In kidney stones larger than 2 cm, and in all other stones where shock wave therapy has failed or is thought to fail, it can be applied in all age groups. A small tube of approximately 1 cm is inserted into the kidney through an incision of approximately 1 cm made from a suitable place on the side of the back, close to the kidney.
The stones are reached with special endoscopes (nephroscope) placed inside this pipe and removed whole or by breaking them. At the end of the surgery, a catheter is usually placed into the kidney (nephrostomy). After control radiographs are often taken the next day, the catheter is removed and the patients are discharged the next day after the urine coming from the wound site stops.
When the patients are discharged, the stitches in the wound area have been removed and they will be able to bathe, eat, drink and walk normally without the need for dressing. They are in a situation. Normal life is returned 7-10 days after discharge. Aspirin and similar blood thinners should be discontinued before and in the early postoperative period.
Child patients, very large kidney stones, patients with a single kidney, patients who have had previous surgery on the same kidney, stones located in the upper part of the kidney, some congenital kidney stones. Kidneys with structural differences (horseshoe kidney, calyx diverticulum), patients with additional problems such as urinary tract stenosis that need to be corrected during the same surgery along with stones, and cases where intervention on both kidneys is considered in the same surgery, a certain experience is required since the surgeries are more risky. They must be applied with.
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