Department of Urology and RIRS
Conditions & Treatments
Below are the treatment options available to treat Kidney Stones at QRG Health City:
- Shock Wave Lithotripsy (ESWL): Ultrasonic or shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into "stone dust" or fragments that are small enough to pass in urine.
- Ureteroscopy (URS): A fiber-optic instrument called Ureteroscope allows the urologist to directly visualize the kidney stone by progressing it up the ureter via the bladder. Through the ureteroscope, the doctor can see a stone in the ureter and then remove it with a small basket at the end of a wire inserted through an extra channel in the ureteroscope. Another way to treat a stone through a ureteroscope is to extend a flexible fiber through the scope up to the stone and then, with a laser beam shone through the fiber, break the stone into smaller pieces that can then pass out of the body in the urine.
- Percutaneous Nephrolithotomy (PCNL): It is a surgical procedure to remove stones from the kidney by a small puncture wound (up to about 1 cm) through the skin. It is most suitable to remove stones of more than 2 cm in size and which are present near the pelvic region. It is usually done under general anesthesia or spinal anesthesia. This method is effective to treat large stones located within the kidney that cannot be effectively treated with either ESWL or URS.
- Open Surgery: A large incision is made in order to expose the kidney or portion of ureter that has the stone. The portion of kidney overlying the stone or the ureteral wall is then surgically cut and the stone is removed.
Below are the treatment options available to treat Ureteric Stones at QRG Health City:
- Ureteroscopic stone removal- A thin viewing instrument called ureteroscope is inserted into the urethra and the doctor uses forceps to remove the stone from the ureter.
Laser Eneucleation of Prostate
Holmium Laser Enucleation of the prostate is a treatment for an enlarged prostate (benign prostatic hyperplasia). A laser is used to precisely remove the obstructive portion of the prostate, similar to an open surgery without the need for incisions.
A surgery where the urethra is reconstructed to cure problems like urethral strictures. The type of surgery to be opted depends on the location, cause and length of the stricture.