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About Kidney stones

Kidney stones form when there are excess salts and minerals in the kidneys. Kidneys are responsible for the removal of waste and fluid from the body through urine. When the concentration of waste is more than the fluid, the waste accumulates to form lumps which result in the formation of kidney stones. Kidney stones are not always painful and some patients can barely feel any pain or discomfort.

If the stones travel to the ureter, patients can suffer immense sudden pain in the lower back or even cause serious complications. Kidney stones can vary in size, they can be as small as a granule of sand to the size of a golf ball.

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Overview

Kidney Stones
Types of kidney stones:
  • Calcium stones
  • Struvite stones
  • Uric acid stones
  • Cystine stones
Risk factors:
  • Obesity
  • Heredity
  • Dehydration
  • High calcium supplements intake
  • Increased consumption of animal protein
Nephrolithiasis ICD 10:
  • Diagnosis Code for calculus of kidney and ureter: N20
  • ICD-10 Code for pelviureteric junction (PUJ): N20
  • ICD-10 Code for vesicoureteric junction (VUJ): N20. 1
  • ICD-10 Code for urinary (tract): N20.9
  • ICD-10 Code for suburethral and ileal conduit: N21.8
  • ICD-10 Code for hydronephrosis with renal and ureteral calculous obstruction: N13.2
Kidney stone pain area:
  • Lower back
  • Around groin area
  • Back and side abdomen
Why Pristyn Care?
  • Free cab pick-up & drop
  • USFDA approved kidney stones treatment
  • Free follow ups post surgery
  • Covid free hospital, doctors and staff
Hassle-free Insurance Approval
  • Cashless insurance facility
  • All insurances covered
  • No hidden charges
  • Assistance in paperwork by Pristyn Care
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Treatment

Diagnosis

Kidney stones can usually be silent, which means they are asymptomatic. If your symptoms indicate kidney stones, the urologist may recommend you to undergo the following tests.

  • Blood test – A blood test can reveal the amount of uric acid or calcium in your body. The test can also help evaluate the health of your kidneys and decide upon the necessary treatment.
  • Imaging tests – The urologist may recommend imaging tests such as X-ray and CT scan to confirm the existence of kidney stones.
  • Urine test – You may be recommended to undergo a urine test over two consecutive days. The urine collection may show the level of minerals that you are excreting and helps determine the nature of the problem.

Procedure

There are different treatment options for kidney stones surgery which are as follows –

  • ESWL (Extracorporeal Shock Wave Lithotripsy) – It uses shock waves to break the kidney stone into small pieces that can move through the urinary tract & pass from the body.
  • URS (Ureteroscopy) – In this, a ureteroscope is passed through the urethra and into the ureter to remove a stone using laser energy.
  • RIRS (Retrograde Intrarenal Surgery) – It is a procedure for doing surgery within the kidneys using a flexible ureteroscope to remove the upper ureter and small kidney stones.
  • PCNL (Percutaneous Nephrolithotomy) – It is a minimally invasive procedure in which large kidney stones are removed through a small incision in the skin.

Frequently Asked Questions

When should I undergo kidney stone surgery?

If the size of the kidney stone is less than 10mm, your urologist will recommend medications that can flush it out through urine. But if the size of the stone is large or the number of stones is high, then surgery is required.

How do I prevent kidney stones?

Kidney stones occur majorly due to the lack of fluids and the formation of excess salts. You can prevent kidney stones by following steps-

  • Excessive water intake.
  • Avoid foods rich in oxalates such as rhubarb, beets, okra, spinach, Swiss chard, sweet potatoes, nuts, tea, chocolate, black pepper, and soy products.
  • Choose a diet low in fat and animal protein.
  • Avoid excessive calcium supplements and opt for a food-based calcium diet in a regulated amount.
What is the estimated cost of kidney stone removal at Pristyn Care in Mathura?

The estimated cost of different treatment options for kidney stone removal in Mathura at Pristyn Care are:

  • URSL- INR 40,500 and INR 100,000
  • RIRS- INR 70,000 and INR 1,19,300
  • ESWL- INR 50,000 to 100,000
  • PCNL- INR 51,000 to INR 75,000

These price ranges are not the same for every patient and are dependent on several factors.

What causes kidney stones?

Kidney stones are caused due to the following factors –

  • Obesity
  • Diabetes
  • Family history
  • Chronic diarrhea
  • High animal protein diet
  • Less water or fluid intake
How to pass stones at home?

If the size of the stone is small, you can pass the stone at home by increasing your fluid intake or getting prescription medications from the doctor. You can consult your doctor for various home remedies for kidney stones removal. However, surgical methods are the most effective way to remove renal stones.

Why should you choose Pristyn Care for kidney stone surgery in Mathura?

