Breaking stones in the ureter - indications and contraindications
Lithotripsy - crushing of kidney and bladder stones using ultrasonic shock waves. This is a good alternative to surgical intervention, because the method is less traumatic. Lithotripsy can be performed at any endosurgery and lithotripsy center. After conducting the necessary examinations, the doctor will prescribe a preventive course of vitamin therapy, after which this procedure will be carried out.
Advantages of contact and remote lithotripsy:
- a minimum of complications;
- quick rehabilitation;
- minimum period of pain after the procedure;
- the price of laser lithotripsy is much lower than surgery;
- possibility of application in pediatric practice;
- high efficiency.
Breaking stones in the ureter - types of lithotripsy
Stone crushing is carried out with the help of various types of energy - ultrasonic, laser, etc. Depending on the impact on the stone, experts distinguish several types of procedures:
- transurethral;
- remote;
- percutaneous.
When choosing a method, the doctor takes into account the size of the stone, its location, the general condition of the patient, the presence of chronic diseases and the results of additional examinations. A specialist will tell you how much ultrasonic crushing of stones costs in the clinic. In addition, the doctor will draw up a training plan and answer your questions.
Preparatory period. Patients donate blood for a general analysis and a coagulogram, a general analysis of urine, and are examined for infections. Of the instrumental examinations, an ECG, X-ray of the lungs, ultrasound of the kidneys, CT and excretory urography are mandatory.
For preventive purposes, before crushing stones in the ureter, the patient is prescribed a course of antibiotics.
Important: when choosing a clinic, pay special attention to the quality of the equipment and the qualifications of the specialist, because the success of the treatment largely depends on this. Our website https://dobrobut.com/ provides complete information about the procedure.
You can make an appointment and find out about the cost of crushing kidney stones with ultrasound online and by calling the indicated phones.
Methods of implementation
Remote lithotripsy is performed on an outpatient basis under local anesthesia. The duration of the event is 30-60 minutes.
Advantages of the method:
- minimum trauma;
- effective crushing of small stones;
- short period of rehabilitation;
- affordable price.
However, the technique has contraindications: the impossibility of crushing large stones and the ineffectiveness of the effect on stones of high density. In addition, during manipulation, damage to soft tissues around the conglomerate is possible. The consequence is the appearance of blood in the urine (hematuria) and the formation of a paranephric hematoma.
Transurethral lithotripsy - crushing stones in the bladder and kidneys with the help of a thin endoscope. Manipulation is carried out under epidural anesthesia. The duration of the procedure depends on the number of stones, their density and size. After completing the procedure, the patient is recommended to spend a few more days in the clinic under the supervision of a specialist.
Advantages:
- crushing large stones;
- crushing of high-density stones;
- minimum exposure time;
- integrity of soft stones around the conglomerate.
Disadvantages - a longer recovery period.
To perform percutaneous lithotripsy, the surgeon makes a puncture in the lumbar region and inserts an endoscope through the hole. The tool is advanced to the required area and a lithotripter is introduced through the lumen. The procedure is performed under X-ray control. The advantages of the method include the ability to crush stones of complex configuration and large size.
Disadvantages:
- traumaticity;
- use of anesthesia;
- long recovery period.
You can read more details about how stones are crushed with a laser in a hospital on the pages of our website.
Possible complications after the procedure
Hematuria. Blood in the urine may be present in the first two days after the manipulation.
Renal colic. Medicines recommended by a specialist will help relieve an attack. In the absence of a result, the patient will be prescribed repeated lithotripsy. Using the information section, you will find out which drugs are most effective after surgery to crush gallstones and how to prepare for this procedure.
Anuria - absence of urine for more than a day.
After the manipulation, the patient must follow the doctor's recommendations (adherence to the diet and drinking regime, absence of physical and psychological stress) and undergo professional examinations every three weeks.
If you need help, make an appointment for a consultation. The specialist will answer questions and tell where extracorporeal shock wave lithotripsy is performed. Registration in online mode.
Related services:
Urologist consultation
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