kidney stone stent surgery – Staghorn kidney stone

Kidney stone stent is a flexible plastic tube that normally inserted between the kidney and the bladder for facilitated the passage of kidney stone. Kidney stone stent is simply known as a ureteric stent. Kidney stone stent is one of the many treatment options that can be considered for the kidney stone. When a doctor recommended a stent for a patient, doctor should be able to estimate that how long the sent will be left in. A doctor should eloquent a plan for the removal of the stent.

What is kidney stone stent?

Kidney stone stent is medically called ureteric stent; it is a special designed hollow tube that made of a flexible plastic material. Normally it is placed inside the ureter between the bladder and the kidney for temporarily relieve obstruction. The ureters are muscle tube which extends from the kidney to urinary bladder and they are responsible for the transporting urine from the kidney to bladder. Due to the blockage within the urinary tract which affects the flow of urine could be dangerous. In this situation urine that back up into the kidneys, that causes serious damage of the kidneys. As a result kidney stone stent are use for the removal of kidney stone.

How a kidney stone stent inserted?

Normally the patient may be given a local or the general anesthetic when a Kidney stone stent is placed. The dose of anesthesia is depending on the situation. Then a cytoscope is inserted in the urinary tract to allow the doctor, mainly a urologist, to observe, and the stent is carefully placed into the ureter an left in place. J-shaped or coiled hooks at either end of the stent to keep it place, as a result it cannot drift once it has been inserted. Generally Kidney stone stent can be left in place up to six weeks; at this point it will need to be removed.

When a kidney stone stent is placed?

Normally a stent is placed when it appear possible that a patient will passed a kidney stone. The stent helps urine drain from kidney to bladder and clearing any abstraction and also hopefully bringing the stone along with it. The stent may insert after cytoscopy or the surgical removal of kidney stone to ensure that the urine drains properly for few days or weeks. If the stent is left in so large, it can develop deposit of the material that could lead to the infection or obstruction of the ureter.

Side affect of kidney stone stent?

Due to the placing a Kidney stone stent into the ureter between the kidney and the bladder may causes some unpleasant side effects. The patient may often feel the need to urinate frequently and also urgently. When the complete the urination, their bladder not feel as if it has fully emptied. Some patient may notice that blood in urine and also get an infection. Presence of the stent is very noticeable during exercise. They may feel pain into kidney, bladder and the surrounding area of the abdomen walls.

Urination problem

The primary side effects of the kidney stone stent are change into patient urination. Many patients complain that they can feel like they have to urinate more repeatedly than normal. They also experience that urinate May also very sudden and also intense, forcing people to hurry to the bathroom. When they have gone, then the bladder still feel somewhat full and causing them to feel like that they need to go again just now.

Blood in urine

Another issue can occur when a person have a Kidney stone stent is blood into urine. This may be occurring due to irritation of the kidney or the bladder by the end of the stent that located inside them. Excessive fluid intake may help to resolve these problems.

Infection

Infection is another result of the Kidney stone stent. Most of the time kidneys is the location of a stent related infection. Antibiotic medication may help to prevent this infection.

Pain problems

The many patients with the Kidney stone stent have a pain problem. Pain can be local to the bladder and kidney area. The pain may also felt generally across the abdomen and back side. The pain may worsen after physical activity or urination. It is also sometime possible to the stent to shift more in the bladder or kidney.

Sex

Normally there are no any restrictions on sex life due to the presence of kidney stent. Some patient feels some discomfort during sexual activity. When the strain in come outside of the body though the ureter, then patient feel pain during sexual activity.

How long the stent will stay n body?

There is no arduous and quick rule concerning this. The tubing should be unbroken in situ as long as necessary, i.e. till the obstruction is mitigated. This relies on the reason for obstruction and also the nature of its treatment. Within the majority of patients, the stents area unit needed for under a brief period, from some weeks to some months. However, tubing within the right position will keep sure up to 3 months while not the requirement to exchange it. Once the underlying drawback isn’t a renal calculus, the tubing will keep in even longer. There area unit special stents, which can be left sure a far longer time. Your medical specialist can tell you ways long he expects your tubing to stay in situ.

How is kidney stent removed?

