Can I have surgery for kidney stones? Kidney stone surgery?

Hello, according to your description, kidney stone surgery depends on the size of the stone, physical condition, and whether the stone causes complications.

Generally, tertiary hospitals have holmium laser lithotripsy machines, if the stones cause hydronephrosis and affect kidney function, it is recommended to undergo surgery**, do not delay the condition, I wish you soon**.

At present, most of the surgical methods for kidney stones are minimally invasive, and there are two ways. Clause.

1. Percutaneous nephroscopic holmium laser lithotripsy. It is necessary to make a channel of about 1cm in the waist, and then put the nephroscope into the kidney from this channel, observe the stones under the microscope, and then use the energy of the holmium laser to perform lithotripsy and stone removal surgery. It is suitable for patients with stones with fluid accumulation in the kidneys, and the larger the stone, the higher the efficiency of lithotripsy and stone removal.

Clause. 2. Holmium laser lithotripsy under flexible ureteroscopy. It is suitable for patients with kidney stones smaller than or less than or without hydrops. There is no need to make any passage on the surface of the body, and the flexible ureteroscope enters the bladder through the urethral opening, and then enters the ipsilateral ureter and reaches the kidney.

Holmium laser lithotripsy is performed under the supervision of a flexible microscope, and after the stone is completed, the stone is pulled from the ureter into the bladder using a stone basket and then excreted through urine.

Do all kidney stones have to be operated on? The doctor accidentally said the answer.

It's a bit complicated to say, let's just say that the kidney function is basically normal, simple stones, stone location, number, size. All determine the best method, and the cost is also different.

Let's take a look at the diagram of the urinary system, the diameter of the narrowest area of the normal ureter is only 5mm, which varies from person to person and some people are not yet, so the stone is theoretically less than 5mm, which can be discharged by medication and exercise, but even if the stone eventually falls to the bladder, the female urethra is short and thick and easy to clamp. For example, a 4 or 5 mm stone in men cannot be easily removed. Stomach pain may be caused by an existing stone rolling down from the kidney into the ureter, which may be close to 5mm or even larger in diameter, causing severe pain.

The premise of ablation of stones with drugs is that the entire urinary tract is unobstructed or basically unobstructed, if the urinary tract (generally in the ureter) is blocked by stones and blocked, it will cause fluid accumulation, affect the kidneys, and be blocked. If there is a blockage in the ureter, the first thing to do is extracorporeal shock wave lithotripsy, which is a primary lithotripsy surgery to break up large stones into several smaller diameter pieces. Extracorporeal shock wave lithotripsy is the simplest surgery, which takes 10 minutes and can be done as you go, and the cost varies from hundreds to early thousands.

In this way, the success rate of this is not very high, so it is necessary to spend more time and money to find a hospital or department with advantages in this area. More modern stone crushers, more experienced and responsible physicians, strive to crush at a time. Although it is simple, there are contraindications to surgery, and this should be communicated with the doctor.

If it is a stone in the kidney, if it does not affect the function and urination, you can ignore it for a while, and use dissolving drugs to take it slowly. You can treat according to your specific condition, find a suitable prescription to dispense, urinate without any problem, and remove the diuretic component of the prescription. In fact, the stomach can, and drinking acidic drinks such as lemon water generally has a good effect on ablating stones.

You can try the drug stone expulsion first, there is Depu's Lishi Risus tea, drink more water, exercise more, check every 2 weeks, the following materials are very helpful to you:

Kidney stone**.

1.Symptomatic**: antispasmodic, analgesic, rehydration, anti-inflammatory, traditional Chinese medicine**.

2.Stone expulsion**: selected for patients with stone diameter, good kidney function, no co-infection, short course of disease, and mobility.

3.Dissolved stones**: Take medications, drink plenty of water, regulate urine pH, control the type of diet, etc. Suitable for urate and cystine stones.

4.Extracorporeal shock wave lithotripsy.

5.Percutaneous nephrolithotomy, lithotripsy.

6.Surgery**: Pyelotomy and lithotomy, renal parenchymal incision, partial nephrectomy, nephrectomy, nephrostomy and extracorporeal nephrotomy are selected according to different conditions.

Hello, it is recommended that you take minimally invasive surgery for kidney stones, and the minimally invasive surgery is mainly endoscopic holmium laser**, and the common minimally invasive surgery is divided into: fibrous nephrolithotomy is to insert a ureteroscope through the external urethral orifice, explore the bladder without abnormality, find the right ureteral orifice, insert a zebra guidewire, place a soft scope to expand the external sheath under the guidance of the zebra guidewire, insert the flexible scope to the renal pelvis through the external sheath, explore the famous renal calyces, and find the upper calculus, and crush the stones under the combined action of neodymium laser and holmium laser, The soft mirror set of stone mesh and three-claw forceps took out part of the stones, and sucked out some debris under the action of negative pressure suction.