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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Are Large Kidney Stones Usually Removed?

Hi doc, how s it going? Good I hope. My cousin has kidney stones that are so large that they blocked her urters and causd an infection. The Emergency Medicine doctor said her kidney stones were so large, that they have to be surgically removed! She is scheduled to have them surgically romoved on Tuesday. The E.R. doctor gave her some NSAIDS and placed a stent in her (I guess so some of the swelling could go down). What type of infection medicines are generally give to patients in my cousins conditions? Are they called pyelonephritis medications? Also, what type of surgical procedures are likely to be performed? Are they refered to as percutaneous nephrolithotomy or nephroliithotripsy? Thanks in advance, Germaine
posted on Thu, 26 Jun 2014
Twitter Tue, 15 Sep 2015 Answered on
Twitter Tue, 15 Sep 2015 Last reviewed on
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Urologist,  's  Response
Hello
Thanks for query .
Your cousin has large kidney stone with secondary UTI .The medicine she has been given is Antibiotics which controls the infection which is routine protocol to be given before surgery .
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The procedure she is scheduled for is called Per Cutaneous Nephro Litotomy(PCNL)where a endoscope (Nephroscope ) is passed through a small hole at the back in to kidney and the stone is fragmented in small pieces which are delivered outside through the same endoscope .

It is a safe procedure to crush the kidney stones done under anesthesia.

Dr.Patil.
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How Are Large Kidney Stones Usually Removed?

Hello Thanks for query . Your cousin has large kidney stone with secondary UTI .The medicine she has been given is Antibiotics which controls the infection which is routine protocol to be given before surgery . . The procedure she is scheduled for is called Per Cutaneous Nephro Litotomy(PCNL)where a endoscope (Nephroscope ) is passed through a small hole at the back in to kidney and the stone is fragmented in small pieces which are delivered outside through the same endoscope . It is a safe procedure to crush the kidney stones done under anesthesia. Dr.Patil.