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Ureteroscopy and Laser Lithotripsy - URSL Treatment in India

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Dr Anshuman Agarwal
Dr Anshuman Agarwal

Senior Consultant - Urology

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
21 years
SURGERIES :
NA

Treatment Price on request

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Treatment Price on request

Dr Anshuman Agarwal
Dr Anshuman Agarwal

Senior Consultant - Urology

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
21 years
SURGERIES :
NA
Dr. Ajit Saxena
Dr. Ajit Saxena

Senior Consultant

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
30 years
SURGERIES :
NA

Treatment Starting at $1,200

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Treatment Starting at $1,200

Dr. Ajit Saxena
Dr. Ajit Saxena

Senior Consultant

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
30 years
SURGERIES :
NA
Dr Dushyant Nadar
Dr Dushyant Nadar

Director- Urology

CONSULTS AT

Fortis Hospital, Noida

EXPEREIENCE :
20 years
SURGERIES :
NA

Treatment Price on request

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Treatment Price on request

Dr Dushyant Nadar
Dr Dushyant Nadar

Director- Urology

CONSULTS AT

Fortis Hospital, Noida

EXPEREIENCE :
20 years
SURGERIES :
NA
Dr. Suresh K Rawat / Dr. S K Rawat
Dr. Suresh K Rawat / Dr. S K Rawat

Senior Consultant - Urology

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
38 years
SURGERIES :
NA

Treatment Price on request

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Treatment Price on request

Dr. Suresh K Rawat / Dr. S K Rawat
Dr. Suresh K Rawat / Dr. S K Rawat

Senior Consultant - Urology

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
38 years
SURGERIES :
NA
Dr Anuja Porwal
Dr Anuja Porwal

Senior Consultant - Nephrology

CONSULTS AT

Fortis Hospital, Noida

EXPEREIENCE :
10+ years
SURGERIES :
NA

Treatment Starting at $2,200

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Treatment Starting at $2,200

Dr Anuja Porwal
Dr Anuja Porwal

Senior Consultant - Nephrology

CONSULTS AT

Fortis Hospital, Noida

EXPEREIENCE :
10+ years
SURGERIES :
NA
Dr Raman Tanwar
Dr Raman Tanwar

Consultant - Ck Birla Hospital

CONSULTS AT

W Pratiksha Hospital

EXPEREIENCE :
14+ years
SURGERIES :
NA

Treatment Starting at $2,800

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Treatment Starting at $2,800

Dr Raman Tanwar
Dr Raman Tanwar

Consultant - Ck Birla Hospital

CONSULTS AT

W Pratiksha Hospital

EXPEREIENCE :
14+ years
SURGERIES :
NA

Introduction

Kidney stones, medically known as renal calculi, are a common urological problem affecting millions of people worldwide. They can cause excruciating pain and, if left untreated, may lead to serious complications. Fortunately, advancements in medical technology have paved the way for an innovative and minimally invasive procedure called Ureteroscopy and Laser Lithotripsy (URSL). In this blog, we will explore the procedure, its benefits, and the cost in India, along with discussing the symptoms, causes, diagnosis, and treatment of kidney stones.

Understanding Ureteroscopy and Laser Lithotripsy (URSL)

Ureteroscopy and Laser Lithotripsy, commonly referred to as URSL, is a highly effective and safe procedure used to treat kidney stones. It involves the use of a thin, flexible tube called a ureteroscope, which is inserted through the urinary tract to reach the kidney or ureter where the stone is located. The ureteroscope is equipped with a tiny camera that allows the urologist to visualize the stone and surrounding tissue on a monitor, enabling precise navigation.

Once the stone is identified, a powerful laser is employed to break the stone into smaller fragments, making it easier for the body to pass them naturally through urine. URSL offers several advantages over traditional surgical methods, including minimal scarring, reduced recovery time, and a shorter hospital stay.

Symptoms of Kidney Stones

Kidney stones often present with distinct symptoms that can vary in intensity, depending on the size and location of the stone. Common symptoms include:

  1. Severe, colicky pain in the back, lower abdomen, or groin area.
  2. Painful or frequent urination.
  3. Hematuria (presence of blood in urine).
  4. Nausea and vomiting.
  5. Urinary tract infection (UTI) symptoms such as fever, chills, and discomfort during urination.

Causes of Kidney Stones

Kidney stones form when certain substances in the urine, such as calcium, oxalate, and uric acid, become highly concentrated and crystallize. While the exact cause of kidney stone formation may vary from person to person, several factors contribute to their development:

  1. Dehydration: Inadequate fluid intake can lead to concentrated urine, promoting stone formation.
  2. Diet: Consuming a diet high in salt, oxalate, or protein increases the risk of stone formation.
  3. Family history: A family history of kidney stones can elevate the likelihood of developing them.
  4. Medical conditions: Certain medical conditions like gout and urinary tract infections can increase stone formation risk.
  5. Medications: Some medications may increase the risk of kidney stone development.

