Tirtham Surgical Hospital+91-9428736360

Kidney Stone Removal in Ahmedabad

Matching the
Treatment to Your Stone

Kidney stones are hard deposits that form from minerals and salts in the urine. They can stay quietly in the kidney, or move into the ureter (the tube that carries urine from the kidney to the bladder), where they can cause severe pain, blood in the urine, blockage and infection.

Kidney Stone Removal (PCNL)

Not every kidney stone needs an operation. Small stones often pass on their own with fluids and medicines. Kidney stone treatment in Ahmedabad depends on the size, position and type of the stone, whether it is blocking the kidney, and whether there is infection. When removal is needed, it is usually done by minimally invasive methods — shock wave treatment, a fine telescope through the urinary passage, or a small keyhole in the back.

At Tirtham Surgical Hospital, Science City Road, Sola, Ahmedabad, kidney stone removal is listed among the urological surgeries, with a 24-hour emergency operating team. This page explains when a stone needs treatment, the tests, the treatment options, recovery, prevention and risks.

What Is a Kidney Stone?

Kidney stones (renal calculi) form when substances in the urine, such as calcium, oxalate, uric acid or phosphate, become concentrated and crystallise. Stones can be as small as a grain of sand or, less commonly, large enough to fill the inner part of the kidney (a staghorn stone).

Common Causes and Risk Factors

  • Not drinking enough fluid, especially in hot weather
  • A diet high in salt or animal protein
  • Excess body weight and diabetes
  • A family history or a previous kidney stone
  • Some medical conditions, such as overactive parathyroid glands, gout or certain bowel diseases
  • Repeated urinary infections, or blockage of urine flow
  • Some medicines

Symptoms

  • Severe, cramping pain in the loin or back, often spreading to the lower abdomen or groin, and coming in waves (renal colic)
  • Blood in the urine
  • Nausea and vomiting
  • Burning, frequent or urgent urination
  • Fever and chills, if there is infection

Some kidney stones cause no symptoms and are found on a scan done for another reason.

Signs That Need Emergency Care

  • Pain with fever or chills — a blocked, infected kidney
  • Passing very little or no urine
  • Pain that cannot be controlled with medicines
  • Repeated vomiting
  • A stone in a person with only one working kidney

How Kidney Stones Are Diagnosed — Step by Step

A kidney stone treatment doctor in Ahmedabad uses the history, examination and tests to find the size and position of the stone, which decide the treatment.

  • Medical history and examination: pain, fever, previous stones, other illnesses and medicines
  • Urine test: for blood and infection; urine culture if infection is suspected
  • Blood tests: kidney function, blood count, and calcium and uric acid levels
  • Ultrasound: a radiation-free first test, also useful in pregnancy and children; it can show swelling of the kidney (hydronephrosis)
  • Non-contrast CT scan (CT KUB): the most accurate test for the size, position and hardness of the stone
  • Stone analysis: a passed or removed stone is sent to the laboratory to find its type
  • Metabolic tests: blood and 24-hour urine tests for people with repeated stones, to find a treatable cause
  • Treatment plan: the doctor explains whether the stone can be watched or allowed to pass, or needs removal, and the benefits and risks of each option

Will the Stone Pass, or Does It Need Removal?

Size and position are the main guides. The table is general information; the decision is made for each patient.

SituationUsual approach
Small stone (up to about 5 mm), pain controlled, no infectionOften passes on its own with fluids and pain relief; a medicine to relax the ureter may be advised
Stone of about 5–10 mmMay pass; removal is considered if it does not pass, or if pain or blockage continues
Stone larger than about 10 mmLess likely to pass; removal is usually advised
Small stone in the kidney causing no symptomsMay be watched with regular scans
Any stone with blockage and infectionUrgent drainage of the kidney, then stone treatment once the infection is controlled

Kidney Stone Surgery in Ahmedabad and Other Removal Options

When a stone needs removal, kidney stone surgery in Ahmedabad is usually done by one of the minimally invasive methods below. The choice between them is made by a kidney stone removal specialist in Ahmedabad based on the size, position and hardness of the stone, the shape of the kidney, and the patient's health.

OptionHow it worksGenerally used for
ESWL (extracorporeal shock wave lithotripsy)Shock waves from a machine outside the body break the stone into fragments, which pass in the urine; no cutSmaller kidney and upper ureteric stones; may need more than one session
URS (ureteroscopy)A thin telescope is passed through the urethra and bladder into the ureter; the stone is broken with a laser and removed; no cut on the skinStones in the ureter
RIRS (retrograde intrarenal surgery)A flexible telescope is passed up into the kidney through the natural urinary passage, and the stone is broken with a laser; no cut on the skinKidney stones up to about 2 cm, and stones in difficult positions
PCNL (percutaneous nephrolithotomy)A small tract is made through the back into the kidney, and the stone is broken and removed through itLarge kidney stones (generally over 2 cm) and staghorn stones
Open or laparoscopic surgeryRemoval of the stone through an incisionRarely needed today; for complex cases
Kidney drainage (DJ stent or nephrostomy)A tube is placed to drain a blocked kidneyEmergency — blocked, infected kidney

About the DJ Stent

A DJ (double-J) stent is a soft, thin tube placed inside the ureter, from the kidney to the bladder. It may be placed after URS, RIRS or PCNL, or to drain a blocked kidney. A kidney stone surgery specialist in Ahmedabad decides whether a stent is needed and when it should be removed — usually after some days to a few weeks, in a short procedure. A stent can cause discomfort, frequent urination, burning, or blood in the urine while it is in place.

