Surgical Procedures for Kidney Stones
by Michael Jubinville, MPH
Surgery is done when the stone is too large to pass in the urine, blocks urine flow, or damages the urinary tract. It can also be done to prevent a kidney infection or kidney failure. Stones that are very large or in a spot that is hard to get to with extracorporeal shock wave lithotripsy (ESWL) can be removed. Options include:
A small cut is made in the back to get to the kidney. A nephroscope is a tube placed into the kidney. Lights, a camera, and tools are used through the tube. Once the stone is reached, it can be removed through the tube. Sometimes, the stone must be broken into smaller pieces with shock waves. A small tube may be placed into the kidney to drain urine while it heals.
A tube is passed through the urethra and bladder, and into the ureter. Lights, camera, and tools can be used through the tube. Once the stone is reached, it can be removed through the tube. Sometimes, the stone must be broken into smaller pieces with a laser. A stent may be left in place to keep the ureter open as it heals. The stent will be removed after the ureter heals.
Though rare, open surgery may be needed if the stone is very large or has an odd shape. This can keep urine from flowing out of the kidney. A long cut is made along the side to get to the kidney. Once the stone is found, it is taken out. Recovery time with open surgery is longer than with the other types.
Kidney stones. National Kidney Foundation website. Available at: https://www.kidney.org/atoz/content/kidneystones. Accessed April 2, 2019.
Kidney stones. Urology Care Foundation website. Available at: https://www.urologyhealth.org/urologic-conditions/kidney-stones. Accessed April 2, 2019.
Nephrolithiasis in adults. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated March 22, 2019. Accessed April 2, 2019.
Treatment for kidney stones. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-stones/treatment. Updated May 2017. Accessed April 2, 2019.
Urinary calculi. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/genitourinary-disorders/urinary-calculi/urinary-calculi. Updated March 2018. Accessed April 2, 2019.
Last reviewed March 2019 by EBSCO Medical Review Board Adrienne Carmack, MD
Last Updated: 4/2/2019
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.