Kidney Stone Laser Treatment

Laser surgery for kidney stones, also known as laser lithotripsy, is an effective treatment for kidney stones measuring 1 cm and above. Laser treatment is a minimally invasive procedure that ensures quick recovery and return to regular activities within a short period. To treat painful kidney stones through laser treatment, you can consult highly experienced urologists at HeptaCare Health. Fill in the below form to book your appointment.

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About Kidney Stone Laser Treatment

Kidney stone laser treatment, also known as lithotripsy or laser lithotripsy, is a minimally invasive procedure used to break down kidney stones into smaller fragments. The broken pieces are then easily passed out of the body through urine. 

During kidney stone laser treatment, a specialized instrument called a ureteroscope is inserted into the urinary tract. Then, a laser fiber is passed through the ureteroscope to deliver focused energy to the stone, breaking it into tiny pieces. These small pieces are then expelled from the body, usually without the need for surgery. Kidney stone treatment is preferred for its effectiveness and comparatively lesser risks than traditional surgical approaches.

No external incisions are involved in kidney stone laser surgery. This reduces the risk of complications and infections. Urologists highly seek laser treatment due to its precision which allows for targeted treatment of even large or hard-to-reach kidney stones.

Kidney stones treatment

Who is Eligible for Kidney Stone Laser Treatment?

Here are some factors that determine a patient’s eligibility for laser surgery for kidney stones.

  • Patients with small to medium-sized kidney stones are typically eligible for laser lithotripsy.
  • Individuals experiencing symptoms such as severe pain, difficulty urinating, or blood in the urine due to kidney stones may be candidates.
  • The patient has stones made of calcium, uric acid, struvite, etc., for which laser lithotripsy is a good treatment option.
  • Certain anatomical conditions or medical issues may make traditional surgery risky or impractical, making laser treatment a preferred option.

Eligibility for kidney stone laser treatment is determined by a healthcare professional, typically general surgeon or a urologist, following a comprehensive evaluation of the patient’s condition.

Diagnosis Before Laser Treatment for Kidney Stones

Before undergoing laser surgery for kidney stones, a thorough diagnosis is crucial to ensure the procedure is both safe and effective. For diagnosis, a urologist typically resorts to the following methods:

  • Review patient’s medical history – The urologist will begin by taking a detailed medical history, including any previous episodes or family history of kidney stones.
  • Physical examination – A physical examination may be conducted to identify any underlying conditions that may contribute to kidney stone formation.
  • Imaging tests – Different imaging studies such as ultrasound, and CT scan are used to visualize the kidneys, ureters, and bladder to detect the presence, size, and location of kidney stones. 
  • Urinalysis – A urine sample may be analyzed to check for signs of infection, blood, or crystals
  • Analysis of stones – If a kidney stone is passed or removed, it may be sent to a laboratory for analysis to determine its composition. This information helps the urologist in determining the best method of treatment.

A comprehensive diagnostic approach ensures that patients receive the most appropriate and effective care for their condition.

Preparation for Kidney Stone Laser Surgery

Here are a few steps that can make it easy for you to prepare for kidney stone laser lithotripsy.

  • Schedule a consultation with a urologist or healthcare provider to discuss the procedure, potential risks, and expected outcomes. Clarify all your doubts and concerns during the consultation.
  • Undergo a comprehensive medical evaluation, including a review of your medical history, physical examination, and any necessary diagnostic tests.
  • Provide your urologist with a list of medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements. Some medications may need to be adjusted or temporarily stopped before surgery.
  • You may need to refrain from eating or drinking anything for a certain period before surgery to reduce the risk of complications.
  • Stay well-hydrated before the surgery, as adequate hydration can help facilitate recovery and reduce the risk of complications.
  • Arrange for a company that can help you travel to and from the hospital or surgical center on the day of the procedure.
  • Arrange for a friend or family member to provide support during your recovery period.
  • Follow specific preoperative instructions provided by your healthcare provider.

