RIRS/PCNL: removal of ureter and kidney stones with laser
Quick extraction of stones, which have any composition, density and size
Stones fragmentation in direct contact with a laser fiber is named contact laser lithotripsy. The approach is chosen according to the location and size of the formations. Small ureter and kidney stones can be removed without any incisions through the urethra by the method of retrograde intrarenal surgery (RIRS).
Stones larger than a centimeter in the kidney and the upper third of the ureter are more convenient and faster to remove through a small incision in the lumbar region directly above the projection of the kidney. The method is known as percutaneous nephrolithotripsy (PNLT).
Contraindications for contact laser lithotripsy: acute purulent processes (prostatitis, pyelonephritis, etc.), general serious condition.
We remove the stones in a specialized X-ray endoscopic operating room «Siemens»
We use PCNL and RIRS in combination with the latest generation holmium or thulium lasers. Laser actually "evaporates" the stone - all fragments of the liquid leave it, the crystal lattice collapses. A large stone need to be fragmented into tiny pieces, and the small one may be fragmented into grains of sand. Then the fragments are removed with baskets through the endoscope, the sand goes out independently with the urine.
We select the optimal fragmentation mode for each type of stone
The frequency and power of laser radiation is selected according to the density and composition of the stone. The operation takes around an hour and a half.
RIRS is performed under general anesthesia (endotracheal anesthesia), but spinal anesthesia is possible. The urinary tract is drained by an internal stent, which does not interfere in everyday life. It is removed after two weeks under local anesthesia through the urethra without hospitalization. Discharged is on the next day after surgery without restrictions in physical activity.
Anesthesia for PNLT is always general. The urinary tract is drained by an external nephrostomy tube, which comes from the lumbar region. X-ray is performed for 3-4 days after the operation, and then the tube is removed. Discharged from a hospital is on the next day.
Our clinic was the first in the world, which held RIRH in a gas (CO2) environment
The irrigation solutions used by other clinics is associated with a number of adverse effects. There are infectious-inflammatory complications, a long operation time, not always a good endoscopic picture due to bleeding and stone suspension during fragmentation with the liquid. In the gaseous environment, the scattering of stones does not occur - the surgeon is easier to operate, because there is good endoscopic visibility.
We have developed a system for the proper prevention of stone formation
Surgical treatment removes the product of urolithiasis, but can not eliminate the cause. Therefore, the removed stones are subjected to X-ray isotope analysis. Having determined its composition, we understand what a metabolic disorder or a disease leads to the deposition of salts in the form of a stone. We assign the special diet to remove stone-forming substances from the body. If it is necessary, we assign additional examinations. Fractures of the pelvis and spine, changes in the urinary tract, infections and many other diseases can affect stone formation. When the cause is established, we conduct a comprehensive personalized therapy aimed at combating a specific disease or condition leading to stone formation.
Cost of laser removal of stones - free due to channel high-tech medical care
Our doctors will help you fill out the necessary documents for obtaining a federal quota. The cost of PCNL through the paid medical services is 100 thousand rubles. RIRS is a new technology, so the price is not formed.