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Kidney Stones
Urinary Calculus

© David L. Hoffmann BSc (Hons), MNIMH

Indicators for Surgical Treatment
Some type of surgery may be needed to remove a kidney stone if the stone:

  • does not pass after a reasonable period of time and causes constant pain,
  • is too large to pass on its own,
  • blocks the urine flow,
  • causes ongoing urinary tract infection,
  • damages the kidney tissue or causes constant bleeding, or
  • has grown larger (as seen on follow up x-ray studies).

A number of surgical options exist that do not require major surgery.

Extracorporeal Shockwave Lithotripsy.
The most frequently used surgical procedure, ESWL uses shockwaves that are created outside of the body to travel through the skin and body tissues until the waves hit the dense stones. The stones become sand-like and are passed through the urinary tract in the urine.

Percutaneous nephrolithotomy
Involves an incision in the back to creates a tunnel directly into the kidney. Using a nephroscope, the stone is located and removed. For large stones, some type of energy probe may be needed to break the stone into small pieces.

Ureteroscopic Stone Removal.
No incision is made in this procedure. A ureteroscope is passed through the urethra and bladder into the ureter. The stone is removed or shattered it with a shockwave.


1 Prevention and Treatment of Kidney Stones. NIH Consens Statement Online 1988 Mar 28-30;7(1):1-23.

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About The Author
Whilst working in conservation and lecturing in ecology and the eco-crisis for the University of Wales, David Hoffman became convinced that to heal the world, to embrace planetary wholeness and responsibility for it with hope, he as an individual had to be whole within himself....more
 
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Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.