Treating a Kidney Stone by Laser- Extracorporeal Shockwave Lithotripsy (ESWL)

A Kidney Stone is basically a hard, crystalline mineral material that is formed within one's kidney (or urinary tract). At an average, one in every 20 people develops a kidney stone at some point in time in their life.

These stones are known as one of the most physically painful conditions. 

The cause behind the formation of a kidney stone varies according to the type of the stone that has formed.

Diagnosis

The diagnosis of a kidney stone will require a complete health background assessment and also a thorough physical exam in addition to other tests.

Treatment

The treatment of kidney stones is tailored according to the kind of stone that one is suffering from. The urine might be strained to collect stones for evaluation. Drinking a lot of water every day will increase the urine flow. People who are dehydrated or even those who have severe nausea and vomiting might also need intravenous fluids.

The other means of treatment are as follows:

Medication

Narcotic medicines may be enough for short-term pain relief. If an infection is detected, it needs to be further treated by antibiotics. There is a longer list of medicines that is specific for the kind of stone one suffers from.

Lithotripsy

ExtracorporealShock Wave lithotripsy is done by using sound waves in order to just break up the large stones so that the smaller fragments can pass down the urethras into your bladder more easily. This process tends to be more uncomfortable and might even require the patient to be injected with mild anaesthesia. It could cause bruises on the abdomen and the back, in addition to bleeding around the kidney and nearby organs.

Tunnel Surgery

     The stone can also be removed by creating a small incision in your back and might be needed only when: a.) The stone starts to cause an obstruction or an infection that damages the kidneys. b.) The stone has become way too large to pass through.

Ureteroscopy

The doctor might use and instrument which is called an ureteroscope in order to remove a stone that gets stuck in the urethra or your bladder. A small cage, guided by a tiny camera is used to snag the stone as the doctor removes it.

Prevention

The fact that prevention is much better than cure isn’t lost on anybody. The key to preventing getting a Kidney Stone starts with proper hydration. Drink up to about 12 glasses of water daily. This water intake is going to help flush your kidneys.

Eat food that is rich in oxalate and reduce your intake of salt in order to reduce the risk of getting a kidney stone.

Content Ref:
https://www.smore.com/h1pua-treating-a-kidney-stone
https://www.docdroid.net/OCghRAd/treating-a-kidney-stone.pdf.html

4 Methods of Kidney Stone Treatment in Delhi

Kidney stones can become a serious health problem if they do not pass through the ureter after a span of 30 days after being formed. If they remain, then one should immediately consult a doctor and go for treatment. There are various procedures which have come out to remove kidney stones such as:

·         Ureteroscopy

This method is used to break or basket the kidney stones that are formed in the ureter. A state-of-the-art telescope, which is as thin as a wire, is passed into the urethra till it reaches the ureter where the stone is formed. The telescope a.k.a the ureteroscope has a minute basket attached to it which is used to extract the stones.This method has been largely replaced by use of laser fragmentation .The broken fragments pass out from the urinary tract. General anesthesia is required in this process.

·         Lithotripsy

This is the best method for treatment of kidney stones. There are two ways in which this can be conducted. First is Intra corporeal Ultrasonic lithotripsy which uses sound waves which have a large frequency. This is administered with the help of an electronic device which is inserted into the ureter. After the stones break up into minute particles, they are passed out by through the urinary tract.

.

Second is Extracorporeal Shock Wave Lithotripsy/ESWL which uses high impulse beams from outside to break the kidney stones where it is located. The fragments are passed out by the patient through urine. Mostly a stent is used to facilitate the process also called a J stent.

·         Open  surgery

This process is nowadays minimally used as keyhole procedures are possible with the advent of an endoscope. Open surgery these days is largely reserved for very large stones more than 40 mm or multiple large stones they will administer general anesthesia first. Then the doctors will make a cut in the back. After this, the doctors will remove the kidney stones by incision. The patient needs to stay in the hospital for some time until he/she has fully recovered. Sometimes it takes weeks.

·         Percutaneous Nephrostolithotomy/PCN

This is a minimally invasive technique wherein a hole approx. 10 mm is sufficient to perform the stone removal as laser is passed through it to fragment it. The patient has to be hospitalized. Local anesthesia is to be administered. To gain access of the kidney, a needle is attached to a guide wire threaded with catheters. Then the surgeon with the help of instruments controls the catheters to break the kidney stones and remove them. After this process, the person needs to rest completely for at least a week.

