Urinary stones have afflicted humankind since antiquity earliest detected in Egyptian mummies dated to 4800 BC. The Prevalence of urinary tract stone diseases is 2% to 3%. A white man may develop Kidney stone in 8 and recurrence rate is about 50% after 10 years of operation.

Kidney Stones may appear with-

• Asymptomatic
• Pain
• Haemarturia
• Fever
• Kidney Failure

Investigation –

• Urine R/E, e/s
• Serum Creatinine
• Serum Uric Acid
• Serum Parathormone
• USG of KUB
• IVU/ CT Urogram
• CBC

So for treatment of urinary stone, minimal invasive technique e.g.: ESWL, PCNL, Mini PCNL, RIRS, RRS, Litholapexy, Laser Lithotropsy.

ACKU Facilities for Stone Diseases

For Bladder Stone – Litholapexy, Laser Lithotripsy.
For Ureteric Stone – URS with ICPL/Laser.
For Small Kidney Stone – RIRS with Laser.
For Small Kidney Stone – ESWL (Stone Crush).
For Large Kidney Stone, Staghorn Stone – PCNL with ICPL/Laser.

Ureteric Stone – ACKU Facilities

ACKU provides all size semi-rigid ureteroscope including very narrow 4.5 FR Ureteroscope which can be safely used in Pediatric Patients. Through URS any ureteric stone of any age patient can be treated using Holmium Laser. ACKU provides Holmium Laser Sphnix 30W by LISA Germany at affordable cost.

Patient can go home after 6 hours.

RIRS (Retrograde Intra-Renal Surgery) :

Small Kidney stones in any calyx can be safely removed by RIRS using Holmium Laser. No blood is required during surgery. Patient can go home after 1 day.

ESWL :

For small stone less than 1.5cm can be treated by extra-corporal shock wave Lithotripsy (ESWL) commonly called Stone Crush. ACKU provides Electro-magnetic support machine by Siemens Germany at low cost. Patient need not to be admitted and treated in out patient department in homely atmosphere and motherly nursing care. Patient can go home after 4 hours.

What is PCNL and Mini PCNL?

It is a keyhole surgery for removal of kidney stones in which instruments with small diameter are used for smaller kidney punctures. Laser, pneumatic and ultrasound devices are used in the process to fragment stones and there is very less bleeding in the process. With highest power Laser machine, even hard and large stones are fragmented quickly with less bleeding.

Symptoms

A kidney stone may not cause symptoms until it moves around within your kidney or passes into your ureter — the tube connecting the kidney and bladder. At that point, you may experience these signs and symptoms:

• Severe pain in the side and back, below the ribs
• Pain that spreads to the lower abdomen and groin
• Pain that comes in waves and fluctuates in intensity
• Pain on urination
• Pink, red or brown urine
• Cloudy or foul-smelling urine
• Nausea and vomiting
• Persistent need to urinate
• Urinating more often than usual
• Fever and chills if an infection is present
• Urinating small amounts of urine

Pain caused by a kidney stone may change — for instance, shifting to a different location or increasing in intensity — as the stone moves through your urinary tract.

Our Treatment Options:

We are one of the pioneers in offering the PCNL/ Mini PCNL treatment and have over 1200 successful cases to our credit. Dr. Shohrab Hossain Sourav and Dr. Fazal Naser have vast experience in simple and complex PCNL in Bangladesh – single kidney, large and multiple stones, bilateral PCNL in single sitting, paediatric PCNL, stones with renal impairment with excellent results – high rate of complete clearance, minimal morbidity, conversion to open surgery in only one patient, no nephrectomy.

Advantages

• 2 days hospitalisation, usually
• Complete clearance in over 90% cases in single session
• With Holmium Laser, even large and hard stone is fragmented quickly with higher precision and less bleeding