Kidney Stones.

Accord Physicians Urology

Vitaly Raykhman

Vitaly Raykhman,

General Urologist, Urology Surgeon

Offices located in Brooklyn and Queens

Purpose of the kidneys is to filter metabolic waste products. Processed compounds are excreted in the urine. However, some of them tend to form crystals of salts and deposit on the walls of the kidney.

Gradually, small crystals grow and turn into a stone. The size can vary from 0.1 cm to several centimeters in diameter.  For a such stone it is difficult to come out by itself. When a patient urinates, it gets stuck in the urinary tract, causing patient excruciating pain. In some cases, it completely blocks the kidney and impedes the flow of urine. Ultimately, this can lead to atrophy of the kidney and its loss.

The reasons for this pathology to date not been fully explored. There is  number of hypotheses associated with metabolic disorders. Risk factors include constant dehydration, improper diet, low physical activity,excess body weight, presence of number of diseases and taking certain medications.

Given the technical capabilities of our clinic, the diagnosis of  nephrolithiasis disease does not pose too much difficulty. This includes  laboratory analysis of urine, kidney ultrasound , and CT of the abdomen, if needed, which is also held in our institute.

Choice of treatment depends on the individual patient and the chemical composition of the stone. Some stones are amenable to successful lithotripsy. Extracorporeal Shock Wave Lithotripsy (ESWL) is a noninvasive method of breaking kidney stones using high energy shock waves. Other methods include Percutaneous Nephrostolithotomy (PCNL) and  Ureteroscopy, both are minimally invasive surgical interventions.

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