

Surgery is considered in following conditions:

  1. The stone size becomes huge and not able to pass on its own.
  2. Pain becomes severe and harsh.
  3. When stone starts blocking the flow of urine from your kidney.
  4. You have had a urinary tract infection (UTI) because of the stone.

Types of Kidney Stone tretaments and Surgeries

  1. Shock wave lithotripsy
  2. Ureteroscopy
  3. Percutaneous nephrolithotomy or percutaneous nephrolithotripsy
  4. Open surgery

Shock Wave Lithotripsy

Shock wave lithotripsy (SWL) is one of the most common kidney stone procedures/treatments. It is considered best for small or medium stones. It’s non-invasive, which means no cuts are required to be made on your skin.

While conducting this procedure, a patient is asked to lie on the ED bed. You’ll be given medicine before starting the procedure to limit any pain or discomfort.

 During diagnosis, the doctor uses an X-ray or ultrasound to find the stones in your kidney. Afterward, they use high-energy shock waves for your kidney from outside. These waves help to break up the stone into small pieces.

The urologist might put a tube-like structure into your ureter called a stent. This stent helps the pieces of kidney stone pass. SWL can take about one hour. Patients are then discharged from the hospital on the same day.

 The post-surgery doctor advises you to drink lots of water to ensure stone pieces are flushed out through your urine. You might be advised to pee through a strainer to catch pieces of the stone in testing them.

SWL procedure works in almost half of the people who have it. If it doesn’t work, your doctor might suggest you have the procedure repeated.

The procedure may sometimes cause side effects such as cramps or blood in the urine. Moreover, serious problems are less likely to happen but can include:

  1. Bleeding nearby the kidney area
  2. Infections
  3. Kidney damage
  4. Stone blocking the flow of urine

Reteroscopy

This procedure is specially used in treating stones in the kidneys and ureters. Urologists use a thin, flexible scope to find and remove the stones. No cuts are made on your skin, which means it is a non-incision procedure. You’ll sleep through this procedure.

Your doctor will insert the scope through your bladder and ureter into your kidney. A small basket is used to remove small stones. In case the stones are larger, the urologist will pass a laser through the scope to break them. Patients are usually discharged on the same day.

The urologist may put a stent in your ureter to help urine move out from your kidney into your bladder. You’ll need to go back to the doctor after few days to remove the stent out.

Some stents might have a string at the end so that you can take it out yourself.  You need to be a little careful and follow your urologist’s instructions to pull out the stent yourself.

Possible complications after a ureteroscopy include:

  1. Infections
  2. Narrowing of the ureter
  3. Bleeding

Percutaneous Nephrolithotomy or Percutaneous Nephrolithotripsy

If your stone is big in size or the lithotripsy procedure doesn’t work properly, this surgery comes as an alternative option. PCNL procedure includes a small tube to reach the kidney stone and break it through high-frequency sound waves.

You will be given some medication or anesthesia not to be awake or feel anything during this surgery. Your surgeon will create a tiny cut in your back or side and place a thin scope into that cut.

The surgery can be performed in one of two different ways:

Nephrolithotomy:  Urologist/surgeon removes the stone through a tube.

Nephrolithotripsy: The urologist/surgeon uses sound waves or a laser to break the stone and then uses a suction machine and vacuums up the pieces.

The surgery might take about 20 to 45 minutes. Your urologists might suggest you stay in the hospital for a day or two. Usually, post-surgery, a stent will be inserted in your kidney for a few days to help urine drain out.

You might need to go for a check-up after the few weeks of the surgery, where your doctor/urologists will conduct an X-ray or ultrasound to ensure any parts of the stone are not left. They might also send those stones to the lab to find out what they were made of.

Risks from this surgery may include:

  1. Infection
  2. Bleeding
  3. Bladder, bowel, ureter, kidney, or liver damage.

Open Surgery

Surgery may also help if:

  1.  Stone is stuck in the ureter.
  2.  Extreme pain.
  3.  Urine flow is blocked due to stone.
  4. While you are bleeding or have an infection.

You will be given some medication like anesthesia to make you unconscious during the procedure. Your surgeon will put a cut on your side and into your kidney. Then they will remove the stone from the opening. A stent will be placed in the ureter to help the urine drain out.

Post-surgery you may need to stay in the hospital for a few days. It may take 4 to 6 weeks for you to heal fully.

Post-Operative Care

  1. Post-laser therapy or procedure, you might experience some pain. Men may feel pain in the penis and the testicles. But, Medication will treat such pain and will not create any long-term problem. Your Urologist will prescribe the medications and explain the course of recovery.
  2. You may experience a burning sensation while urinating post-surgery, which can be treated with the medicines.
  3. Shower as usual at home.
  4. The driving needs to be avoided for few days.
  5. Be careful on stairs.
  6. Lying or sitting in bed or a single place is not advisable. Generally, timely  Walking is advised. 
  7. Exercising and weight lifting needs to be put on hold until the urologist or doctor prescribes the same.
  8. Stay hydrated.
  9. The post-surgery patient may feel like frequently urinating, so it is advised to stay near the bathroom.
  10. It is advised to stay in touch with the doctor through timely appointments for a check-up to ensure there is no hindrance in recovery.
  11. Your doctor/urologist will prescribe a certain time to remove the stent depending upon the patient’s recovery until it is advised to keep the stent.

Why you should visit Dr. Sandeep Nunia for the laser treatment of the kidney stone.

Dr. Sandeep Nunia is one of the best urologists in the Jaipur, Rajasthan performing laser treatment of kidney stone with accuracy. His experience and awards say all about his work; having experience in all modern techniques and equipment, he is pioneering under the same belt and serving society, and putting his effort in enriching the medical procedures through various advancements. He has performed many complicated kidney conditions successfully and always found an alternate solution for problems. He is the most affordable and understanding urologist or kidney surgeon in Jaipur, Rajasthan.

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