Say bye to Kidney Stones via PCNL technique

Fluctuating pain in the abdomen? Difficulty in passing urine? Chills? Nausea or vomiting,  Pink red or brown urine?
If your answer’s a yes, you are likely to have “kidney stones”.

Kidney stones are crystals of minerals in the kidneys developed from long-term crystallization of waste materials in the urine excreted by kidneys.

Urine is a complex solution of many minerals, proteins and water. Some naturally present substances in urine like Citrate prevents crystallization and formation of stones. When these substances are less in urine, or concentration of solutes is more and associated with less water content, minerals crystallize and grow in to stones. Moreover, high levels of substances like calcium and oxalates encourage its formation.

Why treat it?

Kidney stones as such can be painful. When these stones block the urinary tract urine accumulates and causes back pressure on the kidney causes severe pain  - a condition known as Renal Colic. Left untreated for long stones causes infection and or damage to kidneys function. Larger stones in the kidney left untreated for many years can cause complete loss of function and  can cause cancer.

What is stone extraction?

PCNL (Percutaneous NephroLithotomy) or stone extraction is an innovative technique for the removal of large stones   or a large number of small stones in the kidney. The technique is carried out through a small incision in the skin. Under X ray guide Kidney is punctured on a safe spot  through the skin in the flank.  Track is developed and a tube is inserted from the skin in to the kidney. Under vision stones are broken down and pieces are removed.

Why PCNL?

• Only a minute scar
• Quick recovery
• Less postoperative pain
• Short hospital stay

 

What is tubeless PCNL?

A tubeless PCNL as the name suggests requires no tube postoperatively. In this, a hemostatic plug is employed to seal the tract. The advantages include minimized leakage and low pain hence a faster recovery.

Procedure:

Kidney stones  cause much less harm when its diagnosed and treated early. Smaller stones are treated conservatively. Small stone5 mm or less pass along on urination. These are manageable at home and with medications. Stones larger than 6-7 mm generally don’t come out with medications. Stones are diagnosed by Ultrasound scan , XRay of the kidney and urine bladder. CT scan can diagnose stones more accurately than x ray or ultra sound scan.

Surgery is obvious to treat larger stones and stones which are not cleared by medications. Generally stones in the kidney l cm and above merits a PCNL. PCNL surgeries is done  under general anaesthesia. The term “Percutaneous” means through the skin and “Nephrolithotomy” refers to “taking those stones out”. A small puncture wound up to 1 cm is made at the back to carry out a keyhole surgery wherein a nephroscope is passed through. Voila! The stone is identified. Laser energy is employed to annihilate these stones. It is a safe procedure.

Dr. Mahendra Jain, the best urology doctor in Bangalore offers the best available kidney stone treatment in Bangalore with advanced technologies. Dr. Mahendra Jain is an eminent and an extremely experienced Urologist and Andrologist residing in Bangalore, India.

The bottom line:

Preventive methods are merely a way to reduce the impact. However, there is no guarantee that these will prove to be 100% effective. In Order to prevent kidney stones measures like increase water intake, restrict food like red meat, tomato, spinach, brinjal, airated drinks, chocolate and tea. Consumption of calcium-rich and fewer sodium foods should be taken into account.

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Common Urological Problems and Treatment

Urological problems are one of the most common disorders experienced by people. They are mostly related to the function of urine filtration from the body. Urological problems can occur in all, men, women and children. Most common urological problems can be treated easily by an expert and best urologist.
Dr. Mahendra Jain is one of the best Uro surgeons in Bangalore, specialised in Uro-oncology, Endo-urology, female urology, Andrology and impotence. Urological diseases affect specific organs in the body. In women, they are known to affect the urinary tracts while in males urologic problems include the disorders of urinary tract as well as reproductive organs.

The urinary tract involves urinary bladder, kidney and ureters. Urological problems are more irritating and painful than fatal. Some of the common urological problems are as given below: -
Benign Prostatic hyperplasia
Characterised by the enlargement of prostate gland, benign prostatic hyperplasia, is common among men of older age. The symptoms of the disorder include frequent need for urination and lack of pressure of urine. This is due to the pressure of the enlarged gland on urethra.
Benign prostate hyperplasia is treated with the help of medications and in severe cases, surgery.

 

Urinary incontinence
Urinary incontinence is a common urological problem causing a lot of embarrassment. It is characterised by the lack of bladder control which leads to an unwanted leakage in urine. They can occur due to a number of conditions like diabetes, spinal cord injury, after pregnancy and childbirth, weakness of bladder muscles and so on.
Urinary Tract Infections
A common urological problem in women, urinary tract infections can occur as a result of action of virus or bacteria. The symptoms include frequent urination urges, burning sensation while urinating and so on. They can be treated with the help of antibiotics.
Kidney stones
Kidney and urethral stones are common urological problems causing a lot of pain during urination. Various surgical and medical procedures are done to remove the stones from the body depending on their size.
Other common urological disorders include prostatitis, bladder prolapsed, overactive bladder and so on.
Dr. Mahendra Jain offers consultation in self or through online video conference on prior appointment.

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Easy Removal of Kidney Stones

Kidney stones are the solid masses which are made up of minute crystals. Kidney stones usually originate in the kidneys, but can also develop anywhere along the urinary tract. The urinary tract mainly includes the kidneys, ureters, urinary bladder and the urethra. Kidney stones are one of the most painful medical conditions. The causes of kidney stones will vary depending on the type of the stone. The various types of kidney stones depending on their composition include uric acid, calcium, Sistine and struvite.
What are the risk factors of kidney stones?
The greatest risk factor of kidney stones is making less than one litre of urine per day which is very harmful. Kidney stones are very likely to occur between the age of 20 and 40. The risk factors of developing kidney stones include dehydration, obesity, hyperthyroid conditions, gastric and inflammatory bowel diseases.

What are the symptoms of kidney stones?
Kidney stones cause severe pain. Symptoms of kidney stones may not surface until the kidney stone starts to move down the ureters. The other general symptoms of kidney stones can include:

• Traces of blood in the urine
• Frequent giddiness and vomiting
• Colourless and foul-smelling urine
• Fever
• Urinating after short intervals of time 
• Passing very small amounts of urine

How are kidney stones diagnosed?
The diagnosis of kidney stones will require a complete health history analysis and physical examination.

• Blood tests are conducted for checking the traces of calcium, phosphorus, uric acid and electrolytes
• Complete urine analysis is compulsorily done to check for the presence of crystals, bacteria, blood and white cells
• Examination of passed stones is done to determine its type
• Abdominal X-rays
• Ultrasound of the kidney
• MRI of the kidneys and abdomen
• CT scan of the abdominal region

How are kidney stones treated?
Treatment is mainly decided according to the type of stone. Some of the treatment options are:

• Extracorporeal Shock Wave Lithotrispy (ESWL)
• Percutaneous Nephrostolithotomy (PCNL)
• Ureterorenoscopic Lithotrispy
• RIRS (Retrograde Intrarenal Surgery) with Holmium Laser
• Open nephro/pyelolithotomy

Dr Mahendra Jain is an eminent and an extremely experienced Urologist and Andrologist residing in Bangalore. Dr. Mahendra Jain currently works as a Consultant Urologist at Fortis Hospitals and at Mahaveer Jain Hospital in Bangalore. At Mahaveer hospitals, they provide comprehensive urology care which involves cutting edge technology with a human touch.

Visit us: www.best-urologist-doctor.com
E-mail us on: urologistbangalore@gmail.com