Best Surgeon for Kidney or Ureteric Stone surgery at MITR Urology Associates in Navi Mumbai

Non-Functioning Kidney Due to Ureteric Stone with Infection : From Karjat to Kharghar

A 54yr old female presented with complaints of fever with chills on and off since 2 months associated with loss of weight and loss of appetite. When she used to take antibiotics she used to get better but again after few days symptoms used to reappear. She went to general physician near her area and he advised her to get ultrasound of abdomen done also called as sonography. She got the shock of her life when she got the ultrasound report. It stated that her right kidney is grossly dilated or kidney is grossly swelled up (grossly hydronephrotic in medical terms) with very thin parenchyma.

What it means….it means that her right kidney is probably swelled up or dilated due to collection of huge amount of urine in her kidney. Now the next step was to know how and why it happened. So she was referred to the urologist in kharghar rather say the best urologist team in navi mumbai. Her CT scan was done and it showed that it happened due to obstruction of urinary flow from right kidney caused by urinary stone stuck in right ureter. It also indicated that there is infection into the obstructed urine by mentioning right peri-nephric fat stranding. Also kidney function test (DTPA scan) was done which showed that her right kidney is hardly functioning 6%. Now it was clear that her right kidney is not functioning or you can say that she diagnosed with right non-functioning kidney or right poorly functioning kidney.

Treatment for this disease is removal of her diseased kidney alongwith stone causing obstruction called as nephrectomy (kidney removal). There are number of ways in which kidney can be removed but “minimal invasive surgery” is the surgery of choice whenever it is possible as it decreases the post-operative pain, very minimal scar, early recovery, early resumption of normal activities and less time of hospital stay/days. So there are 2 minimal invasive techniques for kidney removal: 1) LAPAROSCOPIC NEPHRECTOMY and 2) RETROPERITONEOSCOPIC NEPHRECTOMY

Most commonly done technique is LAPAROSCOPIC NEPHRECTOMY as it is easier for the surgeon to do. But actually the most commonly technique should be RETROPERITONEOSCOPIC NEPHRECTOMY if we keep patient point of view. It has several advantages over laparoscopic technique in the form of very less pain than laparoscopic technique, less holes/scar into the body than laparoscopic, no bowel hibernation i.e patient start drinking water after 6 hours, start walking on the same day and next day onwards start eating and next day discharge. Still why it is not done much??? Answer is – as it is little challenging for the operating surgeon and not much exposure for the budding surgeons, so less done.

She did window shopping of doctors all around Mumbai and Navi Mumbai. Instead she got very afraid to get under the knife as her surgery was one of the toughest for the operating surgeons due to infection, huge diseased kidney alongwith being right side it was stuck to all the major vessels of the body and so she returned back to MITR HOSPITAL with the best urology team. She undergone retroperitoneoscopic removal of very large kidney with just 2cm of one hole and 1cm of two holes which was successfully done without any need of blood transfusion and she started walking, drinking water and juices just after 6 hours of surgery with very very less pain at the operating site. She started eating the very next day and she was discharged on 2nd day post-operative day.

She followed up after 5 days with slight pain at injection site on her hand and absolutely no pain at all at the surgical site. Stitches were removed after 2 weeks and she was absolutely fine without any pain and very minimal scar.