Before Treatment

  • CT scan or ultrasound to plan the procedure
  • Urine culture; any infection is treated before the procedure
  • Blood tests, ECG and other tests as advised, and a pre-anaesthesia check-up
  • A check of all medicines; blood thinners may need to be stopped or adjusted, only as advised by the doctor
  • Pregnancy test for women, where relevant — ESWL is not done in pregnancy
  • Fasting instructions
  • Written informed consent after the procedure, its benefits, risks and alternatives have been explained

Recovery After Kidney Stone Removal

ProcedureWhat to expect
ESWLUsually day-care; fragments pass over days to weeks; some blood in the urine and colicky pain as fragments pass are common
URS / RIRSUsually a short stay; return to light activity in a few days; stent symptoms if a stent is placed
PCNLUsually a few days in hospital; a tube in the back may be left for a short time; return to normal activity over a few weeks

Recovery after kidney stone removal also depends on the size of the stone and whether a DJ stent is placed, which usually stays for some days to a few weeks.

When to Contact the Hospital After Treatment

  • Fever or chills
  • Severe pain not controlled by the prescribed medicines
  • Heavy bleeding or large clots in the urine
  • Passing very little or no urine
  • Leakage or bleeding from a tube or wound in the back after PCNL
  • Breathlessness or chest pain after PCNL

Preventing Another Stone

Kidney stones often come back. These steps help reduce the risk:

StepWhy it helps
Drink enough fluid to pass about 2.5 litres of urine a day, unless your doctor has advised a fluid limitDilute urine makes stone formation less likely
Reduce saltHigh salt increases calcium in the urine
Keep normal dietary calciumToo little calcium can increase oxalate stones
Moderate high-oxalate foods and animal proteinThese can increase stone risk in some people
Maintain a healthy weightExcess weight increases stone risk
Metabolic tests and stone analysis for repeated stonesFind a treatable cause and guide preventive medicines

Risks and Possible Complications

Stone procedures are generally safe, but each has risks. The doctor explains these before taking consent.

  • Blood in the urine — common for a short time after most procedures
  • Urinary infection or fever, and rarely sepsis
  • Fragments left behind, needing another procedure
  • Pain from passing fragments, or fragments blocking the ureter after ESWL
  • Stent-related discomfort, frequent urination or bleeding
  • Injury to the ureter during URS or RIRS, which may need a longer stent time; narrowing of the ureter later is rare
  • Failure to reach the stone in a narrow ureter, needing a stent first and a second procedure
  • Bleeding after PCNL, which may need transfusion or, rarely, a procedure to stop it
  • Injury to nearby organs during PCNL, such as the bowel or the lining of the lung — rare
  • Bruising or, rarely, bleeding around the kidney after ESWL
  • Return of stones in the future
  • Anaesthesia-related risks — assessed at the pre-anaesthesia check-up

Kidney Stone Treatment Cost in Ahmedabad

The cost differs from patient to patient. The main factors are:

  • The procedure needed — ESWL, URS, RIRS or PCNL
  • Size, number and position of the stones, and the number of sessions
  • Whether a DJ stent is placed, and its later removal
  • Planned or emergency treatment, and whether there is infection
  • Investigations, such as CT scan and urine culture
  • Length of hospital stay and room category
  • Medicines and stone analysis

Because the method depends on the stone, the cost of kidney stone treatment in Ahmedabad can usually be estimated only after the scan and test results have been checked.

Some of these services may be arranged with other specialists or centres; the doctor explains this when planning treatment. A written estimate based on the patient's condition and chosen room category can be requested from the hospital.

Insurance

  • Mediclaim and cashless facility is available, subject to the patient's policy terms and insurer approval
  • Assistance is provided with documents required for reimbursement claims

Kidney Stone Doctor in Ahmedabad

Kidney stone procedures such as ESWL, URS, RIRS and PCNL are usually performed by a urologist. A family physician or an emergency doctor often sees the patient first, controls the pain and arranges the scan. Different doctors may be involved at different stages:

DoctorRole in kidney stone care
Family physician or emergency doctorFirst examination, pain relief and initial tests; refers when a stone needs removal or the kidney is blocked
UrologistDecides whether the stone can pass or needs removal, and performs ESWL, URS, RIRS, PCNL and DJ stent placement or removal
RadiologistPerforms and reports the ultrasound and CT KUB; may place a nephrostomy tube to drain a blocked kidney
Nephrologist (kidney physician)Consulted for reduced kidney function, or for repeated stones that need metabolic evaluation
AnaesthetistChecks fitness for the procedure and gives spinal or general anaesthesia
DietitianAdvises on fluids, salt and diet to lower the chance of another stone

