Kidney Stone Surgery in Delhi

Kidney Stone Surgery in Delhi

Dr. Niren Rao offers various comprehensive services to treat kidney stones. He has valuable experience in this field and has great repute for his ethical as well as clinical approach. Delhi Urology Hospital, established by Dr. Niren Rao, is one of the leading centres for kidney stone treatment in Delhi.

Why choose Delhi Urology Hospital for Kidney Stone Surgery?

  • We provide supreme level care for our patients with the best clinical solutions.
  • Economical kidney stone treatment in Delhi.
  • All kidney stone surgeries like PCNL, mini PCNL, RIRS are routinely performed at our hospital using lasers.
  • We have a team of skilled staff, assure comprehensive care and assure successful recovery to the patients.
  • The average cost of kidney stone surgery is approximately Rs. 35,000-60,000.

Dr. Niren Rao is the best kidney stone specialist doctor in Delhi, having performed more than 7000 kidney stone surgeries successfully. One can consult him for kidney stone related issues to find quick relief.

PCNL Surgery

PCNL Cost ranges between Rs. 35,000-40,000.

How much does PCNL surgery cost in Delhi?

At Delhi Urology Hospital, the cost of PCNL is approximately Rs. 35,000-40,000.

Who are the candidates for PCNL?

Classically, PCNL which is minimally invasive surgery is used for stones in the kidney which are more than 2cm in size. However, with modernization and miniaturization of instrument, stone as small as 1cm in size can be removed through mini PCNL or ultra mini PCNL.

What are the indications of undergoing a PCNL?

  • Stone in kidney more than 2cm.
  • Staghorn calculi i.e. stone which became so large that they take the shape of the kidney.
  • Stones not fragmented after Extracorporeal Shockwave Lithotripsy (ESWL) because they are very hard.
  • Stone not suitable for removal by using flexible ureteral scope; example RIRS (Retro-grade Intra Renal Surgery) because of their hardness or location (Inferior Calyx or Blocked Calyx) stone in malformed kidney such as horseshoe kidney.
Kidney Stone Surgery Hospital in Delhi
RIRS Surgery

RIRS Cost Starting at 60,000*

How much does RIRS cost?

Who are the candidates for RIRS?

  • Patients with small stones in the kidney (15-20mm) or very small stones in both the kidneys can go for RIRS.

What are the advantages of RIRS?

  • There is no cut involved in this surgery, hence, it is free of any incision in the body.
  • This surgery is associated with very less pain compared to other procedures such as PCNL.
  • The recovery of the patient is faster and hospital stay is short.

What are the preparations required to undergo this surgery?

  • A non-contrast CT scan of the kidney (NCCT-KUB) is done prior to the surgery. This tells us the exact location, size, and the number of the stones. Also, based on the Handfield units one gets an idea about how hard the stones are.
  • CBC tests are done to assess the fitness for the surgery.
  • Urine culture is done to rule out the infection. This is mandatory before urological surgery.
  • Pre-operative check-up is done by the anaesthetic.
  • In case of diabetes and hypertension, adequate blood sugar and blood pressure control is ensured.
  • Patients are admitted on the day of surgery after overnight fasting.

How is RIRS done?

  • RIRS can be done under general or spinal anaesthesia.
  • RIRS is done using a flexible urethroscope. The scope is introduced from the urine passage (urethra) into the ureter and from there into the kidney. Once inside the kidney, the stone is visualized and fragmented using laser. The stone fragments are then basketed out.
  • At the end of the procedure, stone clearance is ascertained under x-ray(c-arm) images and a DJ stent is placed.
  • Sometimes the ureter is very tight/narrow for RIRS to be performed in the first sitting.
  • In such cases, a DJ stent is placed in the kidney. After a period of two weeks when the ureter is dilated, the RIRS can be easily performed.

What to expect in the post-operative period?

  • Patients stay in the hospital for 1 day post RIRS.
  • They have a urinary catheter placed for 24 hours.
  • Slightly reddish urine may be seen in the immediate post-operative period.
  • Intravenous antibiotics and pain killers are given to prevent the infection and provide pain relief.
  • Patients are given a soft diet on the day of surgery.
  • After 24 hours if there is no fever patients are discharged on oral antibiotics after removal of the catheter.

When is the DJ stent removed?

  • Typically 2-3 weeks post-surgery, patients are called back for the removal of the DJ stent. It is a daycare procedure and is done under local anaesthesia.
Advantages of PCNL
  • Surgery is done using a very small skin incision (1cm).
  • Minimal bleeding.
  • Patient experiences less post-operative pain.
  • Early emulation of patient and resumption of normal diet.
  • Early discharge - stay in the hospital is one or two days only.
What are the preparations to undergo this surgery?

Patient needs to undergo a city scan or an IVP (intra venous pyelography). Before the surgery these tests tell us the exact number, size and site of the stone in the kidney. They help your urologist in planning the puncture site in the kidney to remove stone.

  • CBC test to help assess the patient’s fitness for surgery.
  • Pre-operative anaesthesia check-up.
  • Assessing the control of sugar and blood pressure if the patient is a diabetic or hypertensive.
  • Patients are advised to come fasting on the day of surgery.
How is PCNL done?
  • At the beginning of the procedure the anesthesiologist will administer general or spinal anaesthesia to the patient.
  • Patient is turned prone i.e. made to lie on his tummy.
  • A small incision around 1cm is placed on the back and using serial dilators a track is established into a kidney leading up to the stone.
  • Patient is given liquid diet initially and gradually shifted to solid diet.
  • The urinary catheter placed at the time of surgery is removed after 24 hours.
What to expect in the post-operative period ?
  • Patient stays in the hospital for around 1-2 days.
  • Antibiotic injection is given to prevent infection.
  • Injectable painkiller is given for pain relief.
  • Patients are advised against heavy physical work or exercise for at least a month after surgery.
  • Normal routine work can be resumed 3-4 days post-surgery.
What are the precautions to be taken after discharge?
  • Most patients have an uneventful recovery after discharge.
  • For the first few days patient may notice some blood in urine which gradually clears.
  • A mild pain in the back may be experienced while passing the urine.
When is the DJ stent removed?

Patients are called back after 2 weeks for removal of DJ stent using a flexible cystoscope under local anaesthesia. To learn more, please feel free to contact Dr. Niren Rao, one of the best urologist in Delhi.

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