DANARTO

UROLOGIEST

dr.danarto@yahoo.co.id
URINARY STONE SURGERY

Renal stone (renal calculus) does not pass

out or is causing an obstruction of the
urinary tract, other forms of medical
intervention is considered.
A range of kidney stone medication is
available, not only for pain relief, but also
to assist with passing out the kidney stone.
If these measures fail, number of methods
and it depends on the availability of
facilities and equipment as well as the
individual case.
URINARY STONE SURGERY

Methods for Removal of Kidney Stone,

Urinary Stones
Open surgery for kidney stone removal is rare these
days. A host of other options are available which are
lower risk and quicker.
These techniques crush the stone (lithotripsy) into
smaller stones so that it can be passed out easily or
physically removed in the operating theater.
The most common of these is
extracorporeal shockwave lithotripsy or ESWL for
short.

Other options include

ureteroscopic lithotripsy or
percutaneous nephrolithotomy.
URINARY STONE SURGERY

Urinary Stone Locations

Depending on the location of the kidney
stone, the urologist will select the most
appropriate method.
Despite the general guidelines below,
your urologist may decide upon a certain
procedure based on multiple factors that
is taken into consideration
URINARY STONE SURGERY

Kidney Stone in Renal Pelvis of

Kidney

The best methods for removal of a

kidney stone in this location is an ESWL
or
percutaneous nephrolithotomy.
Open surgery is the last option.
URINARY STONE SURGERY

Urinary Stone in Upper Ureter

This is the part of the ureter closer to the kidney.

ESWL for breaking down a stone near the middle
of the ureter is less successful and
ureteroscopic destruction may be a better
option
The best methods for this location is ESWL or
ureteroscopic destruction (laser or mechanical).
Laparoscopic removal may be considered if the
other options are not available or feasible but it
is rarely used.
Open surgery is the last option.
URINARY STONE SURGERY

Urinary Stone in the Lower

Ureter

This is the part of the ureter closer to the

bladder.
The best methods for kidney stone
removal at this location is ESWL or
ureteroscopic destruction (laser or
mechanical).
Basket extraction may be necessary.
URINARY STONE SURGERY

Urinary Stone in Bladder

Cystoscopic destruction is usually

considered.
However, stones in the bladder can
become quite large and open surgery
may be necessary in this instance.
URINARY STONE SURGERY

Percutaneous Nephrolithotomy

To remove large stones in the kidney, a

small incision is made in the lower back.
The stones are directly removed from
the kidney through a scope.
URINARY STONE SURGERY
ESWL
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PCNL
URINARY STONE SURGERY

Rigid Ureteroscopy

To remove stones in the ureter,

a rigid scope is inserted through the
bladder into the ureter.
Stones are broken up with a laser and
extracted through the scope.
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URS
URINARY STONE SURGERY

Flexible Ureteronephroscopy

To remove small stones in the kidney,

a flexible scope is inserted through the
bladder and ureter into the kidney.
Stones are broken up with a laser and
extracted through the scope.
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LITHOTRIPSY
URINARY STONE SURGERY

THANK
S