HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Blasting And Laser Technique For Kidney Stone Removal

My husband has a kidney stone. He had a procedure 2 weeks ago to put a stent in.I was told the stone was just outside the kidney, too high up to be grabbed and too close to the kidney to be lasered. He went back today to get stent removed and hopefully get the stone out. During the procedure found that the stone had gone back into the kidney so they blasted it. Came home with another stent to be removed in 3 days. Why could the stone not be blasted 2 weeks ago and is there a difference between blasting and laser?
Mon, 20 Apr 2015
Report Abuse
Urologist,  's  Response
Hello
Thanks for query.
Your husband has stone in his kidney probably in upper calyx which is techniquely very difficult to be accessed by rigid endoscopes ,that may perhaps be reason for it not being fragmented in first sitting.

After putting the stent the entire ureter undergoes passive dilatation making endoscopes to be negotiated freely through dilated ureter during second sitting and stone can be fragmented easily.

In blasting we use pneumatic energy to fragment the stone where as in laser surgery we use laser energy to burn the stone .

It is risky to use laser in kidney if the stone is very close to cortex and there is risk of damaging the kidney tissue.
Dr.Patil.

I find this answer helpful
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Blasting And Laser Technique For Kidney Stone Removal

Hello Thanks for query. Your husband has stone in his kidney probably in upper calyx which is techniquely very difficult to be accessed by rigid endoscopes ,that may perhaps be reason for it not being fragmented in first sitting. After putting the stent the entire ureter undergoes passive dilatation making endoscopes to be negotiated freely through dilated ureter during second sitting and stone can be fragmented easily. In blasting we use pneumatic energy to fragment the stone where as in laser surgery we use laser energy to burn the stone . It is risky to use laser in kidney if the stone is very close to cortex and there is risk of damaging the kidney tissue. Dr.Patil.