Health & Medical Medicine

Ureterolithotomy Dormia Basket Surgery India,

Ureterolithotomy - Dormia Basket Surgery

What is it?

There is a stone in the tubing, in the ureter, that runs from your kidney to your bladder. You have two kidneys, a left and a right one. They are each about the size of a fist. They lie deep in your back on each side of your spine, in front of the lowest rib on each side. They make the urine which passes down the ureter on each side to the bladder just below your navel. Stones from the kidney can pass down the ureter causing pain, blood in the urine, infection, or can block the ureter causing pressure on the kidney. Often the stones pass right through by themselves. In your case, however, the stone has stuck in the ureter. It needs to be taken out with an operation.

The Operation

You will have a general anaesthetic, and will be asleep for the whole operation. Sometimes the stone in the ureter can be pulled out by a special telescope passed up into your bladder through the normal urine passage. Otherwise a cut has to be made into the skin. The stone is then taken out through an opening in the side of the ureter. The wound is then stitched up. If the stone can be removed with the special telescope, you should be able to leave hospital within 24 hours. Otherwise you should allow seven days or so in hospital.

Any Alternatives

Waiting and seeing if the stone will pass is a good idea if the stone is less than one third of an inch long. This has not happened in your case. Breaking up the stone with shock-wave treatment often works very well. If it has not worked, an operation is needed to find out why and deal with the problem. Drug and diet treatment are useful to stop more stones forming. They are not very helpful in dissolving stones which are already there.

Possible Complications

As with any operation under general anaesthetic, there is a very small risk of complications related to your heart and lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero. For both types of operations, complications are relatively rare. If you think that all is not well, please ask the doctors and the nurses.

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