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Kidney & Urinary Health
Question #18950
255 days ago
323

stone laser surgery

Diya

I am dealing with this frustrating situation. A couple months ago, I started having these awful pains in my side and it turned out to be kidney stones. The doctor said one of them is too big and recommended stone laser surgery. I didn't know much about it at first, but I've been trying to learn everyting I can. I mean, like, I've read online that stone laser surgery is supposed to be less invasive than traditional methods, but then some sites say recovery can be rough? I just want to know what to expect! It seems like I am hearing mixed stuff about the stone laser surgery itself too. Some people say it was a piece of cake, while others, not so much. I guess I am just worried about the pain, and if it's gonna really work to break down the stones. What if it doesn’t work? And like, how long does the stone laser surgery take? Also, what about afterwards? I have a job I can't really take too much time off from, and I’m honestly stressed about being out for long. Anyone else had stone laser surgery? What was your experience like? I'm all ears for any tips or advice!

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Doctors' responses

Stone laser surgery, specifically laser lithotripsy, is generally a very effective treatment for breaking down kidney stones that are too large to pass on their own. The laser targets the stone and fragments it into smaller pieces, allowing these fragments to be passed naturally by the body. Compared to traditional or surgical methods, laser lithotripsy is less invasive, with a smaller incision or sometimes no incision at all, which can indeed be less traumatic for the body. Though no procedure is foolproof, this technique has a high success rate in clearing stones from the ureter or kidney.

The actual procedure is done using a scope that’s passed through the bladder and into the ureter, where the laser is applied to the stone. This can be done as an outpatient procedure, and often under general anesthesia, but recovery experiences can vary. Some patients experience minimal discomfort afterwards, while others might report having some pain or blood in the urine for a few days.

Duration of the procedure can vary depending on the size and number of stones, typically lasting between 30 minutes to 2 hours. Recovery time often depends on the individual, as well as any complications like infection or residual fragments that need to be monitored. Most people find they can return to regular activities within a few days, but it’s wise to plan for at least a few days off work to allow your body to heal and pass any remaining stone fragments.

Post-surgery, staying hydrated is crucial to help pass the stone pieces, so aim for plenty of fluids. Your doctor may also give you specific medications to assist with pain and any urinary issues. If you’re prone to forming stones, discussing prevention strategies, such as dietary changes or medication, may help since lifestyle factors significantly influence kidney stone formation.

If the procedure doesn’t initially succeed fully, which occasionally happens, further treatment may be needed. This could involve repeated laser lithotripsy or, in rare cases, moving to another method.

Ultimately, it’s essential to have a conversation with your healthcare provider regarding any questions or concerns prior to the procedure. They can give a comprehensive view of what the surgery will entail based on your specific condition. If you experience severe pain, fever, or inability to urinate after the surgery, it’s important to seek medical attention promptly, as these can be signs of complications.

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