When dealing with large kidney stones, minimally invasive techniques like RIRS (Retrograde Intrarenal Surgery) or URS (Ureteroscopy) may not be feasible, particularly when the stone is lodged in the ureter and measures several centimeters in size. In such complex cases, the expertise of the surgical team becomes crucial to ensure a successful outcome. The Institute of Urology in C Scheme, Jaipur, recently demonstrated this expertise by successfully removing a massive ureteric calculus measuring approximately 5 cm through laparoscopic ureteric stone removal.
This particular case involved a middle aged patient suffering from significant discomfort due to the large stone. Given the size and location of the stone, a more elaborate procedure was required for complete removal. The laparoscopic approach allowed the surgical team to access the stone with precision, minimizing the risk of complications. The surgery was performed with exceptional skill, ensuring the entire stone was removed in one session. Post-operatively, the patient has fully recovered and is now symptom-free, resuming his daily activities without any issues.
The Importance of Metabolic Workup in Recurrent and Large Kidney Stones
For patients who experience recurrent kidney stones or develop very large stones, like in the case mentioned above, a thorough metabolic workup is essential. This involves a detailed analysis of the patient’s metabolic profile to identify any underlying conditions that may predispose them to stone formation. Understanding the metabolic causes can help in developing a targeted prevention strategy, reducing the likelihood of future stone formation and the need for further surgical interventions. The Institute of Urology places a strong emphasis on this aspect of patient care, ensuring long-term well-being for its patients.
