This action might not be possible to undo. Are you sure you want to continue?
Kidney stones are made of crystallized minerals found in urine and are formed when urine is super-saturated with certain minerals that can cause stones. They can form in patients who have low urinary output, excrete a lot of salt or have acidic urine. Kidney stones range in size from microscopic crystals to the size of a golf ball, and they may sometimes pass out of the body in a urine stream. If they are large, their passage from the kidney, through the urethra, and out of the body can be very painful.A nephrolithotomy is performed to relieve a patient’s pain or to remove blockages caused by kidney stones. The surgery is usually performed on patients who have kidney stones that are larger than 1 inch (2 cm) in diameter, that block the flow or urine from the kidney, and that cannot be treated by other means. The first nephrolithotomy was performed in 1973, and the surgery has a 95% success rate.Patients undergoing nephrolithotomy receive general, regional, or spinal anesthesia before the procedure begins. First, the kidney stone’s location must be determined, and then a small incision is made in the patient’s lower back. A needle is passed through the incision into the kidney and a guide wire is passed through the needle. A tube is then passed over the guide wire, and the stone is removed through the tube.Patients who undergo nephrolithotomy can often expect to remain in the hospital for two or three days after the procedure. A patient will also most likely have a catheter in his or her kidney that will remain to drain urine until the kidney heals. Patients will be encouraged to drink large quantities of water during the healing process; it is normal to have some blood present in the urine. Most patients can return to work after a few
The risks of a nephrolithotomy include bleeding, kidney perforation, and injury to other abdominal organs. Bleeding may occur if there is injury to blood vessels during the surgery. The kidney may be nicked by a scalpel, but this complication is not serious and it usually corrects itself. A rare, but more serious, complication is injury to organs near the kidneys. In some cases, there has been damage to the spleen, liver, or gallbladder. General advice The operation should not be underestimated, but practically all patients are back to their normal duties within two months. These notes will help you through your operation. They are a general guide. They do not cover everything. Also, all hospitals and surgeons vary a little. If you have any queries or problems, please ask the doctors or nurses. Possible complications As with any operation under general anaesthetic, there is a very small risk of complications related to your heart and lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero. Complications are relatively rare. If you think that all is not well, please let the doctors and the nurses know. Bruising and swelling may be troublesome. The swelling may take four to six weeks to settle down. A wound infection happens in 12% of cases and settles down with antibiotics in a week or two. The drainage tube near the wound may drain old blood for up to a week. This drainage settles down. Very rarely, it doesn’t settle down or gets worse in the first few hours/days after the operation. This means that some damage has occurred during the operation in one of your blood vessels or other organs of your abdomen and you will most likely need another operation to fix the problem. Chest infections may arise, particularly in smokers. Do not smoke. Getting out of bed as quickly as possible, being as mobile as possible and co-operating with the physiotherapists to clear the air passages is important in preventing a chest infection. Aches and twinges may be felt in the wound for up to six months. Occasionally there are numb patches in the skin around the wound which get better after two to threemonths.Sometimes (2-3%of cases) there is a leak of urine through the wound or from the drain site. This settles down within a week or so. Very rarely, you will need another operation to fix this problem. Sometimes stones reform. This will be discussed with you.
and will be asleep for the whole operation. You will have enough kidney tissue after the operation to make urine properly.removal of kidney stone There are one or more stones in your kidney. You have two kidneys. Otherwise you should allow seven days or so in hospital. The stone(s) need to be taken out. Stones cause pain. Sometimes just part of the kidney is taken out with the stone(s) to help the urine drain out of the kidney better. Sometimes the kidney is so badly damaged by the stone(s) that it needs to be taken out as well. usually round the back in the line of your lowest rib. The Operation You will have a general anaesthetic. with or without the kidney. Sometimes the cut is made in the front of the tummy. blood in the urine. the stone has stuck in the ureter. Usually within 10 days you will feel fit enough to leave hospital provided there is someone to look after you. Stones from the kidney can pass down the ureter causing pain. infection or bleeding. They are each about the size of a fist. Sometimes the stone in the ureter can be pulled out by a special telescope passed up into your bladder through the normal urine passage. They lie deep in your back on each side of your spine. A cut is made in the skin over your kidney. The stone(s) are taken out. The kidneys make urine which passes down a tube (ureter) on each side to the bladder just below your tummy button. especially when the kidney is to be taken out. The stones usually lie where the ureter joins the kidney and can be taken out through an opening in the top of the ureter. Otherwise a cut has to be made into the skin. or can block the ureter causing pressure on the kidney. . Ureterolithotomy There is a stone in the tubing. It needs to be taken out with an operation. This operation is called a nephrolithotomy. They lie deep in your back on either side of your spine. in the ureter. and can damage the kidney. In your case. The wound is then stitched up. The wound is stitched up. Often the stones pass right through by themselves. infection. If the stone can be removed with the special telescope. in front of the lowest rib on each side. in front of the lowest rib on each side. You have two kidneys. The stone is then taken out through an opening in the side of the ureter. They make the urine which passes down the ureter on each side to the bladder just below your navel. however. that runs from your kidney to your bladder. you should be able to leave hospital within 24 hours. and will be asleep for the whole operation. a left and a right one.Nephrolithotomy . The operation You will have a general anaesthetic.
Do not smoke. please ask the doctors and the nurses. If the doctors expect this. Chest infections may arise. being as mobile as possible and co-operating with the physiotherapists to clear the air passages is important in preventing a chest infection. It may take some days to clear. Sometimes there is blood in the urine. Getting out of bed as quickly as possible. . The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero. complications are relatively rare. a catheter is usually put in at the time of the operation. there is a very small risk of complications related to your heart and lungs. For both types of operations.Possible Complications As with any operation under general anaesthetic. particularly in smokers. Sometimes you can have an infection which is either localised in your urinestream or gets into the bloodstream. You will be given antibiotics to treat the infection. You will need to stay in hospital until it gets better. If you think that all is not well.
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue listening from where you left off, or restart the preview.