Urology – Laser Lithotripsy

With Lithotripsy, high energy shock waves are used to fragment and disintegrate kidney stones. This is made possible when there is an electromagnetic impulse that is focused on the kidney stone. When the shock wave shatters the stone, the fragments pass through the urinary system and discharges from the body. The shockwaves are known as Extracorporeal Shock Wave Lithotripsy (ESWL), as they are performed outside the body.

 

What are Kidney Stones?

Kidney Stones block the passage way for urine to discharge out of the body. They are the solid accumulations of material that form in the tubal system of the kidney. These stones cause severe pain when they move along the ureter.

 

Preparation

Since you will undergo a minimal invasive operation, it is better that it preferable to contact your doctor to ensure that you stop ingesting blood thinners before the surgery.

Avoid these medicines 7 to 10 days prior to the operation as this will alter the body’s ability to clot and results in unnecessary bleeding:

 

  • Aspirin
  • Motrin
  • Ibuprofen
  • Advil
  • Alka Seltzer
  • Vitamin E
  • Ticlid
  • Coumadin
  • Lovenox
  • Celebrex
  • Voltaren
  • Vioxx
  • Plavix

 

Important:

Ensure that you do not stop any medication without contacting your doctor.

 

Treatment

A small lighted tube or ureteroscope is passed through the urethra and bladder and into the ureter and leads to the point where the stone is located. In case the stone is small it is snared with a basket device and removed entirely from the ureter. If the stone is large then is fragmented with a laser. When the stone is broken into pieces, they are removed immediately from the ureter. The kidney drains urine well after surgery and a ureteral stent is kept in place. If the ureter is too small for the ureteroscope to pass then the urologist will usually add a stent for it to dilate and restart the procedure in two weeks time.

 

Post Procedure

 

There is a considerable number of patients that can perform daily activities, 5 to7 days after Ureteroscopy. Here are a few key points to look out for after a surgery:

 

  • Immediate post-operative period: Once your pain of the urinary catheter is controlled and you are able to urinate, you will be allowed to go home. There is a high chance of passing blood when you urinate for a few days. There are chances of stent pain or bladder spasms due to overactive bladder medications.
  • Postoperative Pain: Patients usually experience moderate pain in the bladder after ureteroscopy. This can be controlled by pain medication like Percocet or Vicodin. The pain will continue to reduce in a few weeks time.

 

How PIH Can Help

At Pacific International Hospital; we provide the finest Urological care at affordable prices. We are there to help you overcome your pain and have access to our doctors and international specialists that visit our hospital.

Call us at 7091 8115 immediately for Urological Assistance.

PIH is Port Moresby’s largest private hospital offering more than 14 specialities under one roof, with specialists and technologically advanced equipment being utilised to bring modern healthcare to PNG. You can also email us at info@pihpng.com