When is this Surgery Recommended?
Doctors usually recommend Pyelolithotomy or Ureterolithotomy in cases such as:
- Large Kidney Stones – When stones are too big to be treated with shockwave or endoscopic methods.
- Impacted Ureteric Stones – Stones stuck in the ureter causing severe pain, obstruction, or swelling.
- Recurrent Infections – Stones that harbor infection and lead to repeated urinary tract problems.
- Failed Previous Procedures – When ESWL, URS, or PCNL have not been successful.
- Anatomical Issues – Patients with abnormal urinary tract anatomy making endoscopic access difficult.
How is the Surgery Performed?
The procedure is carefully planned after imaging tests (like ultrasound, CT scan, or IVP) to locate the exact position and size of the stone.
- Pyelolithotomy: An incision is made in the renal pelvis (part of the kidney where urine collects) to extract the stone directly.
- Ureterolithotomy: An incision is made in the ureter to remove the stone that is blocking urine flow.
- Once the stone is removed, the incision is closed, and a stent may be placed temporarily to allow smooth urine drainage and healing.
- The surgery is performed under anesthesia to ensure patient comfort and safety.
Benefits of Pyelolithotomy / Ureterolithotomy
- Definitive Stone Removal: Large or complex stones can be completely removed in one procedure.
- Immediate Relief: Obstruction and pain are relieved right after the surgery.
- Effective for Complex Cases: Works even when other stone treatments fail.
- Long-Term Results: Reduces the chance of recurrence when combined with preventive care.
- Safe Procedure: Performed by experienced specialists using advanced surgical techniques.
Recovery and Aftercare
- Hospital stay is usually short, depending on the patient’s overall health.
- Patients are advised rest and a gradual return to normal activities.
- Adequate hydration, dietary changes, and medications are recommended to prevent new stone formation.
- Regular follow-ups with the urologist ensure proper healing and long-term kidney health.
With advanced surgical skills and over 12+ years of experience, the best urologist ensures safe and effective management of complex kidney and ureteric stones through Pyelolithotomy and Ureterolithotomy.