 |
| kidney stone laser treatment |
What Is Laser Lithotripsy?
Here is A Complete Patient’s Guide For Kidney Stone Laser treatment.Kidney Stone Laser treatment is a medical approach without an incision to breaking kidney stones lodging in the urinary tract. In which, a flexible pyeloscopy (RIRS) is employed whose thickness reaches at 2.5 mm. Its overall flexibility helps to see the entire urinary system. Through this, the Holmium laser fiber (0.2 mm diameter) is sent inside. A holmium laser treatment works more effectively in addition to a powerful process for stone breaking that having 99 percent of success rate but it is depending after the condition of patient, size, and located the area of the kidney stone.
The usage of this method is effective for treating stones up to 20 mm. The laser really helps to break kidney stones into smaller pieces. The surgeon tends to pull out these tiny pieces of fragments and remain stone dust goes out with urination later.
Most of the time, when other non-surgical treatments show unsuccessful then it can be recommended only or when the kidney stone is very large and irregular in shape and bleeding occurs. This technique continues to be needed when the urinary tract generates blockage as well.
What to Expect Prior to Procedure of Kidney Stone Laser treatment
You need to avoid certain medications like Anticoagulant, NSAID, Steroid, Vitamin E etc. up to seven days before Laser Treatment for Urinary Stones.
Usually, do not intake solid and liquid diet including water after 10 PM before the procedure. Although, no bowel preparation necessary for this procedure.
If you have allergy with certain drugs or supplements, discuss with the doctor prior to the procedure of Laser Treatment.
Some medical tests and physical examination can be carried out by Uro-surgeon before the laser treatment procedure and that are following -
- Electrocardiogram
- Blood tests including complete blood count, blood coagulation and prothrombin time, blood chemistry profile etc.
- Urinalysis/ urine tests
- Ultrasonography to help locate the stones and their size.
- X-ray of the chest
What goes on in the procedure room on the surgery day?
Prior to surgery, the doctor advises about proper diet and medicines to prevent future complications.
Prior to starting surgery, anesthesia is given to enable you to stay static in sleeping position during the procedure.
The process is not possible without general anesthesia. Although, this is a minimally invasive approach and usually takes 1 - 1.30 of the time to complete the process. During the process, a flexible telescope is launched within the urethra, urinary bladder, ureter, and kidney.
And then extremely thin laser energy is sent inside so the stone could turn into fragments and powder.
After finishing the process, a ureteric stent is placed so that the urinary blockage cannot be done. This stent is still left inside for 7- 15 days.
Reasons for Laser treatment
- When the stones get stuck anywhere in the urinary system and create a blockage.
- Too much and intolerable pain will arise.
- The size of the stone is so large and exist in an irregular shape and creates damage to the tissues of the urinary tract, including ureter and kidney.
- Laser treatment may be chosen when other non-surgical methods became unsuccessful to break down kidney stones.
How is laser treatment for kidney stones done?
How does laser stone surgical procedure work? This surgical method does not require any incision, hence it is recognized as a minimally invasive treatment option.
When the patient becomes completely anesthetized, a light, slender, and small telescope is inserted slowly in the Urethra. After that, the laser beam is introduced onto the stone by using a 0.2 mm of wire.
With this, stones started turning into fragments & powder when they come in contact with the laser. Through the laser beaming, it is looked after that the nearby tissues do not get scared.
The surgeon takes away the stone fragments by making use of a little container formed as a small basket. Remained dust particles of the stone are removed during urination. For this, the Surgeon suggests for taking a lot of water.
After that, the surgeon sets a stent between the kidney and urethra. This process can cost up to 10-90 minutes of the time which dependably can be more or less due to the size and number of stone.
When the necessity arises, the patient can be kept in medical supervision for one night. Specifically in the event, when the procedure has already consumed a longer time or proves to seem more difficult to do.
When Call Your Doctor
If any of these issues appears then immediately call your doctor -
Urinating problem occurs.
Pain killer cannot work properly.
Fever with or without chills, since it is a symptom of severe infection).
Redness, warmness, bleeding (excessive blood in the urine), or ongoing drainage exists.
Severe nausea or vomiting shows.
Kidney stone laser treatment side effects, Potential Risks, and Possible Complications
Complications and side effects of Kidney stone laser treatment with ureteroscopy are exceptional and generally considered an extremely safe option where a urologist can review potential risks and specific problems like -
Stone fragments -
Some residual stones stay inside the kidney which can be seen later with the help of the x-ray. It requires an additional process to eliminate it.
Injury to the urinary tract/ Ureteral injury
An injury may be possible during ureteroscopy which comes in the form of the ureteric scraps and perforation and healed by prolonged stenting.
