Large kidney stones require more extensive treatment.
big kidney stones are stones that measure approximately 5 mm or larger. Based on their size, they may have trouble moving through the urinary nerve pathway out of the body. In fact, they are prone to become lodge causing severe pain and early symptoms .
large kidney stones require intervention for removal, typically, a surgical procedure. Reasons that initiate surgical treatment include :
- A stone that becomes lodged and won’t pass on its own.
- Severe pain that makes it difficult to wait for the stone to pass on its own.
- Having an infection.
- Having a stone that is blocking the flow of urine from the kidney.
How large kidney stones are treated
There are several methods for breaking down or removing big kidney stones, whether minimally incursive or surgically.
Reading: Treatments for Kidney Stones
Extracorporeal traumatize wave lithotripsy ( ESWL ) is an outpatient procedure that requires either light sedation or anesthesia and normally lasts between 45 minutes and an hour. A lithotripsy uses shock waves that work to break up the kidney rock into much smaller pieces that will pass more easily through the urinary tract .
A ureteroscopy is broadly an outpatient procedure that is performed under anesthesia. During this procedure, the surgeon will insert an ureteroscope through the urethra and bladder to the ureters. The ureteroscope is a thin, lighted, tube-like musical instrument with an eyepiece that allows the urologist to see the kidney stone. once located, it can be retrieved or broken into smaller pieces using laser energy.
sometimes, the surgeon will choose to place a stent in the ureter ( the sparse tubes that allows urine to flow from the kidneys to the bladder ). If placed, it will be removed in approximately four to 10 days during an position visit .
Depending on its size and location, the urologist may choose to perform a transdermal Nephrolithotomy ( PCNL ). This procedure requires general anesthesia, and may require an overnight last out in the hospital .
When performing a PCNL, the urologist uses a nephroscope, a thin, telescopic instrumental role that is inserted through a small incision in the affected role ’ s back or side, to locate the kidney stone. Once it has been located, another legal document is used to break up and suction out the pieces of the kidney stone.
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When the PCNL routine is complete, the urologist will leave a nephrostomy pipe in the kidney so that urine and leftover stone fragments can leave the body. The nephrostomy tube will be removed in a day or two following the procedure. Patients are generally permitted to return to normal activities within one to two weeks .
Contact Urology Austin to schedule an appointee at the placement nearest you .