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    AVANTGARDE UROLOGY
    Center of Minimally Invasive Surgery

Pyelolithotomy

Surgical Treatment of Kidney and Ureteric Stones

Surgery may be needed to remove a kidney stone if it

  • does not pass after a reasonable period of time and causes constant pain
  • is too large to pass on its own or is caught in a difficult place
  • blocks the flow of urine
  • causes an ongoing urinary tract infection
  • damages kidney tissue or causes constant bleeding
  • has grown larger, as seen on follow-up imaging

Until 20 years ago, open surgery was necessary to remove a stone. The surgery required a recovery time of 4 to 6 weeks. Today, treatment for these stones is greatly improved, and many options do not require major open surgery and can be performed using minimally invasive techniques requiring only a few hours hospital stay.

Pyelolithotomy

This an minimally invasive operation performed laparoscopically (robotically assisted) in some limited cases where nothing else has succeeded to remove the stones or when a stone is due to the presence of the so called pelvic-ureteric junction (PUJ) obstruction. This is done in order to remove the stricture of the PUJ – cause – and the stone –result – at the same operation. A ureteric stent in left in site for usually 3 weeks and the hospitalization is 2-3 days including the day of the procedure. Full recovery takes usually 5-7 days.

Attention! The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with your physician for further evaluation.

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