Ureteral Stricture -
Scared tissue within the ureter and complete dissociation of the ureter from the kidney (ureteral avulsion) can also be found. It is considered a severe complication.
But nowadays, a highly developed kind of small ureteroscope is has been used which has reduced the complication rate significantly.
Postoperative Pain-
Following this process, some patients feel pain around the urinary system especially in the flank or bladder area.
Often oral Narcotics and analgesics are being used for pain control. Here Narcotics triggers sedation and constipation and analgesics may also cause flatulence, gas formation, and constipation.
Nausea and vomiting -
Usually, nausea and vomiting are directly concerned with general anesthesia. Constipation/Gas Cramps etc. may give you problems for a number of days. Mild laxatives, suppositories, and enema can be employed to treat this kind of problem.
Hematuria -
A large amounts of blood in the urine can appear.
Infection -
An infection (UTI) may be possible regarding ureteroscopy and can be controlled with appropriate antibiotics and a lot of water consumption.
Fatigue -
Fatigue can be viewed as a general disorder which persists a lot longer after the surgical process. It usually subsides after 15-20 days.
Bladder spasms credited to Stent Placement
Generally, a urologist launches a stent after the surgical procedure. It is a soft plastic tube that allows continuous urine flow or drainage without any difficulty.
Often it produces bladder spasms but prevents from edema and urinary obstruction.
A stent works inside as a foreign body and rubs an internal layer of the organs. So as a result, it increases over activeness to the bladder. The stone sufferer can experience a tingling sensation and/or severe pain.
Sometimes the stent can be displaced from their certain lodging region and produce intense pain.
What exactly are the advantages of The Kidney Stone Laser treatment?
- It can be performed with no need of surgical blade to attain the stone point as urethra is the main door to explore the stone and breaking them with the laser.
- High degree of success rate to deal with the stone disorder.
- It is an outpatient basis procedure and can be carried out in the day time. Most patients permitted to go back home the same day or when he feels more comfortable and one can resume their daily activities the very next day.
- There is no bowel preparation required.
- After the method, you need to ride your household foundation and set up an escort to help during recovery time.
What exactly are the disadvantages of The Kidney Stone Laser treatment?
- If compared with ESWL, it is more invasive one.
- It cannot be done without General anesthesia.
- A little bit risky for ureter as it can affect them by perforation, scratching etc.
Post-procedure Care and approaches in Kidney Stone Laser Treatment
You should be in taking your prescribed medicines like an antibiotic, pain killer or sedatives, antispasmodic etc.
Drink plenty of normal water and other liquids to encourage stone dust or fragments to pass out from the kidney.
If you feel frequent urine passing then try to be more close to your bathroom.
Avoid yourself from laborious work till stent removal.
If you are taking any sedative, avoid driving, cycling, operating the machine etc.
Any other recommendation of your doctor should be implemented strictly.
Foods should be taken as directed by your doctor or dietician.
The patient can take their bath after hospital discharge.
Another X-ray and/or USG for confirmation of leftover stone fragments and stent position.
Follow-up every possible step recommended by your doctor to reduce chances of infection.
The patient needs to produce a follow-up visit to the doctor to monitor your recovery process, blood pressure checkup, pulse, respiration attitude and observing stent position (because stent migration can be possible).
Sometimes stent can be left for a long time if your doctor feels it needful. If your recovery or healing process is normal then your stent can be removed within 7-10 days.
Your surgeon can help in it so always follow his advice strictly. A kidney stone can rebuild in future so your doctor can suggest you for a better modification in diet and intaking supplements or medicines.
It is more needful for a kidney stone sufferer to avoid future kidney stone reformation.
Is laser surgery (Kidney Stone Laser Treatment) the best option for getting rid of kidney stones?
No doubt, the kidney stone is a more painful disorder that makes life uncomfortable. And it is a bitter truth that medicinal treatment is unavailable in Allopathic set up of medicine except for the surgical method.
Fortunately, Allopathic arrangement of medicine has different surgical approaches to get rid of kidney stones. Laser treatment with ureteroscopy is one of the best methods among other existing procedures.
So without any doubt, one can adopt kidney stone laser treatment. Initially, any kidney stone sufferer should try either Ayurvedic or Homeopathic medicine. If both the medicinal arrangement proves unsuccessful then can go for kidney stone laser treatment.
READ IT
How to use Corn silk tea in Kidney stone and other diseases
Triggers and Risk Factors for Kidney Stones
Do You Know How To Kidney Stone Surgery? Let Us Teach You!
11 ways to prevent kidney stones
Top 4 Ayurvedic Formulations For Kidney Stone
How to use Horse gram Kulthi in Kidney stone and other diseases
Top 12 Super Ayurvedic Remedies for Kidney Stone
----------------------------------------
No comments:
Post a Comment