Open 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.
Open 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. Once the incision is made your ureter and renal pelvis is exposed and your surgeonlocates the stone manually or using X-ray imaging techniques. The stone is removed and the incision is stitched close. 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 ensure you are comfortable. You will be closely monitored for 2 to 3 days in the hospital before discharge to home.
As with all surgeries open 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.
Open surgical techniques are restricted to selective cases only. There are alternate minimally invasive/laparoscopic pyelolithotomy procedures that can be availed of. Your surgeon will discuss your options with you based on your particular medical history.
NMC Urocare’s urological specialists provide quality, compassionate care to all patients. We offer the latest treatments available for all urological conditions. For further information regarding this procedure and the risks involved please contact NMC Urocare.