urinary stone surgery

7/25/2019 Urinary Stone Surgery

1/20

URINERY STONE SURGERY

DANARTOUROLOGIEST

www.annurhospital.com/ [email protected]
http://www.annurhospital.com/http://www.annurhospital.com/


2/20

URINARY STONE SURGERY

Renal stone (renal calculus) does not pass outor is causing an obstruction of the urinarytract, other forms of medical intervention is

considered. A range of kidney stonemedicationis available, not only for painrelief, but also to assist with passing out thekidney stone. If these measures fail, number

of methods and it depends on the availabilityof facilities and equipment as well as theindividual case.
http://www.healthhype.com/kidney-stone-medication-drugs-to-dissolve-and-for-passing-stones.htmlhttp://www.healthhype.com/kidney-stone-medication-drugs-to-dissolve-and-for-passing-stones.htmlhttp://www.healthhype.com/kidney-stone-medication-drugs-to-dissolve-and-for-passing-stones.htmlhttp://www.healthhype.com/kidney-stone-medication-drugs-to-dissolve-and-for-passing-stones.html


3/20


Methods for Removal of Kidney Stone, UrinaryStones

Open surgery for kidney stoneremoval is rare these

days. A host of other options are available which arelower risk and quicker. These techniques crush thestone (lithotripsy) into smaller stones so that it canbe passed out easily or physically removed in theoperating theater. The most common of these isextracorporeal shockwave lithotripsyor ESWL forshort. Other options include ureteroscopiclithotripsyor percutaneous nephrolithotomy.
http://www.healthhype.com/what-is-a-kidney-stone-renal-calculus-size-and-types-of-stones.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/percutaneous-nephrolithotomy-pcnl-kidney-stone-surgery.htmlhttp://www.healthhype.com/percutaneous-nephrolithotomy-pcnl-kidney-stone-surgery.htmlhttp://www.healthhype.com/percutaneous-nephrolithotomy-pcnl-kidney-stone-surgery.htmlhttp://www.healthhype.com/percutaneous-nephrolithotomy-pcnl-kidney-stone-surgery.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/extracorporeal-shock-wave-eswl-ureteroscopic-laser-lithotripsy.htmlhttp://www.healthhype.com/what-is-a-kidney-stone-renal-calculus-size-and-types-of-stones.html


4/20


Urinary Stone Locations

Depending on the location of the kidney

stone, the urologist will select the mostappropriate method. Despite the generalguidelines below, your urologist may decideupon a certain procedure based on multiple

factors that is taken into consideration


5/20


6/20


Urinary Stone in Upper Ureter

This is the part of the ureter closer to the kidney.ESWL for breaking down a stone near the middle

of the ureter is less successful and ureteroscopic

destruction may be a better option . The best

methods for this location is ESWL or

ureteroscopic destruction (laser or mechanical).Laparoscopic removal may be considered if the

other options are not available or feasible but it

is rarely used. Open surgery is the last option.


7/20


Urinary Stone in the Lower Ureter

This is the part of the ureter closer to the

bladder. The best methods for kidney stoneremoval at this location is ESWL orureteroscopic destruction (laser ormechanical). Basket extraction may be

necessary.


8/20


Urinary Stone in Bladder

Cystoscopic destruction is usually considered.

However, stones in the bladder can becomequite large and open surgery may benecessary in this instance.


9/20


Percutaneous Nephrolithotomy

To remove large stones in the kidney, a small

incision is made in the lower back. The stonesare directly removed from the kidney througha scope.


10/20


ESWL


11/20


PCNL


12/20


Rigid Ureteroscopy

To remove stones in the ureter, a rigid scope

is inserted through the bladder into theureter. Stones are broken up with a laser andextracted through the scope.


13/20



14/20


URS


15/20


Flexible Ureteronephroscopy

To remove small stones in the kidney, a

flexible scope is inserted through the bladderand ureter into the kidney. Stones are brokenup with a laser and extracted through thescope.


16/20



17/20



18/20



19/20


LITHOTRIPSY


20/20


THANKS

urinary stone surgery

Documents