KIDNEY URETER stones methods ofremoval

Methods of Removal

Exteracorporeal  Shock  Wave  Lithotripsy  (E.S.W.L.)  is  a  new

technique that employs a focussed beam of ultrasonic shock  waves

to  pulverise  renal  and  some  ureteric  stones,  the  sandlike

material can then pass out with the urine. Fig.25.9

OPEN SURGERY

Surgical exposure of the kidney and pelvis is required through  a

lumbar incision for staghorn and multiple calculi.

Kidney and Ureters

Surgical removal of multiple renal calculi or staghorn calculi represents a difficult task for the unrologist. Actual bivalving of the kidney with cooling and vascular control may be required

Radiologic Procedures.

Obstruction can be relieved by percutaneous nephrostomy performed under x-ray or ultrasonographic monitor. Infection can be treated, pain relieved, and acute cases can be made elective. Uric acid stones may be dissolved, and other stones may be removed by the percutaneous method

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