We are able to use the latest and most accurate techniques for the diagnosis and treatment of stone disease in the urinary tract. If an operation is required, this is almost always with keyhole surgery of various types. Recovery after the operation is therefore quicker for you. The best procedure depends on the size and position of your stone, as well as whether it is a very hard or softer type of stone. Your surgeon will discuss the best options for you and together an informed choice can be made.
Options offered include:
1. Shock Wave Lithotripsy
This involves a machine to focus shock waves on to your stone. This aims to break up the stone into small pieces that you can easily pass yourself. A general anaesthetic is not usually required and you will be able to go home after the procedure. Several treatments may be required before this is completely successful.
2. Semi-Rigid and Flexible Ureterorenoscopy
We use the latest ureteteroscopes in conjunction with laser technology to treat stones. Under a general anaesthetic, a very fine telescope is passed to the position of the stone and a Holmium-YAg laser is used to destroy the stone.
3. Percutaneous Nephrolithotomy
For larger stones in the kidneys, a small (keyhole) cut is made in the back and a telescope is very carefully inserted directly into the kidney. The stone is broken up and removed.
4. Recurrent Stones
In some patients, there is an abnormality in their urine chemistry that means they continue to make stones very often. We can test for this if necessary and advise on treatments to reduce the risk of stones in the future.
5. Surveillance of Stones
Some stones are in difficult to reach locations and cause no symptoms. It is often better just to monitor these stones rather than have an operation. We can therefore arrange for regular X-rays and outpatient appointments to check that your stone is not causing any problems and does not need an operation.