This document contains information from Dr. Vijayant Gupta about kidney stones. It discusses preventing kidney stone surgery through diet and lifestyle changes. It describes what kidneys are, why they are important, and what happens if they fail. It covers how stones can damage kidneys and the problems associated with having one kidney stone. It also discusses the types of stones, how they form, and how to identify the stone type. Treatment options discussed include diet and medication, as well as surgery options like ESWL and PCNL.

1. Dr Vijayant
G Gupta
MBBS, MS, MCh Urology
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

2. Urologist
मूत्र रोग विशेषज्ञ
Kidney
Prostate
Urinary tract
Genitalia
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

3. Andrologist
&
Kidney
Transplant
Surgeon
• पुरुष रोग विशेषज्ञ
• ब ाँझपन
• शशग्रपतन
• गुप्त रोग
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

4. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

5. PREVENT KIDNEY STONE
SURGERY
• WHY?
– Too much focus on
surgery
– Too less focus on
preventing surgery
– No where else in the
world
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

6. What is Kidney
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

7. Kidney Kyu Zaruri hai ?
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

8. If kidney fail?
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

9. Can stones damage kidney?
• Blockage
• Infection
• Bleeding
• Surgical insult
• Cancer
• Diabetes, Heart
Disease CKD increase
risk
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

10. Problem of 1 kidney stone
• Can form again and again
• So removing stone and diet changes are ultra
important
• Jitna jaldi ho sake utna jaldi
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

11. Why stones form
• Salt
• Concentration
• Less water
• Heat
• Foreign body
• Stagnation (lack of
physical activity)
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

12. Types of Stone
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

13. Identify type of stone
• Stone piece analysis
• Metabolic workup
• CT Scan / IVP
• Clinical signs
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

14. Prevention / Treatment with diet
(General Principles)
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

15. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

16. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

17. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

18. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

19. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

20. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

21. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

22. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

23. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

24. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

25. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

26. • Infections
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

27. Medicines
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

28. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

29. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

30. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

31. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

32. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

33. Dr Vijayant Gupta
(https://drvijayantgovinda.com)

34. Selection criteria
The following patients are ideal candidates for conservative
therapy
1. Non obese/healthy body weight
2. 2. Adults
3. 3. No Diabetes
4. 4. Single stone smaller than 5 mm
5. 5. No metabolic abnormality
6. 6. Both kidneys normal
7. 7. No obstruction or infection
8. 8. Not pregnant or
9. women should have completed family
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

35. Success Rate
• More than 90 percent small stones
• More than 50 percent bigger stones
• More than 30 percent very big stones
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

36. Surgery
• Failed Medical Therapy
• Not fit for medical therapy
• Children, Adults, Diabetes, Rising KFT, Pain
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

37. Old Time
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

38. Today
• No Stitch, No Cut, Bloodless, No pain
• Era of laser - Endourology
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

39. ESWL
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

40. ESWL Video
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

41. PCNL
Dr Vijayant Gupta
(https://drvijayantgovinda.com)

42. PCNL Video
Dr Vijayant Gupta
(https://drvijayantgovinda.com)