Treatment for Kidney Stones
What are Kidney Stones?
Kidney stones are small "pebbles" of salt and mineral in the urine. The most common symptom is severe pain. Most stones pass on their own. However in some cases they may get deposited in the kidney which need surgery to remove kidney stones.
If the Kidney Stones are more than 10 mm in size then they have to be removed by Surgery which is done by a Urologist. The surgery for Kidney Stone Removal is called PCNL and costs Rs. 65000-80000 depending on the health of the patient.
What Causes the formation of Kidney Stone?
According to the doctors Dr Raman Tanwar & Dr Suresh Vatsyayann at GNH Hospital, Gurgaon, kidney stones are formed due to the following reasons:
- One of the most common causes for Kidney stone is Vitamin D Deficiency. Since Vitamin D acts as Calcium Channel Regulator, its deficiency causes calcium imbalance in the body. The excess calcium is removed via kidneys and this causes deposition of calcium in kidneys.
- Kidney stones keep moving further but sometimes get stuck in the kidneys causing hydronephrosis. Sometimes they get stuck in the ureter and require to be removed through ureteroscopy. At GNH Hospital more than 95% of the Kidney stones are removed without Surgery.
- A person forms kidney stones because the parathyroid glands produces too much of a hormone, which leads to higher calcium levels and possibly calcium kidney stones.
What are the Symptoms for the Kidney Stones ?
According to the Urologists at GNH hospital Gurgaon, India the symptoms for Kidney Stones may include:
- If the kidney stones are very small they may not present any symptoms and may be treated by medicine without any surgery
- Sudden and severe pain that gets worse and radiates. Stones may cause intense pain in the back, side, abdomen, groin or genitals.
- Sometimes pain due to kidney stones can be accompanied with nausea and vomitting.
- Blood in the urine (haematuria), which can occur either with stones that stay in the kidney or with those that travel through the ureter.
- Frequent and painful urination, which may occur when the stone is in the ureter or after the stone has left the bladder and is in the urethra. Painful urination may also be caused by Urinary Tract Infection which is differentiated by the Urologists.
What are the treatment options available for removal of kidney stones at GNH Hospital, Gurgaon, India?
Surgery is only needed when the kidney stone is larger than 10 mm and causing infection(staghorn calculi), blocking the flow of urine out of the kidney or causing other problems like severe bleeding. There are various options available at GNH Hospital for the removal of kidney stones. Our doctors choose the best suited treatment plan based on the case and symptoms.
Extracorporeal Shock Wave Lithotripsy (ESWL). ESWL or lithotripsy procedure is best treatment for kidney stone when the size of the stone is not too large and the stone is also not too old. In this procedure the stones are broken into small particles using shock waves and then the kidney stones pass through urine. The cost of this procedure is 35000 for each sitting and may be a costly option as 2-3 sittings might be required.
Percutaneous Nephrolithotomy (PCNL). This is the minimally invasive procedure to remove the kidney stones. This is also the most widely used and one of the best methods for surgical removal of kidney stones. In this case if the kidney stone is big in size then the doctor will break the stone and take out most of the pieces during the surgery and very small particle pass through urine as in case of ESWL. This surgery is done by Urologist Dr Raman Tanwar at GNH Hospital Gurgaon. The cost of PCNL Surgery ranges between Rs. 65000-80000
Ureteroscopic Stone Removal. This procedure is used to remove kidney stones stuck in ureter. This does not need any incision rather a urteroscope is inserted to visualize the location of the kidney stone and take it out. A stent is left for a week for flow of urine and stone particles. The cost of this procedure is 65000-80000.