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best urologist in pune

What is PCNL?

November 1, 2022 UncategorizedDr. Ketan VartakComments Off on What is PCNL?

What is PCNL?

PCNL is a Percutaneous Nephrolithotomy. If you have a large, multiple or complex stones. The surgery does one to three hours and typically needs a hospital stay of one to two nights. You should be ready to continue regular activities in one to two weeks.

Is PCNL dangerous?

PCNL is a reliable and efficient procedure for removing large, difficult, and many renal calculi. Still, a serious and life-threatening difficulty that can happen during or after PCNL is bleeding, which can happen during needle passage, tract dilatation, or nephrostomy.

Advantages:

  • Minimal Access Surgery
  • Stones of almost any size cleared
  • Hardness not a criteria
  • Minimal complication
  • Regional Anesthesia
  • A short hospital stay of 2 – 3 days
  • Minimal post-op pain
  • Ancilliary producers like Endopyelotomy can be done
  • Even staghorn stones can be cleared by single or double punctures
  • Success rate –   Total stone clearance    90%
  • Sandwich Therapy – PCNL + ESWL

 

Management of urinary stones in new millenium

November 25, 2021 ESWLDr. Ketan VartakComments Off on Management of urinary stones in new millenium

What is the ESWL procedure?

Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract and pass from the body. See a picture of ESWL. You lie on a water-filled cushion, and the surgeon uses X-rays or ultrasound tests to precisely locate the stone.

Is ESWL treatment painful?

After treatment, you will have blood in your urine and possibly abdominal pain or aching for several days. Other people experience severe cramping pain as shattered stone fragments make their way out of the body. Oral pain medication and drinking lots of water will help relieve symptoms.

Advantages

  • Success rate (95%)                                         
  • No admission    
  • Non-Invasive
  • No Anaesthesia
  • Age no bar
  • Minimal side effects

Disadvantages

  • May require no. of Sittings
  • A stent may be require
  • Size limitations of 2.5 to 3 cm
  • Hard stones
  • Anesthesia required in children
  • Steinstrasse, post-op pain

 

What is Bladder Stone and It’s Symptoms?

September 30, 2021 UncategorizedDr. Ketan VartakComments Off on What is Bladder Stone and It’s Symptoms?

What is Bladder stone?

Bladder stones square measure exhausting lumps of minerals that may type within the bladder once it is not void of excreta. They will not cause any symptoms if they are sufficiently little to be passed out of the bladder once you pee.

Typical symptoms of bladder stones are frequent excreting, particularly throughout the night. lower abdominal pain. a burning sensation or pain within the duct once urinating.

Fast facts on bladder stones

Here area unit some key points concerning bladder stones. a lot of detail and supporting data are within the main article.

  • Bladder stones area unit commonest in men over the age of fifty
  • Underlying medical conditions area unit usually answerable for bladder stones
  • Symptoms of bladder stones embody an amendment excretory product color and pain once urinating
  • Bladder stones area unit rare in girls
  • Bladder stones will be a reason behind blood in the urine

Symptoms

Bladder stones might not turn out symptoms immediately. But, if the stone irritates the bladder, symptoms will embody the following:

  • Discomfort or pain within the phallus for males
  • More regular micturition or a stop-start flow
  • Starting a stream throughout micturition takes longer
  • Pain within the lower abdomen space
  • Pain and discomfort once urinating
  • Blood within the pee
  • Cloudy or abnormally dark pee