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Stone Treatment


Stones in the urinary tract can be present in the kidneys, ureters, urinary bladder, urethra or the prostate.

Treatment of stones differ depending on many factors, as mentioned below :

  • Site
  • Size and number
  • Backpressure changes produced by it’s presence
  • Presence or absence of associated infection
  • Hardness of stones
  • Coexisting anatomical abnormalities of the urinary tract
  • Patient related factors like patient’s profession e.g. pilot or seaman

Stone Disease Symptoms


Stone in urinary system can be present in many ways.

  • Colicky pain, which is usually intermittent and radiating. Radiation depends on the site of obstruction of the system
  • Associated with renogastric symptoms like nausea and vomiting
  • Passing blood in urine, faint or gross
  • Fever
  • Continuous pain if there is collection of pus in the kidneys
  • Burning urination
  • Frequency of urination and strangury

Stone Related Problems


Stone in the urinary system can cause a lot of complications.

  • It can cause refractory colicky pain, not responding to medications.
  • Recurrent urinary tract infections
  • Recurrent passing of blood in urine
  • It can cause obstruction of the ureter with resultant backpressure changes in the kidneys
  • This can further cause infection of obstructed system with high fever with or without chills
  • If patient is still not treated or refuses treatment, the kidney function will be reduced
  • In severly neglected cases, the kidney may stop functioning altogether. In such cases, mere stone removal is not enough. It merits removal of the nonfunctioning kidney
  • In patients with both sides obstructed at the same time, can make it a medical emergency. It requires emergency deobstruction, or else patient may require dialysis.
  • In rare cases of long standing bilateral obstruction due to stones, bilateral kidney failure may occur, requiring permanent dialysis or renal transplantation.
  • In patients with urinary bladder calculus, sudden stoppage of urine may occur if there is sudden passage of stone in the urethra causing complete blockage.
  • Urethral calculus can also get severely impacted along it’s course and cause a acute urinary retention

Our Urological Services for Urinary Stone


I perform every documented way of removal of calculi. They include

  • Urethroscopy
  • Cystoscopy
  • Ureterorenoscopy (URS)
  • PerCutaneousNephroLithotrity (PCNL)
  • Flexible Ureterorenoscopy, also called RIRS ( RetrogradeIntraRenal Surgery)

I have access to all the modes of achieving fragmentation of calculi, as follows:

  • Intra Corporeal Pneumatic Lithotripsy
  • Intra Corporeal Laser Lithotripsy
  • Mechanical Lithotrity for urinary bladder calculi

In majority of cases with stones, indoor admission is required for 1-2 days only.

Almost all surgeries are performed endoscopically without requiring any incision or sutures.

After removal of stone, depending on the inflammation of the tissue, it may be necessary to insert a Double J Stent in the ureter and kidney. This needs to be removed by Cystoscopy after 3-6 weeks.

To discuss a specific urological issue or to book an appointment, please contact us or call us on
022 23514301 OR

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