Kidney Stone Removal Surgery
Kidney stones are hard deposits made of minerals and salts that form inside the kidneys. While some may pass naturally, others require medical intervention. At Sandheep Memorial Hospital, we specialize in kidney stone removal surgery in Madurai, offering advanced and minimally invasive options tailored to the patient’s condition.
This blog outlines the exact process involved in kidney stone removal surgery, from diagnosis to recovery.
Step 1: Clinical Evaluation and Diagnosis
The first step is a thorough clinical assessment to confirm the presence, size, and location of kidney stones. This involves:
- Physical examination
- Urine analysis to detect infections or crystals
- Blood tests to evaluate kidney function
- Imaging studies such as ultrasound, X-ray (KUB), or non-contrast CT scan
Based on these findings, the urologist decides the most appropriate surgical method for stone removal.
Step 2: Preoperative Preparation
Once surgery is recommended, the patient undergoes preoperative evaluation to ensure safety. This includes:
- General medical fitness check-up
- Fasting instructions before the procedure
- Temporary discontinuation of certain medications if needed
- Consent process and explanation of the surgical plan
Step 3: Surgical Techniques for Kidney Stone Removal
There are multiple techniques used in kidney stone removal surgery in Madurai at SMH. The selection depends on factors such as stone size, location, number, and the patient’s anatomy.
1. Ureteroscopy (URS):
Used for stones in the ureter or lower part of the kidney.
- A small, flexible scope is passed through the urethra and bladder into the ureter.
- A laser is used to break the stone into fine fragments.
- Fragments are either removed or left to pass in the urine.
- A temporary stent may be placed to ease urine flow and promote healing.
2. Retrograde Intrarenal Surgery (RIRS):
Ideal for stones located deeper inside the kidney.
- A flexible ureteroscope is guided through the urinary tract to the kidney.
- Laser lithotripsy is used to fragment the stone.
- This method avoids external cuts and offers quick recovery.
- A stent may be placed temporarily.
3. Percutaneous Nephrolithotomy (PCNL):
Used for large or complex stones.
- A small incision is made in the back to access the kidney directly.
- A nephroscope is inserted through a tract into the kidney.
- Stones are removed using suction or broken using ultrasonic or laser energy.
- A drain or nephrostomy tube may be temporarily placed.
4. Shock Wave Lithotripsy (SWL):
Recommended for smaller stones.
- No incision or scope is used.
- Focused shock waves are delivered externally to fragment the stones.
- Broken pieces are passed naturally through urine.
Step 4: Postoperative Care and Recovery
After the procedure, patients are monitored for a few hours or overnight, depending on the technique used. Postoperative care includes:
- Pain control medications
- Hydration advice to help flush stone fragments
- Instructions on physical activity and diet
- Monitoring of urine output
- Scheduled follow-ups and stent removal if placed
Most patients recover quickly and resume normal activities within a few days, especially with minimally invasive or scarless methods.
Kidney stone removal surgery in Madurai at Sandheep Memorial Hospital is performed using safe, precise, and patient-friendly techniques. With a focus on minimally invasive options, patients benefit from faster recovery, less pain, and excellent outcomes. If you are experiencing symptoms of kidney stones or need expert surgical care, consult our urology team for an evaluation and customized treatment plan.
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