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Kidney & Urinary Health
Question #17116
156 days ago
208

kidney stone laparoscopy operation - #17116

Aradhya

I am trying to figure out if I need to go through this kidney stone laparoscopy operation or not. Crazy story, just last week, I’ve been having this intense pain and thought I was having back issues, couldn't even sit in my chair at work without squirming. After a trip to the ER, the doc told me I have a pretty big kidney stone. They suggested a kidney stone laparoscopy operation, but I kinda freaked out. I mean, do I really need an operation for a stone? My brother had one years ago and he said it was the worst pain of his life, but they didn't do a laparoscopy on him since his stone passed naturally. I'm wondering, is this kidney stone laparoscopy operation the best route? Are there less invasive options? I've read online that some people had success with laser treatments too. What should I be asking my urologist before deciding? How do I know if my case is one of those where a kidney stone laparoscopy operation is absolutely necessary? Feeling really overwhelmed with all this info and scared of the surgery.

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Doctors' responses

Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
155 days ago
5

Hi aradhya

There are many minimally invasive options for renal stones

These include RIRS , PCNL, ECIRS etc.

But firstly we need to know your stone burden and stone location by help of NCCT KUB

DR NIKHIL CHAUHAN urologist

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You’re right to weigh all your options when it comes to dealing with a kidney stone. The choice whether to go ahead with a kidney stone laparoscopy operation primarily depends on several factors: the size and location of the stone, any complications, your symptoms, and your overall health. Laparoscopy may indeed be suggested for larger stones or when other less invasive treatments haven’t been effective, or if the stone’s causing complications such as infection or renal function issues. Typically, stones smaller than 5 mm might pass on their own; hydration and pain management would be the usual advice. However, with stones larger than 10 mm, as seems to be your case given the suggestion of surgery, passing them naturally or through less invasive treatments could be challenging. You mentioned laser treatments, which are indeed another option like extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy with laser lithotripsy. These are less invasive compared to laparoscopy and have worked well in many cases, but they might not be suitable for all stone locations and sizes. Your next visit with the urologist should include discussing the specifics of your stone: its size, exact location, and why an operation was advised over other treatments. Ask about the success rates and risks associated with each option, including whether any might offer a quicker recovery or lower risk of complications. Understanding these can help make an informed decision. Also inquire about any new imaging or diagnostic tests needed to reassess the stone before finalizing the choice. If possible, consider getting a second opinion, especially if you’re feeling uneasy about the procedure’s necessity. Not to forget, ensuring you’re coping alright with the pain and maintaining a healthy fluid intake is essential, regardless of the path you choose. Remember to promptly report if you experience any red flag symptoms like fever, chills, severe nausea, or signs of potential infection, as these would necessitate immediate medical attention.

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