Kidney stones treatment is one of the most sought after treatments in urology. Suppose you are one of the patients who has had an experience with kidney stones; you would know the feeling of a dagger being stabbed in the back. Fortunately, kidney stones are very easy to treat with the new technologies in Urology. Patients in Indore are getting the advanced Laser Treatment and going back home in 1 to 2 days completely pain free.
Dr. Vikas Singh is Senior Consultant Urologist at Kokilaben Dhirubhai Ambani Hospital, Nipania, Indore, and one of the most experienced urologists in Central India. Dr. Vikas Singh has done over 1000 kidney stone surgeries using the latest laser technologies like RIRS, PCNL, and URS. His patients get the best treatment from a specialist with years of experience, skills and a caring attitude.
Whether you have a kidney stone of 4mm or 4cm, Whether the stone is in the kidney or has moved to the ureter, the solution is available in Indore. We can save you the trip to get expert treatment from Delhi or Mumbai.
Your kidneys help keep your blood clean. In a single day, your body filters 200 litres of blood through your kidneys, and forms urine from the waste products and additional water. If certain minerals and salts precipitate from your urine, then these can crystallize and large clusters of minerals can form a kidney stone.
Kidney stones can be scary, and they can be large or small. Rocks the size of a sand grain can go unnoticed as they exit the body via urine. Beware of the golf ball-sized stones and the ones sycronized to renal colic, as they cause painful cramping. These stones are so painful that many victims go to the ER.
Kidney stones are extremely common in India >Indore is included. The dry and hot climate of Indore is a cause mild dehydration, which makes this a stone prone area located to the risk. Stones can develop in any adult; however, men 30-60 are the majority cases.
They key takeaway is that stones are very manageable. With the appropriate diagnosis and the help of a good physician, the road to a stone-free life starts within days of facing the stone.
There are various types of kidney stones which can form for different reasons, and identifying which type of kidney stones prepares Dr. Vikas Singh for how to treat and prevent them from forming in the future.
Calcium stones are the most common type of kidney stones, making up nearly 80% of all the stones in the kidneys. They are composed of calcium oxalate (this substance is naturally found in nuts, tea, spinach, and chocolate) while some may be made of calcium phosphate. An increase in dietary oxalate and decrease in fluid intake along with some metabolic diseases may increase risk for forming calcium stones. The quantity of calcium stones can be reduced by drinking water and making changes to the diet as these stones are, along with dietary changes, easily prevented.
Uric acid stones occur when the urine is overly acidic. Among those with diabetes and gout, along and along with high red meat and shellfish diet, men are most likely to develop uric acid stones. Early detection can prevent these stones from forming, and medications can help treat these stones along with uric acid stones.
Calcium stones are the most common type of kidney stones, making up nearly 80% of all the stones in the kidneys. They are composed of calcium oxalate (this substance is naturally found in nuts, tea, spinach, and chocolate) while some may be made of calcium phosphate. An increase in dietary oxalate and decrease in fluid intake along with some metabolic diseases may increase risk for forming calcium stones. The quantity of calcium stones can be reduced by drinking water and making changes to the diet as these stones are, along with dietary changes, easily prevented.
These stones are the rarest due to the hereditary condition, named cystinuria. Resulting in a disturbance of cystine, where the kidneys are hyperpermeable to cystine, leaking amino acids in excess into the urine. This causes the stones to form, and they often recur and the patient needs to manage it continuously throughout their life. They are manageable, but require guidance of a skilled specialist and a modified diet with medications.
Stones in the kidneys can be completely pain free, especially if they are sitting in the kidneys without causing any blockage. These stones are often discovered during routine ultrasounds or health check-ups. Patients may consider stones painless and benign, but they may still require intervention to avoid complications.
Being diagnosed accurately is the first step. At Kokilaben Dhirubhai Ambani Hospital, Indore, we have all the latest technology needed to locate, measure, and analyze your kidney stones, all under one roof.
An ultrasound is typically the first step in the testing process. This procedure is fast, cost-effective, completely painless, and free of the use of harmful radiation. This process can determine the presence of most stones, both kidney and bladder stones, and determine whether the kidney is swollen (hydronephrosis) as a result of a blocked ureter.
A KUB X-ray of the abdomen can identify stones that are primarily composed of calcium but cannot identify smaller stones of a different composition, most notably, uric acid stones. This test is done in conjunction with ultrasound to get a more comprehensive assessment.
