During this time the public learned that the stone contained in the urinary tract such as the kidneys can only be removed through surgery. But actually there are other techniques to overcome them.
Kidney Stones Treatment is based on the location, stone size (whether under 5 mm, 5-10 mm or more than 20 mm) and also looks at kidney function (still good or not).
Contained stones in the urinary tract can be in the kidneys, urethras, bladder or urethra. And the nature of this stone there is a hard (usually of calcium oxalate) and there is also a relatively soft (usually from uric acid).
Here are some techniques that can be used to eliminate or overcome the kidney stones:
1. Conservative techniques
This technique is usually to stone in the urethra and a small channel that is less than 4-5 mm, have kidney function is still good and there is no blockage. This technique is by eating plenty of water so that the stone can go out by itself, the length of this technique is usually up to 6 weeks.
If there is infection in the urinary tract, pain is not unbearable, decreased kidney function and urine bloody, and then the conservative technique must be stopped.
2. ESWL technique (Extracorporeal Shock Wave Lithotripsy)
This technique uses a shock wave focused on one point of the kidney stone to break the stones into smaller fragments and smooth (about 1-2 mm) and the water will come out along with urine.
But people who do this technique should have good kidney function, if not broken stones will not come out of the body. And with regard to the composition of the rocks that form, including hard rock if it usually takes more than one ESWL.
If repeatedly shot (ESWL) for a stone in the near term could decrease kidney function and high cost, usually only be about 2-3 times.
This technique uses modern equipment and procedures are safe and comfortable because without the use of anesthesia and the surgical wound because the shock wave is coming from outside the body, and reducing morbidity.
Patients with this technique takes some time until the stone fragments are completely lost, usually 1-2 months after ESWL should have controls like X-rays to see if it is clean or not to reduce the recurrence rate.
3. URS Engineering (Ureterorenoscopy)
This technique is done by inserting a tool through the urinary tract is equipped with a lens, and then insert a small instrument to break up the stone and remove it using special forceps. This technique is easier for women.
4. PCNL Technique (Percutaneous nephrolithotomy)
The technique is to remove kidney stones that are large (more than 20 mm) or deer horn-shaped stones (staghorn stone) with a small surgical wound (1-2 cm), approximately 84 percent of patients get a net figure of 100 percent stone through a one-time action.
This large stone will be destroyed by such a long metal instrument that accompanied ultrasonic or electro hydraulic energy into stone chips, and includes techniques with minimally invasive (minimal injury).
Patients who do not need to be performed PCNL general anesthesia, half of the body just enough anesthetic to the time of surgery about 2-3 hours, depending on the size of the stone.
This technique has been widely accepted as one of the procedures are relatively safe, effective, comfortable with morbidity (pain) is low in lifting the stones, and a shorter recovery period.
5. Open surgery techniques
Along with the development of technology, then the technique is open surgery (open surgery) is rarely done. This operation is usually performed to remove stones as kidney stones that are large.
However, this technique has a greater risk of bleeding, kidney damage and requires a longer recovery period than other techniques.
Kidney Stones Treatment is based on the location, stone size (whether under 5 mm, 5-10 mm or more than 20 mm) and also looks at kidney function (still good or not).
Contained stones in the urinary tract can be in the kidneys, urethras, bladder or urethra. And the nature of this stone there is a hard (usually of calcium oxalate) and there is also a relatively soft (usually from uric acid).
Here are some techniques that can be used to eliminate or overcome the kidney stones:
1. Conservative techniques
This technique is usually to stone in the urethra and a small channel that is less than 4-5 mm, have kidney function is still good and there is no blockage. This technique is by eating plenty of water so that the stone can go out by itself, the length of this technique is usually up to 6 weeks.
If there is infection in the urinary tract, pain is not unbearable, decreased kidney function and urine bloody, and then the conservative technique must be stopped.
2. ESWL technique (Extracorporeal Shock Wave Lithotripsy)
This technique uses a shock wave focused on one point of the kidney stone to break the stones into smaller fragments and smooth (about 1-2 mm) and the water will come out along with urine.
But people who do this technique should have good kidney function, if not broken stones will not come out of the body. And with regard to the composition of the rocks that form, including hard rock if it usually takes more than one ESWL.
If repeatedly shot (ESWL) for a stone in the near term could decrease kidney function and high cost, usually only be about 2-3 times.
This technique uses modern equipment and procedures are safe and comfortable because without the use of anesthesia and the surgical wound because the shock wave is coming from outside the body, and reducing morbidity.
Patients with this technique takes some time until the stone fragments are completely lost, usually 1-2 months after ESWL should have controls like X-rays to see if it is clean or not to reduce the recurrence rate.
3. URS Engineering (Ureterorenoscopy)
This technique is done by inserting a tool through the urinary tract is equipped with a lens, and then insert a small instrument to break up the stone and remove it using special forceps. This technique is easier for women.
4. PCNL Technique (Percutaneous nephrolithotomy)
The technique is to remove kidney stones that are large (more than 20 mm) or deer horn-shaped stones (staghorn stone) with a small surgical wound (1-2 cm), approximately 84 percent of patients get a net figure of 100 percent stone through a one-time action.
This large stone will be destroyed by such a long metal instrument that accompanied ultrasonic or electro hydraulic energy into stone chips, and includes techniques with minimally invasive (minimal injury).
Patients who do not need to be performed PCNL general anesthesia, half of the body just enough anesthetic to the time of surgery about 2-3 hours, depending on the size of the stone.
This technique has been widely accepted as one of the procedures are relatively safe, effective, comfortable with morbidity (pain) is low in lifting the stones, and a shorter recovery period.
5. Open surgery techniques
Along with the development of technology, then the technique is open surgery (open surgery) is rarely done. This operation is usually performed to remove stones as kidney stones that are large.
However, this technique has a greater risk of bleeding, kidney damage and requires a longer recovery period than other techniques.
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