This is a painless and non invasive way to treat kidney stones. Patients receive general anesthesia in our state of the art surgery centers. A shock wave machine is used to direct energy to break up stones in the urinary tract under X ray and ultrasound guidance. Stones are broken into sand like pieces that are then much more easily passe
This is a painless and non invasive way to treat kidney stones. Patients receive general anesthesia in our state of the art surgery centers. A shock wave machine is used to direct energy to break up stones in the urinary tract under X ray and ultrasound guidance. Stones are broken into sand like pieces that are then much more easily passed. If stones are large, a stent in the ureter is required for one week to help drain the kidney and facilitate stone passage.
This procedure is done with general anesthesia and there are no cuts or incisions. A telescope (Dornier Axis Single Use Ureteroscope) is placed through the urethra into the bladder and then guided into the ureter or kidney. Stones are then visualized, lasered, basketed, and removed. A stent is placed to help drain the kidney. Patients are
This procedure is done with general anesthesia and there are no cuts or incisions. A telescope (Dornier Axis Single Use Ureteroscope) is placed through the urethra into the bladder and then guided into the ureter or kidney. Stones are then visualized, lasered, basketed, and removed. A stent is placed to help drain the kidney. Patients are sent home same day and generally return in one week for stent removal.
For very large stones over 2.5cm or encompassing the entire kidney, we recommend making a small hole in your back over your kidney. A telescope is placed through the hole and into the kidney where stone is broken up and sucked out of the kidney at the same time. This is a highly effective way to remove large kidney stones or staghorn calc
For very large stones over 2.5cm or encompassing the entire kidney, we recommend making a small hole in your back over your kidney. A telescope is placed through the hole and into the kidney where stone is broken up and sucked out of the kidney at the same time. This is a highly effective way to remove large kidney stones or staghorn calculi. This is a hospital based surgery and can not be done the same day or next day.
We utilize the newest and best machine in the country, the Dornier Delta 3 Pro. This machine allows for the best fragmentation of the stone with the least side effects. It utilized x-ray and ultrasound guidance to precisely locate the stone, break it up, and give the best chance to be stone free!
We utilize the best telescope in the business - the Dornier Axis Single Use Ureteroscope. This is a high definition, flexible and high powered telescope that allows us to reach in any area of the kidney. We use a Dornier Holmium or Thulium laser to break up stones and remove them with a basket.
We utilize the Boston Scientific Trilogy machine to break up stones and remove them. This is the best machine on the market.
We will help you make an informed decision. Generally this depends on stone size, location, your desires, and your health. Shock wave lithotripsy is best for stones less than 2cm in size. Ureteroscopy and laser lithotripsy is best for stones that have not responded to shock wave lithotripsy.
A stent helps urine drain from the kidney and allows stone passage by dilating (widening) the ureter. The stent is located on the inside of the body between the kidney and bladder. This is not a catheter which is a tube coming out of your body (often known as a foley catheter). A stent is often necessary with larger stones or stones that are stuck in the ureter. Side effects of a stent are burning with urination (treated with phenazopyridine), frequency of urination (treated with oxybutynin or mirabegron), and discomfort (treated with tylenol or narcotic pain medicine such as oxycodone). The stent is removed in one week with anesthesia (painless) and side effects dissipate quickly thereafter.
This varies by patient and procedure. We generally try not to leave a ureteral stent to avoid the side effects. However this decision is individualized to each patient based upon what is best for you. Since we use soft stents along with medicine to help minimize side effects, most patients do extremely well and often comment that this is the most comfortable stent they have ever had!
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