• ESWL
• URS (Endoscopic Ureteral Stone Treatment)
• Percutaneous Nephrolithotomy (PNL)
ESWL (Outside Body Shock Wave with Stone Breaking)
• ESWL is a method that allows the breaking of these stones by targeting the shock waves sent from outside the body to the stones in the urinary tract and kidneys.
• It separates the stones into small pieces and allows them to fall out of the urinary tract spontaneously.
• The ESWL flooding session lasts an average of 45 minutes and usually 2000-3000 shocks are applied. ESWL can be safely performed outside the body, except in pregnant women, those with bleeding-clotting disorders and those with structural disorders that will prevent the broken stone from falling out.
Stone Breaking with shock waves (ESWL)
ESWL is made with a machine that breaks stones from outside the body. The focused shock waves (short-signal high-energy sound waves) to break the stone are transmitted from the skin to the stone. The stone absorbs the energy of the shock waves and breaks down into small pieces. The particles are then excreted through the urine. The SWL method is suitable for more than 90% of patients. However, the success of the method depends on several factors such as stone qualities and body structure.
• URS (Endoscopic Ureteral Stone Treatment)
• Percutaneous Nephrolithotomy (PNL)
ESWL (Outside Body Shock Wave with Stone Breaking)
• ESWL is a method that allows the breaking of these stones by targeting the shock waves sent from outside the body to the stones in the urinary tract and kidneys.
• It separates the stones into small pieces and allows them to fall out of the urinary tract spontaneously.
• The ESWL flooding session lasts an average of 45 minutes and usually 2000-3000 shocks are applied. ESWL can be safely performed outside the body, except in pregnant women, those with bleeding-clotting disorders and those with structural disorders that will prevent the broken stone from falling out.
Stone Breaking with shock waves (ESWL)
ESWL is made with a machine that breaks stones from outside the body. The focused shock waves (short-signal high-energy sound waves) to break the stone are transmitted from the skin to the stone. The stone absorbs the energy of the shock waves and breaks down into small pieces. The particles are then excreted through the urine. The SWL method is suitable for more than 90% of patients. However, the success of the method depends on several factors such as stone qualities and body structure.
How is URS operation performed?
Under anesthesia, the bladder is reached by passing through the urethra without making any incision in your body with the Endoscope. Hard (rigid) or flexible (flexible) ureteroscope is used depending on the location of the stone. Almost every point in the kidney can be reached with the flexible ureteroscope. When the stone is detected, it can be pulled out using a special "basket". If the stone is large, it is divided into particles by laser, ultrasound or pneumatic (works like a pneumatic hammer) stone crushing devices. Stent can be placed in the ureter according to the course of the operation. This stent will be removed for a few weeks when the urine flow returns to normal.
PNL (Percutaneous Nephrolithotomy)
How is PNL done?
• Under general anesthesia
• Under anesthesia, a hole is punched into the kidney with a needle from the skin.
• This hole is widened so that the nephroscope can enter
• Depending on the size of the stone, either whole or piece is removed.
• Stone is crushed by laser, ultrasound or pneumatic pneumatic crushing machines
• All stone particles are taken out
• A stent or percutaneous nephrostomy tube is placed at the end of the surgery.
When is PNL not recommended?
• PNL is a safe and effective procedure
• Blood-thinning drugs (need to stop before the procedure)
• Physical condition that prevents access to pregnant women or kidney
How long does it take to return to my daily activities?
• You stay in the hospital for a few days after PNL
• Nephrostomy tube is taken before discharge, you may rarely need to be sent home by tube
• Your urine may be a little bit bloody for the first few days
• Do not do physical exercises in the first two weeks after the operation.
You must return to the hospital immediately in the following cases
• If you have a fever
• If you feel pain in your kidney or kidney
• If you still have blood in your urine one week after surgery
• The most common complication of PNL is bleeding and high fever.
When should I consider having a PNL?
• When your stone is too big (bigger than 2cm)
• If you have more than one piece
Kiss. Dr. Muhittin ÇALIŞKAN
Under anesthesia, the bladder is reached by passing through the urethra without making any incision in your body with the Endoscope. Hard (rigid) or flexible (flexible) ureteroscope is used depending on the location of the stone. Almost every point in the kidney can be reached with the flexible ureteroscope. When the stone is detected, it can be pulled out using a special "basket". If the stone is large, it is divided into particles by laser, ultrasound or pneumatic (works like a pneumatic hammer) stone crushing devices. Stent can be placed in the ureter according to the course of the operation. This stent will be removed for a few weeks when the urine flow returns to normal.
PNL (Percutaneous Nephrolithotomy)
How is PNL done?
• Under general anesthesia
• Under anesthesia, a hole is punched into the kidney with a needle from the skin.
• This hole is widened so that the nephroscope can enter
• Depending on the size of the stone, either whole or piece is removed.
• Stone is crushed by laser, ultrasound or pneumatic pneumatic crushing machines
• All stone particles are taken out
• A stent or percutaneous nephrostomy tube is placed at the end of the surgery.
When is PNL not recommended?
• PNL is a safe and effective procedure
• Blood-thinning drugs (need to stop before the procedure)
• Physical condition that prevents access to pregnant women or kidney
How long does it take to return to my daily activities?
• You stay in the hospital for a few days after PNL
• Nephrostomy tube is taken before discharge, you may rarely need to be sent home by tube
• Your urine may be a little bit bloody for the first few days
• Do not do physical exercises in the first two weeks after the operation.
You must return to the hospital immediately in the following cases
• If you have a fever
• If you feel pain in your kidney or kidney
• If you still have blood in your urine one week after surgery
• The most common complication of PNL is bleeding and high fever.
When should I consider having a PNL?
• When your stone is too big (bigger than 2cm)
• If you have more than one piece
Kiss. Dr. Muhittin ÇALIŞKAN
