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Laser Lithotripsy
Find the best hospitals for Laser Lithotripsy on the Bajaj Finserv Health platform.
Minimum Cost
₹35,000
Average Cost
₹47,500
Maximum Cost
₹60,000
- laser lithotripsy cost in India depends on factors like the city, hospital and doctor.
- You can convert your laser lithotripsy cost into easy, no-cost EMIs with Bajaj Finserv Health.
Quick links
- What is Laser Lithotripsy Surgery?
- Types of Laser Lithotripsy Procedures
- When is Laser Lithotripsy Operation Required?
- How to Prepare for Laser Lithotripsy Surgery?
- What happens before Laser lithotripsy surgery?
- What happens during Laser lithotripsy operation?
- Methods/Techniques used for performing Laser lithotripsy procedure
- Post Procedure details
- Risks and complications associated with Laser lithotripsy surgery
- Why Bajaj Health?
What is Laser Lithotripsy Surgery?
Laser lithotripsy is a surgical procedure used to treat kidney stones. The surgeon uses a small, flexible instrument called a ureteroscope to access the stone. Then, a laser is used to break the stone into small fragments; these can easily be passed out of the body in the urine. This minimally invasive procedure is performed with a small incision and a short hospital stay. The primary aim of laser lithotripsy is to alleviate pain, prevent urinary tract infections, and prevent the complications associated with kidney stones. The success rate of laser lithotripsy is high, with many patients being stone-free within a few weeks of the procedure. However, it is not suitable for all types of stones or for all patients. The location and size of the stone, the patient's overall health status, and the surgeon's experience and skill all factor into whether this procedure is the best treatment option.
Types of Laser Lithotripsy Procedures
Ureteroscopic Laser Lithotripsy
This is the most common type of laser lithotripsy. The surgeon inserts a ureteroscope through the patient's urethra and bladder to reach the stone in the ureter or kidney. The laser is then used to fragment the stone. The fragments are either removed through the ureteroscope or passed naturally in the urine.
Flexible Ureteroscopy and Laser Lithotripsy
In flexible ureteroscopy and laser lithotripsy, the surgeon uses a flexible ureteroscope, which can navigate the bends in the ureter and reach stones in the lower part of the kidney. This procedure is typically done under general anesthesia and requires a short hospital stay.
Percutaneous Laser Lithotripsy
Percutaneous laser lithotripsy is used for larger stones. Instead of accessing the stone through the urethra, the surgeon makes a small cut in the patient's back and inserts a tube into the kidney. The laser is then used to break up the stone. This procedure needs a longer hospital stay and carries a higher risk of complications than ureteroscopic laser lithotripsy.
When is Laser Lithotripsy Operation Required?
Laser lithotripsy operation is a medical procedure used primarily to treat kidney stones. The primary condition that necessitates the use of this operation is the presence of large kidney stones that cannot be passed naturally through the urinary tract. The stones may cause severe pain, block the flow of urine, or lead to other complications such as urinary tract infections.
Additionally, Laser lithotripsy might be required when the stones are too large to be removed by other non-invasive methods or when other treatments such as medication have failed to work. This procedure is often recommended when the kidney stones are larger than 2cm in diameter.
Lastly, Laser lithotripsy can be necessary when there is a need to remove stones from other parts of the urinary tract like the bladder or the ureters. This is especially the case when the stones are causing severe pain or impeding the normal functioning of the urinary system.
How to Prepare for Laser Lithotripsy Surgery?
Preparation for a Laser lithotripsy operation starts with a thorough medical evaluation by your doctor to ensure that you are eligible for the procedure. This will likely involve blood tests, urine tests, and imaging studies to determine the size and location of the stones.
You will be advised to stop some medicines, particularly those which raise the risk of bleeding before the surgery. These include blood thinners and certain pain relievers. Always inform your doctor about any medication or supplements you are currently taking.