Pristyn Care provides advanced treatment for kidney stone surgery in Mathura. We are equipped with the latest technology to ensure that every procedure is done with maximum precision. We have some of the best doctors on board that has had an excellent track record. If you undergo kidney stones surgery from Pristyn Care, you will get the following benefits-

  • Provides daycare surgery for a higher recovery rate.
  • Highly experienced surgeons and doctors for the best surgery experience.
  • Free cab pickup and drop facility within the city
  • Assistance in paperwork for the hospitalization
  • No-cost EMI
  • Post-consultation is free
  • Private room for the patient

What are the advantages of kidney stone surgery?

Kidney stones may not always cause pain or discomfort if the size of the stone is very minuscule. But if the size of the stone is large, then medications will not help. Kidney stones can be treated with the help of advanced surgery that can either be incisional or non-incisional. Therefore, it is necessary to get your kidney stones treated to avoid any complications. The benefits of kidney stone surgery are-

  • Minimal cuts or incisions i.e., around 1 cm in PCNL surgery
  • Minimal postoperative surgical scars
  • Low risk of infections or recurrence
  • Quick and easy recovery
  • Instant relief from the pain
  • Resume normal routine within a few days

Surgical methods to treat kidney stones

Surgical or less invasive procedures are regarded as the most effective way to treat large kidney stones. Doctors usually recommend surgical procedures for kidney stones if the size of the stones is greater than 5mm. There are 4 procedures to remove kidney stones-

  • Extracorporeal Shock Wave Lithotripsy (URSL) – It is a non-invasive surgery that uses external shockwaves to break the stones into smaller pieces. The patient is administered spinal anesthesia to reduce the pain as the stones are flushed out of the body. ESWL is a conventional procedure that may require multiple sittings to break the stones completely.
  • Percutaneous Nephrolithotomy/Nephrolithotripsy (PCNL) – PCNL is an advanced procedure to treat kidney stones of size greater than 14mm. It is also known as tunnel surgery due to the nature of small incisions. It involves small incisions near the flank area while the patient is under general anesthesia. The surgeon then uses a nephroscope to locate and break the stones into smaller pieces. If the stone is removed in its intact state, it is called nephrolithotomy, and if the stone is broken into smaller fragments, it is termed as nephrolithotripsy.
  • Retrograde Intrarenal Surgery (RIRS) – RIRS is an advanced procedure to treat kidney stones with sizes between 8mm to 15mm. The patient is first administered either spinal or general anesthesia for a painless procedure. The doctor then inserts a thin, flexible endoscope attached with a tiny laser on the other end. The stones are subsequently broken into smaller fragments and flushed out through urine. The surgeon may choose to insert DJ stents before RIRS treatment. Stents enlarge the passage of the urinary tract for smooth movement of stones. The stents are removed when the stones are thoroughly flushed out of the body.
  • Ureteroscopic lithotripsy (URSL) – Similar to RIRS, ureteroscopic lithotripsy also uses a thin ureteroscope that is attached to the camera and a laser on the other end. URSL is also an effective surgical option for moderately sized kidney stones. The camera guides the surgeon inside the body to locate and break the stones. The urologists may insert ureteral stents to ease the movement of stones during the expulsion. The patient is administered local or general anesthesia for a painless procedure.

What to expect after your kidney stone procedure?

The patient is usually under the effects of anesthesia after the surgery and may suffer from mild dizziness and discomfort in case of stent insertion. Patients who have undergone invasive surgery may feel slight numbness around the site of the incision. Doctors at Pristyn Care guide you through the recovery period and monitor your health regularly to ensure you are in the best of your health. You may experience the following after your kidney stone surgeries –

  • A small amount of bleeding in your urine for a few days to a few weeks after the surgery due to stent insertion.
  • Mild pain and nausea as the stones are expelled from the body after the treatment.
  • Some bruising on the back or side after your shock waves lithotripsy procedure.

Complications of untreated kidney stones

Kidney stone is a major condition that usually results in unbearable pain. However, people are at greater risk if they ignore the symptoms by prolonging the treatment. It can lead to several complications that can eventually become life-threatening-

  • Hydronephrosis – When the stone blocks the ureteral passage, it creates difficulty for the urine to drain out from the kidneys completely. This leads to the accumulation of urine in the kidneys, causing swelling of the kidney. Hydronephrosis can occur in one or both kidneys, depending on the size and number of stones.
  • Renal scarring – Urinary tract infection is a common bacterial illness that occurs due to prolonged kidney stones in the ureter. These stones can cause continuous scarring around the stone damaging the tissues and organs around the kidneys and causing permanent renal failure.
  • Kidney failure – Prolonged kidney stones can cause loss of kidney functions which can result in the need to remove either of the kidneys (nephrectomy).
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