Diagnosis of Kidney Stones

If kidney stones are suspected, the following diagnostic tests may be performed:

  1. Imaging tests: X-rays, ultrasound, or CT scans help visualize the kidney stones and determine their size and location.
  2. Urinalysis: Analyzing a urine sample can reveal the presence of blood or crystals, indicating stone formation.
  3. Blood tests: Blood tests help assess kidney function and identify factors contributing to stone formation.

Treatment Options for Kidney Stones

The choice of treatment depends on the size, location, and composition of the kidney stone. Small stones may pass spontaneously with increased fluid intake and pain management. However, larger stones or those causing severe symptoms often require intervention. Common treatment options include:

  1. Extracorporeal Shock Wave Lithotripsy (ESWL): This non-invasive procedure uses shock waves to break down stones into smaller pieces that can be passed through urine.
  2. Ureteroscopy and Laser Lithotripsy (URSL): As discussed earlier, URSL is a minimally invasive procedure involving a ureteroscope and laser to fragment and remove stones.
  3. Percutaneous Nephrolithotomy (PCNL): Suitable for larger stones, PCNL involves creating a small incision in the back to access and remove the stone directly.
  4. Open Surgery: In rare cases where other methods are not feasible, traditional open surgery may be performed.

Procedure Cost in India

India has emerged as a leading destination for medical tourism, offering world-class healthcare facilities at a fraction of the cost compared to Western countries. The cost of Ureteroscopy and Laser Lithotripsy (URSL) in India may vary based on factors such as the city, hospital, surgeon's expertise, and the complexity of the case.

On average, the cost of URSL in India ranges from INR 70,000 to INR 1,50,000 (approximately $1000 to $2000), making it an affordable option for both domestic and international patients seeking high-quality treatment.

Conclusion

Ureteroscopy and Laser Lithotripsy (URSL) have revolutionized the treatment of kidney stones, offering patients a minimally invasive and effective solution to a painful condition. With state-of-the-art medical facilities and skilled urologists, India has become a preferred destination for patients seeking cost-effective treatment without compromising on quality. If you or a loved one are experiencing symptoms of kidney stones, it is essential to consult a qualified urologist for an accurate diagnosis and appropriate treatment plan tailored to your specific needs. Remember, timely intervention can prevent complications and restore your well-being, allowing you to live life to the fullest.

How It Works

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FAQs

URSL is a minimally invasive medical procedure used to treat kidney stones located in the ureter. It involves the use of a ureteroscope, a thin, flexible tube with a camera and light, which is inserted through the urethra into the urinary tract. The surgeon uses the ureteroscope to visualize the stones and the urinary tract and then employs laser energy to break down the kidney stones into smaller fragments for natural passage through urine.
URSL is recommended for patients with kidney stones located in the ureter and who have stones of a size and composition amenable to laser lithotripsy. Candidates typically include those with smaller stones, stones causing discomfort or obstruction, or stones that have not passed naturally within a reasonable time. However, each case is unique, and a qualified healthcare professional can best determine the suitability of URSL for an individual based on their specific medical history and stone characteristics.
The duration of the URSL procedure can vary depending on the size and number of stones being treated. Typically, the procedure lasts between 30 minutes to an hour. As URSL is a minimally invasive technique, the recovery time is relatively short. Most patients can go home on the same day or within 24 hours after the procedure. However, individual recovery may vary, and the healthcare provider will provide post-operative care instructions for a smooth recovery.
URSL is considered safe; however, like any medical procedure, there are potential risks and complications. These may include infection, bleeding, injury to the ureter or surrounding structures, and stone fragments that may not completely pass and require additional treatment. The risk of complications is generally low and can be further minimized by choosing an experienced surgeon and following post-operative care guidelines diligently.
URSL has a high success rate in treating kidney stones located in the ureter. The precise targeting of the stone using the ureteroscope and the effectiveness of the laser lithotripsy process contribute to successful stone fragmentation and clearance in most cases. The success of the procedure is also influenced by factors such as stone size, location, and individual patient factors.
While URSL effectively treats existing kidney stones, it does not guarantee that new stones will not form in the future. Recurrence of kidney stones can be influenced by various factors, including diet, hydration, and underlying medical conditions. To reduce the risk of stone recurrence, it is essential for patients to follow the healthcare provider's recommendations, maintain a healthy lifestyle, and stay hydrated.
Yes, URSL is available in India, and the country has gained popularity as a medical tourism destination for kidney stone treatment. The cost of URSL in India varies depending on factors like the hospital's reputation, the surgeon's expertise, and the complexity of the case. On average, the procedure cost in India ranges from $1,500 to $3,000, making it an attractive option for both domestic and international patients seeking affordable and high-quality medical care.

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