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Kidney & Urinary Health
Question #12768
220 days ago
299

laser for kidney stones - #12768

Kimaya

I am really desperate to get some advice about laser for kidney stones. I had my first kidney stone like a month ago and it was the worst pain ever, I can't even explain. I finally got to the ER after a night of agony, and they did a CT scan showing a 6mm stone in my left kidney. The doctor talked about using laser for kidney stones and said it could break it into smaller pieces. I mean, I get that sounds better than “let's wait for it to pass”, because that clearly didn’t work last time. But what I’m really worried about is if laser for kidney stones is safe? My friend said her brother had it and felt totally fine, but what if I’ve got some weird complication? Plus, I heard somewhere that not all doctors like to do this procedure. Is there a reason? How quick is recovery when you go the laser route? I’ve got a job, and can't take weeks off just laying around. Would it really help prevent more stones from forming down the line? Please, anyone share experiences or info about laser for kidney stones!!! I’m feeling overwhelmed and kinda lost.

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Doctors' responses

Laser treatment for kidney stones, often referred to as laser lithotripsy, is a commonly used and effective method for breaking down stones into smaller fragments, allowing them to pass more easily. It’s a minimally invasive procedure, typically performed under general anesthesia using a small telescope inserted through the urethra into the bladder and ureter to reach the kidney stone. A laser fiber is then used to break the stone into pieces. While the procedure is considered safe, like any medical treatment, there are potential risks such as bleeding, infection, or injury to the ureter or kidney, although these complications are relatively rare. Most patients experience only mild discomfort and might see blood in urine for a few days post-procedure.

Not every doctor is inclined to immediately advocate for laser lithotripsy because the decision is often based on the stone’s size, location, and composition, as well as patient’s symptoms and overall health. For stones that are smaller or expected to pass on their own, a conservative ‘watchful waiting approach’ might be advised initially. Recovery from laser lithotripsy is generally swift, with many individuals resuming normal activities within a few days. It’s recommended to get advice tailored to your specific needs from your healthcare provider about your job duties and when to safely return to work.

As for preventing more stones from forming, laser lithotripsy itself does not prevent kidney stones from occurring again. Preventative measures primarily involve dietary and lifestyle changes such as increasing fluid intake, dietary adjustments, and sometimes medications depending on the stone composition. Consulting your doctor or a dietitian for guidance based on your individual risk factors can be very beneficial for prevention plans. Ensure you have a follow-up with your urologist to discuss next steps and future prevention strategies.

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