Extracorporeal Shock Wave Therapy (ESWT) - Extracorporeal Shock Wave Lithotripsy (ESWL)
The treatment of kidney and urinary calculus vary depending on the size, place of calculus and the status of kidneys. The calculus treatment methods according to the frequency in today; It includes the following;
- Plenty of fluid intake, follow-up and observation
- ESWL ( Breaking up stones by shock waves from outside of body)
- Endoskopik yolla taş kırılması ve vücut dışına çıkarılması
- Breaking up stones by endoscopic method and removal of them out of body
- The removal of stones by open surgeries
First approach to the calculi which are 5.mm or smaller than 5mm. should be plenty of fluid intake and follow-up. If in spite of this treatment, there is calculus which has not passed and caused an occlusion in urinary tract, the additional treatment methods are required.
It provides breaking up the calculus by directing the shock waves, which are formed on a focus out of body, to kidney and urinary tract calculus. Generally, this method is performed in the calculi up to 1.5 cm. This method is not advised for the bigger calculi. In addition, it is unfavorable to be performed in pregnant, people having peace maker or bleeding disorder and in a disorder which will cause broken calculus not to pass.
The calculus treatment method by endoscopic or ureterorenoscopic ways, is implemented to the calculus ,leading from the kidney to urine, ins drainage bag (ureter).The most ideal one is the calculus which are in lower end of ureter and the treatment success is close to 100%.
Inside of the kidney is accessed through directly a tubule from outside; the calculi are broken and removed out of body. This method is preferred in the calculi which are bigger than 1.5 cm and calculi which are broken however, remains in the lower part of kidney and has no opportunity to pass. The hospitalization duration is 2-3 days and getting back into circulation is shorter than the normal surgeries.
Open Calculus Surgery
Although it was performed very frequently in the past, it is not performed apart from the very special cases today. If the calculi completely fill inside of kidney or other methods are not successful, open kidney surgery is performed.