Kidney Stone Laser Surgery - Step-by-Step Procedure

Here’s a step-by-step explanation of laser surgery for kidney stones:

  • Before the surgery, the patient is usually given either general anesthesia.
  • The patient may be asked to lie on their back or stomach.
  • A thin, flexible tube with a camera on the end, called a ureteroscope, is gently inserted into the urinary tract through the urethra.
  • The ureteroscope is passed through the bladder to reach the ureter and kidney where the stones are located.
  • Using the ureteroscope, the surgeon locates the kidney stones within the kidney or ureter.
  • Once the stones are located, a laser fiber is inserted through the working channel of the ureteroscope.
  • The laser emits high-energy pulses that are directed at the kidney stones, breaking those into smaller pieces. 
  • After the stones have been fragmented into smaller pieces, the surgeon removes the stone fragments from the kidney or ureter. 
  • The ureteroscope is then removed and the patient is shifted to a recovery ward where the vitals are monitored. 

What To Expect After Laser Surgery for Kidney Stones

  • After the laser treatment for kidney stones, the patient is taken to the recovery room where the doctor monitors the vitals and checks any sign of complication.
  • The patient will be under the effect of anesthesia and may take time to regain consciousness completely.
  • A catheter is usually placed for a day or two in the urethra to minimize the pain and discomfort while urinating.
  • If the doctor does not suspect any possible signs of complications, you may be allowed to go home.
  • In case of any abnormality, you may be asked to stay in the hospital for observation purposes.
Kidney stones treatment

Here are a few benefits of laser surgery for kidney stones that make it a more sought-after treatment than other procedures.

  • Minimally Invasive – Laser surgery for kidney stones is minimally invasive, meaning it involves small incisions or no incisions at all. This results in less trauma to the body compared to traditional open surgery.
  • Precision – The laser technology used in this procedure allows for precise targeting of kidney stones, minimizing damage to surrounding healthy tissue.
  • Shorter Recovery Time – Patients typically experience a shorter recovery time with laser surgery compared to traditional open surgery methods. They can return to their normal activities sooner.
  • Reduced Pain and Discomfort – Patients experience less pain and discomfort both during and after the procedure compared to open surgery.
  • Lower Risk of Complications – Laser lithotripsy carries a lower risk of complications such as infection, bleeding, and damage to surrounding organs.
  • Outpatient Procedure – Laser surgery for kidney stones can be performed on an outpatient basis, meaning patients can go home the same day as the procedure, further reducing inconvenience and hospital stays.
  • Minimal Scarring – Because laser surgery involves small incisions or no incisions at all, it typically results in minimal scarring compared to traditional open surgery.

These benefits make laser surgery for kidney stones a highly effective and patient-friendly option for the treatment of kidney stones.

Recovery After Kidney Stone Laser Treatment
  • Drink plenty of water throughout the day to help flush out remaining stone fragments and to prevent dehydration.
  • Follow a balanced diet rich in fruits, vegetables, and whole grains, and low in salt, sugar, and processed foods to support kidney health.
  • Limit consumption of foods high in oxalates and animal proteins, which can contribute to kidney stone formation.
  • Engage in regular physical activity to promote overall health and well-being, but avoid heavy lifting or strenuous exercise during the initial recovery period.
  • Follow any specific postoperative instructions provided by your healthcare provider regarding medication, dietary changes, and activity restrictions.

Contact your healthcare provider if you experience persistent pain, fever, difficulty urinating, or other concerning symptoms during your recovery.

Cost and Insurance Coverage of Laser Treatment for Kidney Stones

The cost of laser treatment for kidney stones may vary from individual to individual depending on multiple factors. Typically, the factors that can influence the cost of your laser kidney stone surgery cost are:

  • Surgeon’s fees
  • Fee of the facility where surgery is done 
  • Anesthesia fees
  • Preoperative and postoperative care
  • Medical supplies and equipment
  • Experience and expertise of the urologist
  • Technology of the surgical equipment used
  • Additional tests and diagnostic procedures

Insurance coverage for laser treatment for kidney stones can vary depending on the patient’s insurance plan and provider. Generally, private health insurance plans may offer coverage for laser lithotripsy as a medical necessity. 

Medicare, the federal health insurance program for individuals aged 65 and older, may also provide coverage for eligible beneficiaries, typically covering a significant portion of the costs associated with the procedure. 

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