Kidney Stone Treatment Doctor in Ahmedabad

Along with the questions listed in the FAQ below, these points are useful to clarify with your kidney stone treatment doctor in Ahmedabad before agreeing to a procedure:

  • Is the kidney blocked or infected, and does it need drainage before the stone is treated?
  • Is my kidney function normal on the blood tests?
  • Which procedure is advised for my stone, and what are the other options?
  • Who will perform the procedure, and where will it be done?
  • If a DJ stent is placed, what symptoms should I expect, and on what date must it be removed?
  • Will the stone be sent for analysis, and do I need tests to find the cause?
  • What does the estimate include, and is the treatment covered by my insurance policy?

Treating Surgeon

At Tirtham Surgical Hospital, kidney stone removal in Ahmedabad is performed by:

DetailInformation
NameDr. Alpesh Patel
QualificationMBBS, MS (Civil Hospital, Surat)
SpecialtyGeneral & Laparoscopic Surgery
DesignationFounder, Tirtham Surgical Hospital
Registration statusRegistered Medical Practitioner
Registration numberGujarat Medical Council Reg. No. G14657
OPD availabilityOn appointment, Mon–Sat
Emergency surgical services24-hour emergency operating team at Tirtham Surgical Hospital

View doctor profile

Facilities at Tirtham Surgical Hospital

  • 24-hour emergency operating team
  • Laparoscopic and endoscopic setup
  • Mediclaim and cashless facility, subject to policy terms
  • 6 themed recovery rooms
  • Large parking facility

Frequently asked questions

When should I see a kidney stone doctor in Ahmedabad?+
See a doctor for severe loin pain, blood in the urine, repeated urinary infections, or a stone found on a scan. Pain with fever, or passing very little urine, needs emergency care. Kidney stone procedures are usually performed by a urologist, so a kidney stone surgeon in Ahmedabad can advise whether the stone can pass or needs removal, and which method suits it. When choosing a kidney stone specialist in Ahmedabad, check the doctor's qualifications and medical council registration.
What should I ask a kidney stone removal surgeon in Ahmedabad before the procedure?+
  • What is the size and position of my stone, and can it pass on its own?
  • Which procedure is suitable — ESWL, URS, RIRS or PCNL — and why?
  • Will I need more than one session?
  • Will a DJ stent be placed, and when will it be removed?
  • How long will I stay in hospital, and when can I return to work?
  • How can I prevent another stone?
Do all kidney stones need surgery?+
No. Small stones often pass on their own with fluids and pain relief, and some small kidney stones that cause no symptoms can be watched. Larger stones, or stones causing blockage, infection or uncontrolled pain, usually need removal.
Which procedure will I need?+
It depends on your stone. ESWL suits smaller stones, URS suits stones in the ureter, RIRS suits many kidney stones up to about 2 cm, and PCNL is generally used for larger stones. The doctor explains the choice for your stone.
When is a kidney stone an emergency?+
Pain with fever or chills, passing very little or no urine, pain that cannot be controlled, or repeated vomiting need emergency care. A blocked kidney with infection needs urgent drainage.
Do these procedures need a cut?+
ESWL, URS and RIRS do not need a cut on the skin. PCNL needs a small cut in the back. URS, RIRS and PCNL are done under spinal or general anaesthesia; ESWL is usually done with pain relief or light sedation.
Will kidney stones come back?+
They often can. Drinking enough fluid, reducing salt, keeping normal dietary calcium and, for repeated stones, metabolic tests to find a cause help reduce the risk.
What facilities should a kidney stone treatment hospital in Ahmedabad have?+
It should have access to CT scan and ultrasound, a laboratory for urine and blood tests, an operation theatre with endoscopic equipment and X-ray imaging during the procedure, anaesthesia services and emergency availability. When comparing a kidney stone removal hospital in Ahmedabad or a kidney stone surgery hospital in Ahmedabad, you can also ask which procedures are done on site, and how stent removal and follow-up are arranged.
What decides the cost of kidney stone treatment?+
The cost depends on the procedure, the size and number of stones, the number of sessions, any stent, planned or emergency treatment, investigations, the length of stay, room category and medicines. A written estimate based on your condition can be requested from the hospital.
Is kidney stone treatment covered by health insurance?+
Medically necessary treatment is generally covered under health insurance policies, subject to policy terms, waiting periods and insurer approval. Tirtham Surgical Hospital has a mediclaim and cashless facility and helps with the required documents.

Contact and Location

Tirtham Surgical Hospital

3rd Floor, Silver Radiance 2, 312-315, Science City Road, Sola, Ahmedabad, Gujarat 380060

Landline:
079-27436360 | 079-40036360
Tirtham SurgiMitra (second-opinion line):
+91-9974416665
Emergency:
24-hour emergency operating team
OPD timings:
On appointment, Mon–Sat

Next step

Plan your procedure

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