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Lap Pyelolithotomy

What is Pyelolithotomy?

Pyelolithotomy is a surgery performed to remove stones from the ureter or the renal pelvic region (the funnel shaped part of the kidney in which urine is collected). This surgery is performed only in cases where the stone causes complications and blockages and cannot be removed using less invasive techniques.

How is the procedure performed?

Laparoscopic pyelolithotomy is performed under general anesthesia and takes about 2 to 4 hours. The area of incision (side of your body) will be shaved and cleaned before the incision is made. Your surgeon makes 3 to 4 small incisions in the abdomen and inserts a laparoscope (tube with a light and a small camera attached) to view the abdominal cavity. Surgical instruments are passed through the other incisions.

Once the incisions are made your ureter and renal pelvis are exposed and your surgeon locates the stone manually or using X-ray imaging techniques. The stone is removed and the incisions are closed. A ureteric stent (thin soft tube) is placed within the ureter to drain out urine and any left-over fragments of the stones and also helps to heal the surgical incisions faster. A flexible drainage tube called a catheter is placed into your urethra to help urination. After the surgery your vitals will be checked and you will be monitored for 2 to 3 days after the surgery in the hospital before discharge to home.

What risks and complications are involved?

As with all surgeries laparoscopic pyelolithotomy also involves risks such as bleeding and infections. In addition, when a stone is lodged firmly in the ureter it can cause scars to form in the ureter making the canal narrower.

NMC Urocare provides specialized and experienced urologists and the best quality treatments. For further information regarding the procedure and risks involved in laparoscopic pyelolithotomy please contact NMC Urocare.