RG Stone and Super Speciality Hospital, part of the RG Stone Hospital Chain, India’s only national chain of Super Specialty hospitals for Urology & Laparoscopy, announced the successful treatment of three patients suffering from Kidney Stones by Holmium Laser Flexible Ureteroscopy here today. RG Stone and Super Speciality Hospital, located at Model Town, Ludhiana, is the only institute in Punjab to possess the Holmium Laser Flexible Ureteroscopy, which is widely recognized as the latest & most advanced treatment for Kidney Stones available today.
All three patients were unsuitable candidates for treatment by older techniques and had resigned themselves to their disease due to the unavailability of the Holmium Laser Flexible Ureteroscopy in the region till recently. Now, with the availability of the technology and expertise at RG Stone Hospital, the patients got a new lease on life when Dr. Anand Sehgal, M. Ch. (Urology) and Chief Endoscopic & Laparoscopic Urologist, RG Stone and Super Speciality Hospital, Ludhiana, successfully operated upon them.
Holmium Laser Flexible Ureteroscopy is the latest Minimally Invasive technique for treating Kidney Stones utilizing the natural urinary passage. The Flexible Ureteroscope, an endoscope of very small caliber, is introduced through ureter into the kidney. This endoscope can visualize stones in any part of the kidney. Stones are fragmented using the Holmium Laser. The laser fragments the stones into sand like particles, which are then flushed out through the natural urinary passage. As Holmium Laser Flexible Ureteroscopy can fragment stones of all composition with very high precision, it is widely considered the most effective treatment for Kidney Stones.
Before the advent of the Holmium Laser Flexible Ureteroscopy, there were a number of techniques used for the treatment of Kidney Stones. These included Open Surgery, PerCutaneous NephrostoLithotomy (PCNL) KeyHole Surgery, Extracorporeal Shock-Wave Lithotrispy (ESWL) and Rigid Ureteroscopy, each of which, however, has its own limitations. Open Surgery requires large incisions on skin & prolonged recovery time and hence is not recommended for most patients.
PCNL Keyhole Surgery requires a puncture to be made in kidney to remove the stone which may not be appropriate for a small stone in the kidney. On the other hand, Flexible Ureteroscopy does not require any holes. PCNL Keyhole Surgery is unsafe for patients with heart trouble or those on certain drugs like blood thinning medicines etc. However, Flexible Ureteroscopy is safe even there. Also Flexible Ureteroscopy has a shorter recovery time than PCNL Keyhole Surgery.
ESWL also has several limitations. Harder Kidney Stones like Calcium Oxalate Monohydrate Stones or Cystine Stones are too hard to be crushed by Lithotripsy. On the other hand, Holmium Laser Flexible Ureteroscopy can break even the hardest of stones. Also Lithotripsy has poor results in stones lying in the lower part of kidney, while Flexible Ureteroscopy is successful even for stones in the lower part of kidney. Flexible Ureteroscopy has a success rate of over 90% while that of Lithotripsy is 70-80%. Many times Lithotripsy requires multiple sittings to remove even smallish stones, while Flexible Ureteroscopy can destroy the same stone in a single session. Lithotripsy is not very successful for stones in Congenitally Malformed Kidneys while Flexible Ureteroscopy is successful even there.
Rigid Ureteroscopy is quite similar to Flexible Ureteroscopy with exception that the Ureteroscope being rigid, its area of treatment is limited only to Lower Ureter or Mid Ureter, and it cannot treat stones in the Upper Ureter or in the kidney.
The other advantages of Holmium Laser Flexible Ureteroscopy over conventional procedures are stone fragmentation into very fine particles, minimal chances of stone migrating to kidney & need of Lithotripsy, no risk of injury to the ureter, bloodless surgery, hospital stay of approx. 24 -48 hours only and no need for reentry with endoscopes for retrieval of fragments thus minimizing the risk for possible Ureteric Strictures etc. With the availability of Holmium Laser Flexible Ureteroscopy now at Ludhiana, its various advantages lead to the success of the three operations.
The first patient, Mr Deepak Gupta has his right kidney in an abnormal position by birth due to which he repeatedly developed Kidney Stones. Even after undergoing Lithotripsy twice in the last two years, he still could not get relief. He had lost hope till RG Stone offered the option of Holmium Laser Flexible Ureteroscopy. He successfully underwent the Flexible Ureteroscopy at the RG Ludhiana Hospital and achieved complete clearance of the Kidney Stone. He was discharged the next day after an uneventful total hospital stay of 36 hours.
The second patient, Mr Avtar Singh is a chronic heart disease patient and has to regularly take blood thinning medicines. He was earlier an unsuitable candidate for surgery to remove Kidney Stone because his blood thinning medications could not be stopped and was a high risk candidate for general anaesthesia. He too was taken up for Flexible Ureteroscopy at the center and was discharged after successful treatment with a hospital stay of 48 hours only. Follow-ups show that the stone has been completely cleared and there is no evidence of pain since surgery.
The third patient, Mrs Satinder Kaur suffered from stones in both her kidneys. She underwent Bilateral Lithotripsy more than a year ago but without success. Her bleeding and pain continued. Then she underwent Flexible Ureteroscopy at RG Stone Ludhiana for both kidneys. Both stones were successfully removed with immediate relief in pain and subsequent stoppage of bleeding too.
With the success of the Holmium Laser Flexible Ureteroscopy in treating even the toughest of Kidney Stones, RG Stone has brought new hope and succor to the populance of the region.
The RG Stone Urology & Laparoscopy Hospitals Chain is India’s only national chain of Super Speciality hospitals for Urology and Laparoscopy offering all available modalities of Stone Disease Management and Prostate Disease Management. The ISO 9001:2000 certified organization, was established in 1987 with its foundation in Mumbai. Today RG Stone centers are present in 12 cities in India including Mumbai, Delhi, Kolkata, Rajkot, Goa, Mohali, Jaipur, Agra, Chennai, Ludhiana, Moradabad and Bangalore. The founder CMD of the chain, Dr. Bhim Sen Bansal, is widely recognized as the ‘Father of Lithotripsy’ in India. He began with a vision of providing new & revolutionary technologies in the field, and quality standards at par with international ones, to the masses of India. Today the hospitals offer US FDA Approved, state-of-the-art equipment along with medical specialists with unmatched expertise in the field. The combination of the most advanced equipment with the best doctors in the field has helped RG Stone achieve many “first”s and “only”s in India.
RG Stone holds the Guinness Record for treating a 13 cm Kidney Stone. RG Stone is the first Super Speciality Urology Hospital in India. It is also the first hospital to install Siemens Lithotripsy in India and the first to install 100 Watt Holmium Laser in India. RG Stone is the first institute in India to treat a kidney stone patient with permanent cardiac pacemaker. It is also the first institute to perform Laparoscopy assisted PCNL for a Pelvic Kidney Staghorn. RG Stone has treated stone patients as young as 9 months & as old as 107 years. With over twenty years of experience in the field, the RG Hospitals have treated over 1,00,000 patients all over India including 6,500 patients from abroad.