Tag: Open Surgery

Surgical Procedures for Kidney Stones

Kidney stones are not really dangerous because normally it gets out of the body through urination. Then again there are cases when kidney stones develop to something bigger than expected so they stay in the body. When this happens then it is time to visit your doctor so that you can go through necessary tests and figure out the next best steps to be taken. Usually a patient with kidney stones may just be advised to stay home and drink lots of water so that eventually the kidney stones are flushed out. Sometimes though that is not enough and so after careful thought surgery may be considered as it is needed.

There are many things to consider before someone with kidney stones should consider surgery. Here are some of the things to observe and take note of. If you are experiencing these things then you seriously have to start thinking about surgery. If the kidney stones seem to be stuck over quite a long period of time and is starting to cause the person pain. Also, when the kidney stones blocks the normal flow of urine and causes a urinary tract infection to persist. On very bad occasion, ignored kidney stones that are getting bigger may eventually cause kidney tissue damage which is evident in bleeding.

For over 20 years open surgery was the only way to go when it comes to removing kidney stones. As in any open surgery, recovery period takes a long period of time as in around four to six weeks which is really bad news. This is the reason why people tend to just self-medicate thinking it will wade out.

However things can just get worse if you leave things at that but who can blame those people? Going under the knife is not something that is easy to undergo. The good news is that these days, due to advancement in technology, many surgery choices for the removal of kidney stones no longer require open surgery and can even be performed in an outpatient setting.

Here a number of procedures are discussed. The most common surgery choice is Extracorporeal Shock Wave Lithotripsy or ESWL. There are a number of ESWL devices available but basically they all work the same way. Shock waves are created outside the body and then it penetrates the skin and tissues to make its way through the kidney stones that will eventually be broken down into small pieces.

Now for more kidney stones in more complicated areas or states, there are other procedures to choose from. For larger stones or kidney stones that are hard to locate, there is the percutaneous nephrolithotomy. This requires a bit of going under the knife since a surgeon has to make a tiny incision at the back to create a tunnel directly to the kidney. What is good about this procedure is that it can remove fragments of kidney stones directly. For stones located in the mid and lower ureter, Ureteroscopy might be needed. No incision is required for this procedure.

The surgeon simply passes a small fiberoptic instrument called a ureteroscope until it reaches the ureter. Upon locating the kidney stone, it is removed with a cage-like device or breaks it with a special instrument that produces shock wave. This particular procedure, however, is rarely used to day because of the high risks involved.

Kidney Stones Research

Kidney stones have been present for a very long time in human history. It was said to have been found in a mummy that is over seven thousand years old. That should be enough proof that humans have long been afflicted by it. These days though people are more aware of kidney stones, why they exist and what to do about them.

Proper information that states how usual it is to develop kidney stones reduces a lot of panic because now you do not have to immediately rush to the emergency room. People now know that drinking lots of water is not just for beautiful skin but also for a healthy kidney.

There maybe times though when drinking tons of water is not enough so more drastic measures need to be taken because the kidney stones cannot be flushed through urine. Here then comes the next option which is surgery. It used to be open surgery procedure for kidney stone removal but in recent years, doctors have found a way to take out kidney stones without the patient having to go under the knife.

Three of the most popular kidney removal surgeries are extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy and ureteroscopy. It is very important to remember that all your decisions should be carefully though of and that you should always be constantly coordinating with your doctor. There should be a thorough understanding of the different procedures and more significant is the awareness of the different risks involved.

The Division of Kidney, Urologic and Hematolgic Diseases of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) maybe a mouthful but its cause is something that is really worth fighting for. The group sources and manages funds for research on the causes, treatments, and prevention of kidney stones. This group affiliated with the National Institutes of Health in Bethseda, MD is so passionate that new medicines and the growing field of lithotripsy have been a great help in finding safer and better treatments for kidney stones. This is really good news for those who are victims of kidney stones otherwise known as the silent stone because it can go on undetected.

Some of the questions this group want answered include: Why do some people continue to have painful stones? What are the long term effects of lithotripsy? What is/are the natural substance(s) found in urine that blocks stone formation? How can medicine help people identify symptoms of kidney stone formation? Finding the answers to these questions are very crucial in advancing the research so that soon kidney stones prevention and treatment will be as easy as preventing or treating coughs and colds.

With the hope of good things to come in the field of kidney stone research, we go back to the basics. First, someone who is at risk for developing stones may need certain blood and urine tests to determine which factors can be controlled to reduce risks. Second, the first and most elementary way to prevent kidney stones from forming is to drink plenty of fluids and that means more than eight glasses of water a day.

Last and certainly not the least is to keep in mind that getting treated is not enough. A person undergoing treatment should be patient in doing follow up tests to make sure that the treatment is working.