“What kind of anesthesia is used for kidney stone removal?”
I will have kidney stone removal surgery. What kind of anesthesia is used for kidney stone removal?
4 Answers
You need to talk to your doctor who will be doing this procedure, about the anesthesia and details of this procedure. Thanks!
The basic principles of stone removal depend on a few important issues: the patient's overall size and health; and the stone's overall size and location.
*Shock wave lithotripsy* (SWL) or ultrasound fracturing, is the least invasive and generally the first choice of both Provider and Patient.
*Ureteroscopy* (URS) is an exploration by using a scope through your ureter (tunnel to transport urine). When this is performed, the stone is captured in a basket-type instrument and removed. The stone has to be smaller in size and in an easily accessible location for this to be done.
*Percutaneous nephrolithotomy* (PNL) is last on my list & probably the procedure you refer to in your question. It is generally reserved for the larger, less easily accessible stones, and is basically the same as the 'basket procedure' above. However, in PNL a very small cut is made in your lower back, and the collecting instrument is inserted through the skin. In the proper hands, this proceeds without complication using only light or conscious sedation, with no excess EBL estimated blood loss.
Your primary care provider may be able to give you more details on the particulars of the person performing the procedure, but these are the basics.
*Shock wave lithotripsy* (SWL) or ultrasound fracturing, is the least invasive and generally the first choice of both Provider and Patient.
*Ureteroscopy* (URS) is an exploration by using a scope through your ureter (tunnel to transport urine). When this is performed, the stone is captured in a basket-type instrument and removed. The stone has to be smaller in size and in an easily accessible location for this to be done.
*Percutaneous nephrolithotomy* (PNL) is last on my list & probably the procedure you refer to in your question. It is generally reserved for the larger, less easily accessible stones, and is basically the same as the 'basket procedure' above. However, in PNL a very small cut is made in your lower back, and the collecting instrument is inserted through the skin. In the proper hands, this proceeds without complication using only light or conscious sedation, with no excess EBL estimated blood loss.
Your primary care provider may be able to give you more details on the particulars of the person performing the procedure, but these are the basics.
Best to check with the surgical team working with you.
General or regional anesthesia can be used. It depends on the patients comorbid status
