Contact laser ureterolithotripsy
Modern medicine allows crushing kidney stones using various methods. But the most effective is percutaneous laser lithotripsy. This surgical intervention uses an endoscope that is inserted under the skin through a small puncture in the lumbar region. A laser is brought through the channels of the endoscope, which destroys calculi, i.e. stones in the kidneys.
The Dievo Surgical Center uses the most advanced technologies for crushing calculi. Our surgeons use advanced equipment and have experience in performing innovative surgeries that use several techniques at once, including flexible (fiber), percutaneous, and mini-percutaneous lithotropy.
This is due to the fact that laser laser with minimal power is able to break stones of any density, while remaining an absolutely safe method.
Carrying out the stone crushing procedure under visual control, as well as the low penetration of laser radiation into soft tissues, almost completely eliminates clinically significant ureteral injury.
Advantages of percutaneous laser lithotripsy.
Although this method of stone crushing is widespread in urology, it is considered a very complex type of intervention. Therefore, the key to the success of the operation is the experience and competence of the surgeon.
The main advantages of percutaneous lithotripsy include:
- high efficiency of destruction of concretions;
- low trauma: a single puncture is made on the skin, and other organs of the urinary system are not damaged;
- a short period of hospitalization and subsequent recovery.
Indications for crushing kidney stones.
The formation of kidney stones is a characteristic symptom of urolithiasis. And while small stones can still come out on their own, medium and large ones necessarily require medical attention.
The main reason for seeking it is usually severe, acute pain in the lumbar or groin area – renal colic.
Laser lithotripsy with percutaneous approach.
- is used in the case of single or multiple stones. The main indications for this type of surgery include:
- large calculi (over 3 cm in size);
some types of stones, including coral-like and cystine stones; - impossibility of using other methods, including remote crushing or using a flexible endoscope;
- stones in an abnormal kidney or the only one that remains.
Contraindications to percutaneous lithotripsy.
This method of calculus destruction is not used in case of blood clotting disorders and urinary tract infections.
It is temporarily contraindicated to crush kidney stones with percutaneous lithotripsy in case of:
- pregnancy;
- skin lesions in the lumbar region where the puncture is performed;
- pathologies that interfere with access to the kidney.
How to prepare for lithotripsy?
Beforehand, urologists at the Diyevo Center prescribe a set of preoperative tests, including:
- laboratory tests of blood and urine;
- fluorography;
- Pelvic ultrasonography;
- electrocardiography;
- consultation with an anesthesiologist;
other examinations if indicated (for example, women are also recommended to visit a gynecologist).
Performing percutaneous laser lithotripsy.
The operation is performed using anesthesia. To access the kidney with stones, a puncture is made in the lower back.
Then an endoscope is inserted, and through it, laser equipment (lithotriptor), which crushes the calculi into small fragments.
At the end of the procedure, drainage is placed (if necessary), and after its removal, a sterile dressing is applied. The duration of the operation depends on the number and size of stones to be crushed.
The patient remains under medical supervision for some time (at least a day). Recovery may involve taking medications, dieting, limiting physical activity, etc.
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