Kidney Stones Cause and Treatments in Las Vegas
Kidney stones often present suddenly and with severe pain. Each year more than a million people are diagnosed with kidney stones. It is estimated that 10 percent of Americans will experience this debilitating condition in their lifetime. The incidence of kidney stones is on the rise secondary to obesity and dietary changes affecting our population.
The good news (if there was one) is that many kidney stones are passed without the need for a surgical procedure. The smaller the stone, the better is the chance of its passage. If you fail to pass the stone in a timely fashion, you may need a surgical procedure. The threat of a kidney stone is not just the pain it causes. A stone can temporarily block the drainage system of the kidney on its passage down the narrow tube called the ureter. This may lead to kidney failure or a life-threatening infection.
What causes kidney stones?
The are multiple causes for kidney stones. These vary from abnormal absorption of minerals from the bowel to abnormal release of minerals from the kidney. Some may have a hormonal imbalances in the body leading to calcium overload. To identify what is causing kidney stones, you will need a metabolic evaluation of the urine and serum after the stone episode is over. If you are younger than 40 or already had 2 stone episodes, it is highly recommended that you undergo this metabolic evaluation. Once stone risk factors are identified, a urologist can help you prevent more stones in the future. Most of the time, dietary modification is all that's necessary. Occasionally, medications are used to prevent future stones. Prevention strategies can save one from the pain and suffering associated from this disease not to mention potential time loss from work or school.
How are the treatments for kidney stones?
If one fails to pass his or her stone, a surgical procedure may be necessary. The most common procedure performed for stones in the kidney is shockwave lithotripsy (SWL). This procedure is done under general anesthesia or IV sedation and involves focusing shockwaves through the body to fragment a stone. The advantage of shockwave lithotripsy is that it's entirely non-invasive. The disadvantage is that once the stone is fragmented, your body has to pass the fragments.
If the stone has managed to pass down the ureter (the narrow tube which drains the kidney into the bladder), ureteroscopy is considered. Ureteroscopy involves passing a miniturized fiberoptic camera through the urinary tract in reverese fashion, identifying the stone and fragementing it with a laser fiber. This is a higly precise technique and requires great dexterity and skill.
For very large stones in the kidney, a tunnel is made throught the back into the kidney to grind the stone and evacuate the larger pieces out of the body. This procedure is called a percutaneous nephrolithotomy (PCNL) and unlike the other two outpatient procedures often requires overnight hospitalization.
How urologists can help you with kidney stone?
A urologist can help you decide which treatment option is the best. Much has changed in the last few years. The advancement in camera and video techonology have revolutionized kidney stone treatment . Digital high-definition scopes are utilitzed by trained minimally invasive surgeons to deliver optimal results and superior stone free rates. Dr Lesani has completed extensive training in minimally invasive treatment of kidney stones. He is certified by the Endourological Society for having expertise in treatment of full spectrum of kidney stone disorders.
Dr Lesani has utilized the da Vinci robotic surgical system for complex kidney stones. His research and work has been presented in an international urologic symposium.
For more information on the Endourological Society, visit this site: www.endourology.org