The CT KUB (non-contrast CT of the kidneys, ureters, and bladder) is the preeminent method of diagnosing kidney stones. This test can identify nearly all kinds of kidney stones, measure and locate the stones, and determine if any obstruction and complications are present. If your case is going to require surgery, a CT scan is necessary. Dr. Vikas Singh will personally assess your CT scan and will use that to determine the best and safest course of action to treat your stone.
Testing for blood and urine provides information about your kidney health and offers insight into how kidney stones may have formed.
Choosing the correct treatment for your kidney stone will depend on its size, type, location, and if it is causing any blockage. Dr. Vikas Singh will analyze all of these factors in detail before suggesting a treatment. Here is a brief summary of the available treatment options at Kokilaben Hospital, Indore.
RIRS is the most preferred laser treatment to date for kidney stones, and one that Dr. Vikas Singh has completed over 1,000 times.
In RIRS, we use a thin camera known as a ureteroscope, which is used to enter the urine passage and travel all the way to the kidney with no external cutting. When the camera is in the kidney, a Holmium laser, that is powerful enough to disintegrate stones to fine dust, is used to break the stone. The fine dust is eliminated naturally by the body in a urine passage.
What the Patients in Indore Appreciate about RIRS:
Patients who have a desire to not have open surgeries, those who have stones in both kidneys and patients with previous kidney surgeries are the ideal candidates for RIRS.
Stones larger than 2cm, as well as exceptionally hard stones that defy effective laser dusting, are treated with a procedure known as PCNL. This entails a small, keyhole-sized perforation (approximately 1cm) to access the kidney directly through the back. A nephroscope is then introduced through this access, allowing the urologist to break the stone and retrieve the fragments.
PCNL technique has continued to evolve. Dr. Vikas Singh has pioneered the field with techniques such as Mini PCNL and Ultra Mini PCNL. The use of thin instruments minimizes bleeding, pain, and recovery time. For a select group of patients, PCNL is one of the most effective and complete ways to achieve a stone-free kidney in a single surgery.
PCNL should be considered in the following situations:
Ureteroscopy (URS) is a technique to manage renal stones that have moved down the urinary tract to the bladder. A stone within the ureter, which is the conduit from kidneys to bladder, can be treated with this method as well. An ureteroscope, which is either rigid or semi-flexible, is introduced by way of the urethra and bladder, and then advanced into the ureter to access the stone directly.
As soon as the stone is found, the stone is treated with a laser, usually a Holmium laser, and broken into small pieces or even dust, which then either passed naturally or retrieved with a small basket device. URS is highly effective, minimally invasive and has excellent success with ureteric stones.
Most patients are even able to go home the same day after URS. After the procedure, a small ureteric stent (DJ stent) is placed temporarily to ensure the ureter has a good healing and free drainage of urine.
A DJ stent (double-J stent) is a thin, flexible plastic tube shaped like the letter \’J\’ on both ends, one end is in the kidney and the other in the bladder. It is used to keep the ureter patent and allow free drainage of urine, especially in the presence of a stone, and more so if the stone is obstructive or after the stone is surgically removed by laser.
The stent is temporary and usually stays in place for 2 – 6 weeks and then removed by a quick procedure called cystoscopy ( no cut, just a small camera through the urethra). There are patients who report urinary frequency and even some discomfort which is a small price to pay for having the stent in place.
Dr. Vikas Singh will determine if a DJ stent is indicated in your case and will discuss in details the process involved and what to expect with the stent in place.
Not every kidney stone has to be surgically removed. Small stones – usually those that are less than 5 – 6mm big – may require some bit of patience and watchful waiting.
This typically involves:
Medical management requires regular follow-up appointments with Dr. Vikas Singh to assess whether the stone is self passing or to determine what further intervention may be necessary.
Asking about the treatment needed is one of the first inquiries clients present, and understandably the most common question. Treatment is tailored to the individual; therefore, the answer is the question is “It depends.” You will find the best treatment to benefit you in the simple guidelines listed below on how. Dr. Vikas Singh treats kidney stones.
Prior to any treatment, Dr. Vikas Singh will review, in detail, the results from both the CT scan and ultrasound, discuss your condition, and clearly articulate his recommendation to you, along with, the risks and benefits and offer his professional and clinical opinion on the anticipated timeframe for recovery after the procedure.
Renal stones are frustrating. Even more frustrating is the rate at which they recur. Research shows that stones have a 50% likelihood of reforming in 5-10 years after the first episode. The good news is that the likelihood can be reduced and stones can be prevented from reforming with changes in diet and habits.
