Extended Pyelolithotomy Treatment in India
About Extended Pyelolithotomy
Key Highlights
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High success rate for complete removal of large or complex kidney stones.Direct visualization allows for meticulous stone clearance, reducing the risk of leaving fragments.Often considered when minimally invasive techniques (PCNL, ESWL) are contraindicated or unsuccessful.Can be combined with other reconstructive procedures on the kidney if needed.Aims to preserve long-term kidney function by relieving obstruction and infection.
Who is this surgery for?
- Large renal pelvic stones (typically >2-3 cm) not suitable for ESWL.
- Complex or partial staghorn calculi (branched stones filling the renal pelvis and calyces).
- Failed previous less invasive procedures like PCNL or retrograde intrarenal surgery (RIRS).
- Stones associated with congenital kidney abnormalities (e.g., horseshoe kidney, pelvic kidney) where access is difficult.
- Concurrent need for open surgery on the kidney, such as pyeloplasty for ureteropelvic junction (UPJ) obstruction.
- Presence of a dense, hard stone composition resistant to fragmentation.
How to prepare
- Comprehensive pre-operative evaluation including blood tests, urine analysis, and imaging (CT scan or IVP) to precisely map the stone.
- Assessment of kidney function through blood tests (creatinine, eGFR).
- Treatment of any active urinary tract infection with appropriate antibiotics prior to surgery.
- Discussion of anesthesia risks and medical history with the anesthesiologist.
- Fasting for 8-12 hours before the surgery as instructed.
- Discontinuation of blood-thinning medications (like aspirin, warfarin) as advised by the urologist and primary physician.
- Informed consent process detailing the procedure, risks, and alternatives.
Risks & possible complications
- Bleeding during or after surgery, potentially requiring a blood transfusion.
- Infection at the surgical site or in the urinary tract (pyelonephritis).
- Injury to surrounding organs (intestines, spleen, liver, blood vessels).
- Persistent urine leakage from the kidney incision, which may require prolonged drainage.
- Formation of a urinoma (collection of urine) or abscess near the kidney.
- Recurrence of kidney stones in the future.
- Rare risk of loss of kidney function or need for nephrectomy in severe complications.
- General risks of major surgery and anesthesia, such as blood clots, pneumonia, or heart issues.
Recovery & hospital stay
- Hospital stay typically lasts 4-7 days for monitoring, pain management, and drain care.
- A drain (nephrostomy tube or ureteral stent) is often placed temporarily to ensure proper urine flow and healing.
- Pain is managed with intravenous and later oral medications.
- Early mobilization is encouraged to prevent blood clots and pneumonia.
- Patients are advised to drink plenty of fluids (2-3 liters daily) to promote urine flow and prevent new stone formation.
- Strenuous activities, heavy lifting, and driving should be avoided for 4-6 weeks.
- Follow-up imaging (X-ray or ultrasound) is scheduled to confirm complete stone clearance and monitor kidney recovery.
- Dietary modifications and medications may be recommended based on stone analysis to prevent recurrence.
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Typical hospital stay:
4-7 days
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Expected recovery time:
4-6 weeks for full activity
Frequently Asked Questions
If you are considering extended pyelolithotomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for extended pyelolithotomy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform extended pyelolithotomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for extended pyelolithotomy compare across other countries where we have data.
Top hospitals for Extended Pyelolithotomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing extended pyelolithotomy.
Hyderabad, India
67 Doctors
Vikram Mehta, a 58-year-old civil engineer,...
Vikram Mehta, a 58-year-old civil engineer, had a history of recurrent kidney stones. For the past two years, he had undergone three rounds of shockwave lithotripsy for a large, dense staghorn calculus in his left kidney, but fragments remained and kept reforming. The persistent issue caused him debilitating flank pain, recurrent UTIs, and forced him to take frequent sick leave. His urologist, Dr. Sharma, explained that an Extended Pyelolithotomy was now the best option to remove the entire complex stone in one procedure and preserve his kidney function. Vikram was anxious about open surgery and the long recovery, fearing it would impact his ability to provide for his family. The surgery went smoothly, and the large stone was completely removed. His hospital stay was four days, and he managed post-operative pain with medication. After six weeks of careful recovery at home, he returned to work pain-free. Follow-up scans showed a clear kidney. Vikram felt a profound relief, not just from the physical pain but from the constant anxiety of the recurring problem. He was grateful to have his life and energy back.
Urologists for Extended Pyelolithotomy
Explore experienced urologists who regularly perform extended pyelolithotomy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore