Extended Pyelolithotomy Treatment in Turkey
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 Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for extended pyelolithotomy in Turkey include Liv Hospital Bahçeşehir, Istinye Üniversitesi Hastanesi Liv, Liv Hospital Ankara, 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 Turkey
These partner hospitals in Turkey have dedicated urology teams and experience managing patients undergoing extended pyelolithotomy.
Istanbul, Turkey
140 Doctors
My dad was admitted to MGM...
My dad was admitted to MGM with a bad fever and we were all worried. Dr. Ramya Shri was the one who really talked to us. She didn't just give medical updates; she explained things in a way we could understand, told us what to watch for at home, and actually listened to our concerns. It made a stressful time much easier to handle.
Urologists for Extended Pyelolithotomy
Explore experienced urologists who regularly perform extended pyelolithotomy and provide pre- and post-operative care in Turkey.
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- 36 Years Experience
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