Unfortunately, stones localized in the renal pelvis or bladder (urolithiasis) are common. Anyone can be affected. At risk are older people and children.
Concretions are formed for various reasons: the use of hard water, poor food, genetic predisposition, damage to the urinary system, occurring in a chronic form, etc. Modern medicine offers this method of intervention, as crushing stones in the kidneys.
The severity of the disease for the patient
If a person is unwell, he periodically has renal colic. This condition is accompanied by severe pain. The patient cannot calmly eat, lie down, sit, he has to constantly move in order to escape from the attack. Taking painkillers helps alleviate colic, but does not solve the problem. Crushing kidney stones is the only procedure that safely and effectively removes calculi without the risk of relapse.
Diagnosis and choice of treatment methods
Before the start of therapeutic activities, a person must undergo a range of studies. The patient is assigned such diagnostic procedures as ultrasound and x-rays. The doctor, based on the data obtained, determines the exact location of the stones, their chemical composition and size.
To implement a more accurate diagnosis and assessment of the patient’s condition, an additional set of measures can be assigned:
- ECG - electrocardiogram.
- Blood test for sugar, biochemistry.
- CT scan.
Depending on the results of the examination, ultrasonic or laser crushing of kidney stones may be proposed. Such manipulations are recognized as the most effective and safe, they are included in the treatment plan in modern medical centers. Surgical intervention, which involves access to the stones through an incision in the lumbar region or abdomen, is practically not used. The only exceptions are emergency cases.
Contraindications and possible complications
Conducting diagnostic measures eliminates the presence of other pathological conditions of the patient. Thus, in case of detection of cystic formations on the kidneys, cancer tumors, stones of coral type, the method is not carried out.
Without fail the patient is cured of any acute infectious diseases. Also, the fragmentation of kidney stones with a laser cannot be implemented when detecting bleeding disorders (deviation from the norm towards an increase) in pregnant women.
Doctors say that among the complications may develop renal hematoma, worsening of pyelonephritis, the formation of the so-called stone path, which can lead to relapse. Seeking professional medical care will help avoid these problems. It is important that the procedure is performed by a qualified and experienced doctor.
The treatment session is implemented on an outpatient basis. Before the patient will be able to crush kidney stones with a laser (the price of treatment will increase slightly), he undergoes a series of preparatory procedures. In particular, the intestine is cleared of fecal matter and gas, which determines the normal course of treatment.
Distinctive features of laser exposure
Crushing kidney stones with a laser is carried out in the case when the ultrasonic effect is ineffective, that is, the problem is in a neglected state. It is this technique that is necessary to combat large formations.
During the treatment session the patient is made a point incision. It may be located in the bladder or lower back. Through the received opening the special tip of the device is brought. The device turns on and acts on the pathological formation, which is either completely destroyed or turns into dust. Subsequently, all substances are excreted naturally by urination.
The advantages of the laser procedure are disclosed as follows:
- High impact on pebbles of any size.
- On the patient's body does not remain postoperative traces.
- The action of the beam is shown to destroy stones of complex rocks.
- Full recovery can be achieved after one procedure.
- The patient is not in anesthesia.
- Rapid elimination of pain, inflammation, improvement of urine outflow.
Laser therapy is not carried out in identifying acute prostatitis in men, with purulent pyelonephritis, with a general serious condition of a person.
48-72 hours after the implementation of the treatment, the person can return to work activity, and after 14 days is considered completely healthy.
Features of ultrasound exposure
Crushing of kidney stones with ultrasound is indicated if the size of the pathological formations does not exceed 2 cm. During the treatment session, the patient receives anesthesia and does not experience pain.
The sequence of actions is as follows:
- The person lies on the operating table and is put into anesthesia.
- Medic determines the exact localization of the calculus.
- The patient fits into the position that provides the exact effect of ultrasound.
- A special bubble filled with water is installed into the projection of the pathological formation. The equipment creates targeted shock waves that disrupt the structure of the stones.
- Monitoring is carried out with the help of monitors on which the state of the stones is displayed.
- The operation is terminated when the stone has broken up and small particles have formed that can freely pass through the urethra and ureter.
The patient is assigned a plan of therapeutic measures, the purpose of which is to facilitate the release of the remaining elements. These are various antibiotics, antispasmodics, painkillers and diuretic teas.
After completion of the treatment session, the person is under medical supervision (24-48 hours), followed by an extract. The doctor prescribes special recommendations related to diet, drinking and medication.
Now it is advisable to familiarize yourself with what kidney stone crushing reviews have deserved among people who have had urolithiasis.
Most patients note that combating neoplasms in the renal pelvis with a laser beam is the most painless method of therapy. Litotrepcia (the official name of the procedure) is performed only once, helping to forget about severe pain, and gives recovery.
People get rid of very large stones, the diameter of which exceeds 12 mm. However, among the reviews there are complaints about the very high cost of the treatment session. Such therapy may be too expensive for people with low incomes.
Doctors supplement the positive assessment with their recommendations. A person who has had urolithiasis should radically reconsider his own lifestyle so that the disease cannot return again. Requires a well-organized diet, the correct drinking regime (only pure filtered water).
No less positive ratings sound relative to ultrasound exposure. Patients note that a treatment session helps to get rid of several formations at once. In addition, anesthesia (most often it is epidural anesthesia) makes the effect as comfortable as possible, which is very important for patients of the older and younger age groups.
What happens after crushing kidney stones?
Immediately after medical manipulations, the patient is examined. On the first day, the patient may experience frequent urination, which is quite normal. Bloody inclusions may occur in urine due to the natural release of stone residues. Such symptoms should disappear after 72 hours, otherwise you should visit a doctor.
During the passage of fragments along the urinary tract seizures of renal colic may develop. They do not cause such pain, as before, but a person can take an antispasmodic to relieve unpleasant symptoms. In rare cases, the temperature rises.
Cost of treatment
If the kidney stones are crushed with a laser, the price of the treatment session will be at least 27-30 thousand rubles. The total cost depends on the general condition of the body and the size of the pathological elements.
Crushing stones in the kidney (the price ranges from 15 to 40 thousand rubles) with the help of ultrasound is slightly cheaper, but also entails serious financial costs. Expensive treatment is carried out in private clinics, public medical institutions offer services at a lower cost.
Instead of completion
Urolithiasis causes extremely unpleasant symptoms. The patient's quality of life decreases, and he experiences unbearable pain. Modern methods of treatment, despite the high costs, can restore health and gain the joy of life.