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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

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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
  • CD-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
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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.

Procudure

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.

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) 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.

Why Pristyn Care?

Delivering Seamless Surgical Experience in India

01.

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

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Frequently Asked Questions

What are the types of kidney stones?

Most people confuse chronic and acute appendicitis with each other. Appendicitis occurs when the appendix becomes infected or inflamed and starts causing abdominal pain. But in acute and chronic cases, the frequency and severity of the pain are quite different. Acute Appendicitis – Appendicitis is said to be acute when a person develops severe symptoms suddenly, within 24-48 hours. It is a medical emergency that should be treated without further ado. It occurs due to the following reasons- A viral, bacterial, or parasitic infection in the digestive tract Stools causing a blockage in the tube between the large intestine and appendix Inflammatory bowel disease Injury or trauma in the abdomen Tumors Without treatment, the appendix can rupture or burst out within 2-3 days if the symptoms persist. Moreover, the abdominal pain will be intense and hard to ignore. Chronic appendicitis can occur due to many different reasons, such as: Inflammation and obstruction of the appendix Accumulation of fecal matter Calcified fecal deposits or appendix stones Trauma to the abdomen Enlarged lymph nodes and glands Build up of foreign objects Tumor In chronic cases, the pain (this is the primary symptom) of appendicitis lasts for longer periods, most often a week or so. There can be other symptoms like fever, swelling, tenderness in the abdomen, tiredness, nausea, diarrhea, etc. present alongside. However, not all people with chronic appendicitis will have these symptoms. The symptoms also subside on their own and return abruptly, which further makes it harder for the doctor to diagnose the condition accurately. Out of all the cases of appendicitis, only 1.5% are chronic.

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 Prityn Care in Meerut?

The estimated cost of different treatment options for kidney stone removal in Meerut 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 is 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 prescribing 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.

How are renal stones diagnosed?

The doctor may recommend the following diagnostic tests to confirm the presence of kidney stones- Urinalysis CT scan X-rays Abdominal ultrasound MRI Blood Urea Nitrogen (BUN) Test Blood test

Does whey protein cause kidney stones?

People with diets that are heavy on synthetic protein such as whey are at more risk of developing kidney stones in the long run. Protein-rich foods can also have a high concentration of fat, which increases the risk of several heart diseases and type 2 diabetes.

Does eating slate pencils cause kidney stones?

Slate is never intended to be eaten or consumed. Slate pencils are made up of calcium-rich minerals. People who eat slate pencils in small amounts are comparatively at a lower risk than people who consume slate on a daily basis. However, if the person is eating too many slate pencils, it may lead to several health problems, including kidney stones.

How to stop kidney stones pain immediately?

Consult a urologist if your renal stone pain is unbearable. Surgical procedures are very effective to relieve the pain due to kidney stones. However, if the pain is mild, you can prescribe medications from the doctor that can help reduce the pain.

What size of kidney stones require surgery?

Kidney stones of size greater than 5mm require surgery. Such stones can be stubborn and cause unbearable pain. Therefore, a surgical procedure to remove these stones is inevitable. Consult Pristyn Care for more information on the treatment of kidney stones.

How to remove an 18 mm kidney stone?

Percutaneous Nephrolithotomy/Nephrolithotripsy (PCNL) is hailed as one of the most effective surgeries to remove kidney stones with sizes greater than 14mm. It involves minute incisions around the flank area to physically remove the stones.

What is the duration of kidney stones surgeries?

The duration of kidney stone surgery for different techniques are as follows- ESWL – 45 minutes (approx.) URSL – 45 minutes (approx.) PCNL – 1.5 to 2 hours (approx.) RIRS – 1 hour (approx.)

What is the role of stents during kidney stones surgery?

Double J or DJ stents are inserted into the ureter through the urethral passage to expand the ureter. This allows smooth movement of stones and causes less pain to the patient as the stones are flushed out.

Does beer help in flushing out kidney stones?

Drinking beer can help flush out small stones (4mm or less) via urine. However, beer is an oxalate-rich beverage that also contains high calories. Therefore, consuming too much beer can increase oxalate content in the body and increase the risk of being overweight.

Why you should choose Pristyn Care for kidney stones surgery in Meerut?

Pristyn Care provides advanced treatment for kidney stone surgery in Meerut. 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 have 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 stones 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. 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 with 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 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 with local or general anesthesia for a painless procedure.

What to expect after your kidney stones 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 completely drain out from the kidneys. This leads to the accumulation of urine in the kidneys, causing swelling of a 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 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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