Mini PCNL
The technique is the same as above but by proper case selection a thinner endoscope is managed for a faster healing and recovery .In most cases the healing just takes few days and patient is fit before a week.

Things to Keep In Mind before Going for Kidney Stone Treatment in Delhi

Even with today’s technology and advancements in the field of medicine and science, getting kidney stone treatment in Delhi can be a hard and complicated task. With so many different hospital and urology centers, there are many things to keep in mind when choosing a kidney stone treatment center in Delhi.

·        Treatments technology

The first thing to look for is the kidney stone treatments technology that is available in the center. It is possible to treat kidney stone using 2 different methods or in combinations. The first process is known as ESWL or extracorporeal shock wave lithotripsy, in which sound waves are passed to the stone in kidney of the patient and the waves focusing on the stone, pulverizes it by shearing effect... The minute crystals which are broken down are then passed through the urine of the patient. This is a painless and noninvasive procedure but is only suitable for kidney stones that are less than 20mm in size and in upper ureter or kidneys. You might also need to have more than one visit to the doctor as the complete removal of stone with this process takes few sessions.

The other one is called PCNL or percutaneous nephrolithotomy. In this procedure, a small tube is passed from the flank region to the kidney of the patient and the stone is converted to poedered form by the laser energy passed through this tube. This tube is fitted with a camera, which allows the doctor to make precise and accurate actions. It is a minimally invasive procedure and does not leave any lasting scars or marks on the body. It is used mostly for stones which are bigger in size that 2mm and cannot be removed through ESWL.

Other options are RIRS,URS and cystoscopy in which ureteroscope (a thin hollow tube with a camera ) is passed through the natural urinary passage to the stone and lasers are made to contact and pulverize the stone .No cut is needed during these procedures as natural urinary tract is used for the approach.

·         Price

Another feature to look out for when choosing a center for removing your kidney stone is the price. Depending on the services and the quality of the place, different hospitals charge differently for the same process. When choosing a place to get your kidney stone removed, then you have to make sure that you get the best quality and care at the best of prices. This is where we come in. we provide international quality services and healthcare, at low and affordable prices that everyone of us can afford.

When it comes to a kidney stone or any other health issue, prevention is better than cure. So why not give us a call and maybe we can help you feel a lot better?

How Can A Best Urologist in Delhi Help You?

Many a time it happens so that when a man has a urological problem which appears to be quite serious and isn't resolving, his doctor wouldn't refer him to some urologist for its treatment. Why aren't patients sent to an urologist even when it is something urologic? Sometimes it is like the primary care doctor feels he or she can take care of it. But nope, not always! Here are reasons why you should be seeing an urologist;

1. Anything pertaining to male infertility: A tiny percentage of infertility factors among men are due to testicular cancer. The primary care doctors often miss it and even the IVF fertility doctor would miss it when he's referred to. But an urologist can deal with this problem
2. Blood while urinating: Hematuria which is sometimes visible or sometimes microscopic is not normal. This could be a sign of kidney or bladder cancer. To wait to check if there is actually blood passing out is not wise. A onetime experience must be enough for an urologist to come in and check the issue.
3. Change in PSA: This is one among the highly sensitive indications of prostate cancer. A lot of doctors would not understand what the PSA test is. This raising concern must be evaluated. It is not advisable to wait for it to get high or severe. An urologist is the best person to know the significance of PSA test from.
4. Unusual prostate exam: Abnormalities like small nodules, firmness or some irregularities could be a sign of prostate cancer and can only be examined well by a good urologist. Similarly, changes from earlier examinations should be seen, and this can only be done by an urologist. Hence, it is really essential for men above the age of 40 to be treated by an urologist.
5. Abnormalities of kidneys: It is better to assume that the abnormalities found on X rays of kidneys to be kidney cancer until it is proven wrong. Never let someone biopsy the kidney mass before getting checked by an urologist. Biopsy of the mass in kidney could lead to more problems and normal doctors cannot provide you the needed information. 
6. Persistent pain or testicular mass: There are rare chances of a testicular cancer underlying, firmness, nodules or masses that must and should be checked by a best urologist hospital in Delhi.

These reasons are enough to convince you that you should visit best urologist in Delhi in case of any problem.