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)
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)
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)
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)