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Kidney Stones

DEFINITION: A kidney stone is a concretion generally ranging in size from as small as a grain of sand to as large as a golf ball, produced from the combination of urinary organic matter and mineral deposition. These concretions can grow to a size so large that the passage for urine within the urinary tract is blocked. People with kidney stones often have abdominal or back pain that can either be sharp and severe or dull in nature. Urinary tract infections or blood in the urine can also be present. Kidney stone disease, a painful condition, can usually be easily treated with minimally invasive techniques.

TREATMENTS Kidney stones can be treated with various minimally invasive procedures depending on the size and location of the stone. Shock wave Lithrotripsy at Mount Sinai's Extracorporeal Shock Wave Lithotripsy Facility is a process of stone fragmentation whereby a high-energy shock wave generated by a high-voltage energy source fragments the kidney stone into particles which are passed in the urine. Minimally invasive surgery techniques enable surgeons to use instruments either through a tract which goes from the back into the kidney (percutaneous procedure), or through a tract from the urethra and bladder to the ureter and kidney (ureteroscopic procedure), to fragment the stone or remove it entirely. Minimally invasive procedures utilize lasers and ultrasound. Other modalities can also be used for stone fragmentation.

BENEFITS Lithotripsy is a minimally invasive procedure which results in minimized risks and allows most patients to be treated on an outpatient basis. If hospital stays are required, they are generally brief. In the case of minimally invasive surgery, risks are minimized and patients recuperate more quickly resulting in shorter hospitals stays than ever before. Since laser technology has advanced, much smaller telescopes can be utilized which cause less trauma. Therefore, patients often can get laser procedures on an outpatient basis.

FIND A DOCTOR This surgery is performed by the following physician(s). Click on a name for a complete profile and contact information.

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