This is the most important prevention method. People with stones should aim to produce 2-2.5 liters of urine daily which suggests a water intake of 3 or more liters. Indore residents have the hot climate to thank for their higher water needs. The degree of hydration can be assessed by the urine color. It should be a light yellow. If it is darker, there is inadequate hydration.
Higher concentrations of sodium in the diet also leads to a high concentration of calcium in urine. This increases the likelihood of calcium stones forming. This means a reduction in pickled and packaged foods and salted cooking.
Foods such as beets, nuts, chocolates, and braces are high in oxalate. Axolate should not be avoided all together as foods high in calcium should be eaten to be bind oxalate and keep it from reaching the kidneys.
Proteins that come from meat or fish (red and white) increase the levels of uric acids which can cause both calcium stone as well as uric acid stones to form. It is important to eat them in moderation.
Research show that stone risk increases with low-calcium diets. Calcium is better obtained through food like dairy, ragi, and sesame. Use supplementation only if specifically instructed by a doctor.
Dr. Vikas Singh will schedule follow-ups for urine and blood tests post treatment to identify any ongoing metabolic issues. Certain prescription medications may be suggested to better manage your individual risk of recurrence.
Countless Urologists treat Kidney Stones in Indore. This is why Dr. Vikas Singh is a preferred choice for patients from the entire states of Madhya Pradesh and Central India.
Straightforward, Communication Focused on Patients – Dr. Vikas Singh is appreciated for explaining things in detail, responding to every concern, and never hurrying a patient. He shows patients the consideration he would show to his own relatives.
It is improbable for a 10mm stone to pass on its own. Treatment is usually needed. Dr. Vikas Singh will evaluate your stone’s size, location, and composition to propose the best option. Stones less than 5-6mm tend to have a fair probability of passing with medication and increased fluid intake, but bigger stones than that will almost always require some procedure.
During the procedure, RIRS is done under general or spinal anaesthesia, so you do not feel anything. Afterwards, you may have mild urinary discomfort or blood-tinged urine for a day or two, which is completely normal and resolves quickly. Many patients have reported that their post-operative experience was much more comfortable than they had anticipated.
Depending on the size and location of the stone, RIRS is usually 30-90 minutes. URS for ureteric stones is usually 30-60 minutes. And PCNL may take 60-90 minutes. Dr. Vikas Singh will provide you with a precise estimate based on your CT scan results.
Yes, a DJ stent is placed temporarily after RIRS or URS to allow the ureter to heal and to ensure the urine can drain. After 2-4 weeks the stent is removed in an outpatient setting. You may experience some mild urinary urgency or discomfort, which is normal while the stent is in.
Most patients after RIRS or URS return to desk work in 3-5 days. If you have a more physically demanding job, this may require 1-2 weeks. After PCNL, you can expect to return to light work in 1-2 weeks. Dr. Vikas Singh will provide you with recovery instructions after your procedure.
Probably not, at least not right away. A 4mm stone can pass with fluid and medications such as an alpha blocker. Dr. Vikas Singh may ask you to have repeat ultrasounds to monitor. After 4-6 weeks, if the stone is causing pain, infection or a blockage, then an intervention is necessary.
Prices differ with particular methods (RIRS, PCNL, URS) as well as service provider fees. There can also be differences based on the hospital and what tests or medicines are in the mix. The Kokilaben hospital is honest with pricing and offer breakdowns of costs. You can dial +91 81468 73931. They can give you a more personalised estimate. Most health insurances cover stone surgery. They can assist you in understanding your insurance.
There is a genetic component. If one of your parents or a sibling developed stones, your chances are elevated. Cystine stones are due to a genetic condition. Family history also increases your chances for calcium and uric acid stones. This makes screenings, water intake, and on the lookout for stones in your diet more important.
Having stones repeatedly signifies your metabolic structure is not well controlled. Dr. Vikas Singh recommends for patients to do a 24 hour urine collection test with a blood metabolic panel to find what the basis for stenosis. Having a customised prevention strategy will be very effective, in combination with some dietary modifications and medicines, to bring down the chances of developing more stones soon.
Consultations can be scheduled via phone at +91 81468 73931 or in-person at Kokilaben Dhirubhai Ambani Hospital, No. 1, BCM Estate, Nipania, Indore, Madhya Pradesh. The staff will help you with booking an appointment in the soonest slot available. On this occasion, please carry any previous reports and imaging studies, as well as a note with all the current medications you are taking.
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