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Doctors for treatment of Urolithiasis

More than 8 doctors of different specialties and directions ready to help you
Senol Erguney
Turkey, Samsun
Total work experience: 31 years
Doctor's specialization
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Peter Heering
Germany, Solingen
Total work experience: 38 years
Doctor's specialization
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Michael Schmitz
Germany, Solingen
Total work experience: 25 years
Doctor's specialization
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Oleksandr Horetskyi Jr.
Poland, Świebodzice
Total work experience: 7 years
Doctor's specialization
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Total work experience: 49 years
Doctor's specialization
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Himmet Bora Uslu
Turkey, Istanbul
Total work experience: 24 years
Doctor's specialization
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Yalcin Erdogan
Turkey, Ankara, Antalya, Istanbul
Total work experience: 29 years
Doctor's specialization
Consultation cost
from 120 USD
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Murat Binbay
Turkey, Ankara, Antalya, Istanbul
Total work experience: 18 years
Doctor's specialization
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8 doctors of 8

Frequently Asked Questions

1
What are the risk factors for urolithiasis
  • A diet rich in protein and drinking lots of wine;
  • Composition of drinking water with a high salt content,
  • Hyperparathyroidism (hyperfunction of the parathyroid glands);
  • Diseases that contribute to urinary retention: prostate, kidney or bladder cancer, prostate adenoma, glomerulonephritis, kidney failure;
  • Traumatic bone injuries, resulting in the release of a large amount of calcium salts into the blood;
  • Traumatic kidney injuries;
  • Chronic diseases of the gastrointestinal tract (gastritis, peptic ulcer of the stomach and duodenum).
1
What are the symptoms of urolithiasis
  • Pulling, aching pain in the lumbar region-characteristic of large and coral-shaped (concretions of calcium salts, having a characteristic structure with a large number
    of protrusions);
  • Renal colic is a condition in which the concretion clogs the urinary duct and disrupts the outflow of urine, as a result of which the renal capsule is stretched, which causes a pronounced pain syndrome;
  • The appearance of blood in the urine or pain when urinating. Often coincides with renal colic;
  • Anuria is the absence of urine — this condition is also associated with a blockage of the urinary duct and is often correlated with renal colic;
  • In some cases, urolithiasis can be completely asymptomatic, and is detected as an
    accidental finding on ultrasound
1
What are the complications of urolithiasis
  • Pyelonephritis – acute pyelonephritis occurs due to a violation of the outflow of urine, if this situation is repeated, it can become chronic;
  • Hydronephrosis of the kidney-the expansion of the renal pelvis, due to a violation of the outflow of urine, can lead to the removal of the kidney;
  • Kidney carbuncle — the occurrence of purulent formation in the kidney due to an infectious process;
  • Acute and chronic renal failure.
1
What is the prevention of urolithiasis
  • A healthy diet with a balanced content of proteins, fats and carbohydrates;
  • Drinking enough water 1.5-2 liters per day;
  • Salt restriction;
  • Active lifestyle;
  • Timely diagnosis and treatment of diseases of the genitourinary system.
1
Why patients choose to treat urolithiasis abroad
  • In 99% of cases abroad, it is possible to perform a low-traumatic operation without complications (such as the need for drainage, kidney resection, kidney removal and the need for repeated surgery);
  • In 78% of all cases of urolithiasis, experienced doctors manage to do without invasive interventions and cure the patient with medication;
  • In clinics in Israel and Europe, the method of percutaneous nephrolithotomy is widely used, when through a 2 mm incision in the lumbar region, access to the stone is created and it is possible to remove it simultaneously and painlessly.

What are the modern methods of diagnosis and treatment of urolithiasis

Diagnosis of urolithiasis

Diagnosis of urolithiasis urolithiasis is quite simple:

  • Clinical — the presence of characteristic complaints of pain in the kidneys or bladder, the appearance of blood in the urine, the release of concretions allow you to suspect urolithiasis;
  • Ultrasound — 90% of cases of urolithiasis can be accurately diagnosed with ultrasound of the kidneys and bladder;
    General urinalysis-necessary to assess the condition of the kidneys.
  • The presence of red blood cells, hyaline cylinders and salts in it indicates kidney damage, and an increase in white blood cells indicates the presence of inflammation;
  • Overview urogram and excretory urogram — for detailing the urinary tract and the degree of their obstruction by concretions;
  • Pelvic CT with intravenous contrast — also to get an idea of the state of the urinary tract and blood vessels of the kidney and bladder, as well as to exclude complications that require kidney removal, such as hydronephrosis.

Treatment of urolithiasis depends on the size of the stones, the location of the
stones, and the patient’s symptoms.

Basic treatment methods:

Diet

If the stones are small and subject only to observation, a diet with a restriction of salt, spicy and fatty foods, dairy products and raw vegetables and fruits is quite enough to prevent the increase in the size of stones and the appearance of new formations. In other cases, the diet is also recommended as an auxiliary method.

Medical treatment

It is aimed at removing stones from the body. It often remains the main method of treating small stones.

Lithotripsy

This is the crushing of the stone with the help of various external energy sources (ultrasound, laser, percutaneous (percutaneous), laparoscopic lithotripsy). This method of treatment is the main one. The most effective method is considered to be contact laser lithotripsy.

Endoscopic stone removal

This is an instrumental removal of the stone through natural holes (often used after lithotripsy).

Surgical removal of a stone

It is rarely used, as a rule, after the occurrence of complications of urolithiasis
in many cases-together with the kidney.

As a symptomatic treatment method, urinary tract stenting is used to improve the outflow of urine.

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