The night before the operation, you will be advised to stop eating or drinking anything after midnight to prepare for anesthesia. On the day of the surgery, it's important to arrive at the hospital or surgical center with enough time to complete the necessary pre-operative procedures.
Lastly, since you will likely be under general anesthesia, arrange for a family member or friend to drive you home after the procedure. You should also prepare your home for the recovery period by stocking up on easy-to-digest foods and arranging for help if necessary.
What happens before Laser lithotripsy surgery?
Medical Assessment:
Prior to laser lithotripsy surgery, the patient will undergo a comprehensive medical examination. This includes a thorough assessment of the patient's medical history, current medications, allergies, and any previous surgeries. The doctor will do a complete physical assessment to check the patient's overall health condition.
Imaging Tests:
To know the exact location, size, and number of stones, imaging tests such as ultrasound, X-ray or CT scan may be conducted. These tests provide a detailed view of the kidneys and urinary tract, enabling the surgeon to plan the surgery effectively.
Preoperative Instructions:
The patient is usually advised to stop eating and drinking 8 hours before the surgery. Some medicines, especially those that affect blood clotting, may need to be stopped temporarily. The patient should also arrange for a companion to drive them home after the surgery, as they may be in a state of sedation.
What happens during Laser lithotripsy operation?
Anesthesia:
Laser lithotripsy is usually performed using general anesthesia, so that the patient is asleep and does not feel any pain. In some cases, local or regional anesthesia may be used.
Surgery:
During the operation, the surgeon inserts a thin tube called a ureteroscope via the urinary tract. Once the stone is located, a laser is used to break it into small pieces, which are then removed or left to pass out of the body in the urine.
Duration:
The procedure lasts for 30-60 minutes, depending on the size and location of the stone. A stent may be placed in the ureter to help urine drain from the kidney if the stone was large or if swelling occurs.
Postoperative Care:
After the surgery, the patient is moved to a recovery room and monitored until the anesthesia wears off. Pain medication may be administered to manage any discomfort. The patient is usually able to go home the same day but should rest and refrain from strenuous activities for a few days.
Methods/Techniques used for performing Laser lithotripsy procedure
Laser lithotripsy is a medical procedure in which pulses of laser light to break stones in the urinary tract, typically in the kidney or bladder, into tiny fragments. The procedure begins with the placement of a ureteroscope into the bladder and ureter or a nephroscope into the kidney. The scope has a camera and light to allow the surgeon to locate the stone.
Once the stone is located, a thin, flexible laser fiber is inserted through the scope. The laser emits short, intense pulses of light that disintegrate the stone. The fragments of the stone are then removed or are passed naturally from the body.
The choice of laser and the technique used often depends on the stone's size, density, composition, and location. The most common types of lasers used in lithotripsy are the Holmium:YAG laser and the Thulium fiber laser. These lasers are preferred due to their efficacy, safety, and versatility.
Post Procedure details
After the procedure, patients may experience some discomfort as the small fragments of the stone pass through the urinary system. Pain medication and fluids are typically recommended to help manage this.
Patients are usually able to return home the same day as the procedure. Follow-up appointments are scheduled to ensure that all fragments of the stone have been removed or passed and to monitor for any complications.
Patients are often advised to drink plenty of water to help flush out the urinary system and to avoid foods and drinks that may contribute to stone formation, such as high-sodium foods and drinks rich in oxalates, including spinach, rhubarb, and coffee.
Risks and complications associated with Laser lithotripsy surgery
As with any surgical procedure, laser lithotripsy carries some risks. These can include infection, bleeding, damage to the ureter, bladder, or kidney, and the need for additional treatments if not all of the stone is successfully broken up or removed.
There are also risks associated with the anesthesia used during the procedure. These can include allergic reactions and problems with breathing.
While laser lithotripsy is generally considered safe and effective, it's important for patients to discuss these potential risks and any concerns they may have with their healthcare provider before the procedure.
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DisclaimerThe cost of laser lithotripsy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.