Lithotripsy of kidney stones

Lithotripsy of kidney stones is a medical manipulation, which is aimed at the destruction of stones in the urinary system and their further excretion. Let's consider this procedure in more detail.

What kinds of lithotripsy exist?

Depending on how the effect on the stones is made, it is customary to distinguish:

• remote;
• transurethral (contact);
• percutaneous lithotripsy.

What are the characteristics of remote lithotripsy?

Remote lithotripsy of kidney stones is used in cases when the size of the stones does not exceed 2 cm. When it is carried out, crushing is carried out by focusing the shock wave from the outside. Control for the localization of concrements is carried out through ultrasound or radiography. Carried out under local anesthesia.

What are the features of the contact form of manipulation?

Contact lithotripsy of kidney stones is carried out with the help of special thin instruments - urethroscopes, which impulse directly to the stone itself. Necessity in this form arises in the case when the concrements are rather large, and their structure is very dense. It should be noted that contact lithotripsy helps to avoid traumatization of nearby tissues. Under general anesthesia.

Depending on what energy is used for contact lithotripsy of the kidney stone, it is customary to isolate laser, pneumatic, ultrasound. The choice depends on the size and location of the stones.

What are the characteristics of percutaneous lithotripsy?

This endoscopic method is used to treat large concrements, as well as coral-shaped stones. Access is through a puncture in the lumbar region. The operation is performed under general anesthesia. Allows you to completely remove stones, regardless of their size, shape and location.