About Retroperitoneoscopic Pyelolithotomy
Key Highlights
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Minimally Invasive: Performed through small incisions, leading to less tissue trauma.Direct Stone Removal: Allows for complete and intact removal of large or complex stones.Reduced Pain & Scarring: Results in less post-operative pain and minimal visible scarring compared to open surgery.listrongShorter Hospital Stay:/strong Typically requires a shorter hospitalization period./lilistrongQuicker Recovery:/strong Patients often return to normal activities faster than with traditional open procedures./lilistrongHigh Success Rate:/strong Effective for stones that are not amenable to other non-invasive or less invasive techniques./li/ul
Who is this surgery for?
- Large kidney stones (typically >2 cm) in the renal pelvis.
- Complex or staghorn calculi that fill the kidney's collecting system.
- Stones that have failed previous treatments like Extracorporeal Shock Wave Lithotripsy (ESWL) or ureteroscopy.
- Anatomical abnormalities of the kidney or ureter that prevent other stone removal methods.
- Concurrent conditions requiring surgical correction in the same area.
- Patient preference for a single, definitive procedure with a high stone-free rate.
How to prepare
- Comprehensive medical evaluation including blood tests, urine analysis, and imaging (CT scan or IVP) to precisely locate the stone.
- Discussion of medical history, allergies, and current medications with the urologist and anesthesiologist.
- Adjustment or temporary cessation of certain medications (e.g., blood thinners) as advised by the doctor.
- Fasting for 6-8 hours before the surgery as per hospital protocol.
- Informed consent process detailing the procedure, risks, and benefits.
- Pre-operative shower with antiseptic soap may be recommended.
Risks & possible complications
- Bleeding during or after the procedure, potentially requiring a blood transfusion.
- Infection at the incision sites or within the urinary tract (urinary tract infection).
- Injury to surrounding organs, blood vessels, or nerves in the retroperitoneal space.
- Leakage of urine from the kidney (urinoma) requiring drainage.
- Conversion to an open surgical procedure if complications arise during laparoscopy.
- Persistent pain, hernia at the incision site, or formation of new stones in the future.
- Risks associated with general anesthesia, such as respiratory or cardiac issues.
Recovery & hospital stay
- Hospital stay is usually required for monitoring, typically lasting 2-4 days.
- Pain at the incision sites is managed with prescribed medications.
- A urinary catheter and a drain near the kidney may be placed temporarily and removed before discharge.
- Patients are encouraged to walk soon after surgery to promote circulation and prevent blood clots.
- Drinking plenty of fluids is crucial to help flush the urinary system.
- Strenuous activities, heavy lifting, and driving should be avoided for 2-4 weeks as advised.
- Follow-up appointments are necessary to monitor healing, remove any internal stents, and check imaging to confirm the stone-free status.
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Typical hospital stay: 2-4 days
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Expected recovery time: 2-4 weeks
Frequently Asked Questions
If you are considering retroperitoneoscopic pyelolithotomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for retroperitoneoscopic 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 retroperitoneoscopic 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 retroperitoneoscopic pyelolithotomy compare across other countries where we have data.
Top hospitals for Retroperitoneoscopic Pyelolithotomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing retroperitoneoscopic pyelolithotomy.
Emily Singh, a 42-year-old primary school...
Emily Singh, a 42-year-old primary school teacher and mother of two, had been battling recurrent urinary tract infections and dull, persistent flank pain for over a year. An avid hiker, she found herself unable to enjoy her weekend treks. Multiple rounds of antibiotics provided temporary relief, but the pain always returned. A CT scan finally revealed the culprit: a large, 2.5 cm staghorn calculus lodged in her left kidney, too large and complex for shockwave therapy. Her urologist, Dr. Mehta, recommended a retroperitoneoscopic pyelolithotomy, explaining it as a minimally invasive 'keyhole' surgery from the back to remove the stone whole, preserving her kidney function. Anxious about surgery, Emily was reassured by the detailed explanation and the promise of less pain and a quicker recovery than open surgery. The procedure went smoothly. Post-op, she had some expected discomfort from the small incisions and a temporary stent, but it was manageable. Within a week, she was back to light duties at home. At her six-week follow-up, stone-free and infection-free, she felt a profound sense of relief. The constant background worry was gone. She described her emotional journey as 'moving from a state of chronic frustration and fatigue to reclaiming my energy and my life with my family.'
Urologists for Retroperitoneoscopic Pyelolithotomy
Explore experienced urologists who regularly perform retroperitoneoscopic 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