Once the underlying condition that caused blockage of the duct is resolved and therefore the duct is recovered, the tube will be removed. Excretory organ tube removal could be a short procedure.The tube is removed employing a cystoscope, sometimes below anesthesia. Generally a tube will be left with a thread connected to its lower finish that stays outside the body through the canal. The doctors will take away such stents by simply actuation this thread.

Staghorn kidney stone are so named for their appearance that resembles a stag’s antler. These kinds of kidney stone can be very small or very large, depending on the anatomy of the individual kidney. Staghorn kidney stone are normally start with small the gradually it become large in size. A tiny grain of solid component is left behind by urine passing through kidney. As the more urine passes through, the more material is deposited in kidney and Staghorn kidney stone are grows. Normally the kidney stone may grow from the different types of mineral deposited by the urine. Staghorn kidney stone is usually made by a mineral called magnesium ammonium phosphate. This mineral is combining with calcium and also other mineral found in urine.

What are Staghorn kidney stones?

Staghorn kidney stones are generally found in women and usually form as a result of the long standing urinary tract infection. Staghorn kidney stones can become large with the multiple branches and it become impossible to eradicate the infection without eliminating the stone. Most efficient way to eliminate the stone is via large tube placed directly into the kidney. There are also some variety of stone breaking device is available to remove Staghorn kidney stones.

How Staghorn kidney stone harmful?

Staghorn kidney stone are not common kidney stone. However they can be dangerous sometime. A Staghorn kidney stone form when a harmful bacterium is present. Due to this reason the Staghorn kidney stone is sometime called infection stone. If a Staghorn kidney stone is left untreated, then in time it can destroy the kidney. It also causes the patient death.

Some risk factor of Staghorn kidney stone

Some risk factors of Staghorn kidney stone are including:

  1. Long standing history of stones.
  2. Certain unique metabolic defects.
  3. Urinary tract infection.

History of stone

If any person have long standing history of stone then have a great risk to develop Staghorn kidney stone. It is one of the major risk factor.

Urinary tract infection

If urinary tract infection is happen due to some particular bacteria then has a high risk to develop Staghorn kidney stone. Some bacteria are responsible to make inflammation on urinary tract.

Sign and symptoms of Staghorn kidney stone

The major sign and symptoms of Staghorn kidney stone are including:

  1. Unacceptable abdominal pain.
  2. Flank pain.
  3. Back pain.
  4. Lower abdominal pain.
  5. Urinary bladder pain.
  6. Burning sensation during urination.
  7. Kidney stone pain.
  8. Lack of appetite.
  9. Nausea.
  10. Vomiting.
  11. Foul smelling and cloudy urine.
  12. Blood in urine.
  13. Sharp pain.
  14. Weakness.

How Staghorn kidney stone are treated?

There are several treatment techniques available for the Staghorn kidney stone. Among them one is watchful waiting, that means observation without removal. Sometime antibiotic medicines can use to fight against infection. In unusual condition, watchful waiting is not recommended for the Staghorn kidney stone.   Staghorn kidney stone need to be removing in most cases. Otherwise there is also the risk of death due to kidney problems.

There are for technique to removing kidney stone:

  1. By extracorporeal shock wave.
  2. Percutaneous nephrolithotomy.
  3. Combination of shock wave and the Percutaneous nephrolithotomy.
  4. Open surgery.

Extracorporeal Shock Wave Lithotripsy

According to the American Kidney Fundation, the Extracorporeal Shock Wave Lithotripsy or ESWL can break the Staghorn kidney stone into the tiny pieces. Then these pieces are eventually eliminated from the body trough urine. In this procedure a series of shock wave are use to break down the stone. It is slightly loud and also painful. Normally patients are sedated and sometime give earphone to protect hearing.

Percutaneous Nephrolithotomy

Percutaneous Nephrolithotomy is a clinical procedure in which the Staghorn kidney stone is surgically removed. At first a small incision is made into the patient back side and then the stone is removed by the nephroscope.

Ureteroscopic Stone Removal

When the stone is lodge into the ureter , then the ureteroscopic stone removal is needed. The ureters are the two thin tubes that are connect the bladder to the kidney. In this procedure involve the small tools that are called an ureteroscope. At first the tools is inserted into the ureter and then used to grab the stone. At last the ultrasound or the laser energy is passed through the tools to break the stone.

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