TREATMENT OF STONE DISEASE
Kidney stones (renal calculi) are mineral deposits that accumulate inside the kidneys.
Some stones remain trapped inside the kidney and do not cause any problems.
However, sometimes they can dislodge and travel down the ureter – the tube between the kidney and bladder. If the stone gets caught in the ureter, it blocks the urine flow from that kidney and causes severe pain and potential renal damage.
Dr Theron conducts the following procedures to remove kidney stones from the kidney, bladder or ureter:
- Endoscopic treatment can be done with a cystoscope and uretero-renoscope together with a basket to retrieve kidney stones. Dr Theron will insert the cystoscope or ureteroscope through the urethra to see the rest of the urinary tract. Once the stone is situated, it can be removed or broken up into smaller pieces. This will be performed in the hospital under anaesthesia.
- Laser fragmentation is used if the stones are too large to be removed with a basket alone. By means of a thin camera device, your urologist can see inside the urinary tract and access kidney stones. Dr Theron carefully guides the scope through the urethra to the ureter or kidney to reach the stone. Next, he passes a laser fibre via the scope, which releases an energy beam to destroy the stone. The basket moving through the scope catches the remaining fragments.
- ESWL (Extracorporeal shock wave lithotripsy)
Multiple shock waves are used during this procedure to aim sound waves at the stones via the body. The sound waves break down the kidney stones into smaller fragments that should pass easily through urine in the days following the procedure. Because of possible discomfort caused by the treatment, anaesthesia is needed during this procedure. . - PCNL (Percutaneous nephrolithotomy)
Very large kidneys stones can be removed by gaining access to the kidney via a puncture hole through the patient's back. The stone is then fragmented, and the pieces removed. This is a minimally-invasive means to remove large or complex stones manually. This will be performed in the hospital with anaesthesia. - Surgical removal
Another kidney surgery is rarely used to resect stones. However, very large bladder stones can be removed with open surgery, with a cut over the bladder.
What causes the build-up of kidney stones?
Urine contains many dissolved minerals and salts. When your urine has concentrated levels of these minerals and salts, stones can form. Kidney stones develop when your urine contains excess crystallised substances like uric acid, calcium and oxalate – higher than the fluid within your urine can dissolve.
What are the symptoms of kidney stones?
Kidney stones can be present in the kidneys without causing any symptoms.
At first, there are no kidney stones symptoms until they pass to the ureters, which are small tubes that attach the kidneys to your bladder. When they dislodge and pass through the ureter, they can cause obstruction and severe pain, known as renal colic.
Symptoms of kidney stones are:
- Sharp pain underneath the ribs, lower abdomen and groin, intermittent in nature
- Brown, pink or red-coloured urine
- Fever in case of an infection
The pain from kidney stones varies in intensity. As these stones shift to a new area in your body, the pain intensifies.

MALE UROLOGY

FEMALE UROLOGY

PAEDIATRIC UROLOGY

GENERAL UROLOGY

CALCULI OF THE KIDNEYS, BLADDER AND URETER
