Kidney pelvic stones

Urolithiasis

Kidney pelvic stones are one of the manifestations of urolithiasis. This disease is manifested by the formation and presence of stones in the kidneys or ureters, bladder, and less often in the urethra.

The stones can be single or numerous, and can differ in the chemical composition of insoluble salts (phosphates, urates, oxalates), but in most cases they have a mixed chemical structure.

The size of the stones can vary from 1 mm to more than 10 cm in diameter. In some patients, kidney pelvic stones do not increase in size for a long time, while in others they can fill, for example, the entire renal pelvis in six months. Often, stones are formed repeatedly, and then a relapse of the disease occurs.

Kidney pelvic stones – treatment

Kidney pelvic stones are subject to mandatory removal, as they disrupt the excretory function of the kidney, contributing to the development of low back pain, inflammation in the kidney, and atrophy of the renal tissue.

In modern urology, open surgery methods for the treatment of urolithiasis are not used at all, as well as laparoscopy techniques. The only exceptions are cases of purulent complications.

There are several methods of minimally invasive operations to crush kidney pelvic stones, some of which are performed even without damaging the skin and are widely used by urologists at the DIEVO Surgical Solutions Center.

Conservative treatment is used for 3-4 weeks, and if the stone is up to 4 mm in diameter in the distal part of the ureter (closer to the bladder), then there is a chance of self-discharge.

If during this time the stone does not come out on its own, then any of the surgical methods of its removal will be required.

Percutaneous (percutaneous) nephrolithotripsy.

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