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Beat Kidney Stones Without Open Surgery

Endoscopic stone clearance, same-day imaging, and hydration coaching

Book Stone Clinic Visit
94%
Stone-Free Rate
Flexible RIRS/mini-PCNL at 3-month follow-up
6 hrs
Imaging Turnaround
CT-KUB or ultrasound from ER triage
8%
Recurrence
Below 15% national average with prevention clinic

When to Consult

  • Severe flank pain radiating to the groin despite home medication
  • Vomiting or inability to keep fluids down during a colic episode
  • Fever or chills with suspected urinary tract obstruction
  • Blood in urine or recurrent burning during urination
  • Kidney stone history with diabetes, CKD, or single functioning kidney
  • Stones identified in health check reports or antenatal scans

Understanding Kidney Stone Treatments in the Indian Context

Kidney stones affect nearly 15% of adults in Telangana, with rising incidence because of heat exposure, RO water without electrolytes, and high-oxalate diets. Ajuda Hospitals brings an endourology-first philosophy so patients avoid open incisions yet achieve stone-free status quickly. We benchmark outcomes against European Association of Urology (EAU 2024) and Urological Society of India standards while adapting hydration and diet plans for Hyderabad’s climate.

Our multidisciplinary stone board—urologists, nephrologists, dietitians, and pain specialists—reviews complex cases. Whether you work long shifts in Shamshabad logistics parks or travel from Warangal for care, we combine telemedicine, digital follow-ups, and on-site interpreters in Telugu, Hindi, and Urdu so every family member understands the plan.

When to Consult Our Kidney Stone Specialists

⚠️ Seek Immediate Help If You Notice:

  • ✓ Pain with fever or chills (possible infected obstruction)
  • ✓ Persistent vomiting or dehydration despite medication
  • ✓ Drop in urine output or difficulty passing urine
  • ✓ Severe flank pain not controlled by tablets within 4 hours

Schedule a consultation if ultrasound reports show stones, if you have a history of recurrent colic during summer, or if chronic conditions like diabetes and gout increase your risk of kidney damage. Early guidance prevents emergency admissions and protects kidney function.

Our Diagnostic Approach

Emergency Stabilisation & Risk Stratification

We triage pain, hydration, and infection for every patient. High-risk groups—single kidney, transplant recipients, pregnant women—receive immediate consultant review and nephrology support.

Point-of-Care Ultrasound

Our ER and OPD suites house ultrasound machines dedicated to urology, delivering bedside scans within 2 hours. This detects hydronephrosis, bladder stones, and residual urine for precise planning.

Low-Dose CT-KUB Mapping

Ajuda radiologists interpret contrast and non-contrast CT-KUB with low-radiation protocols (≤3 mSv). Reports include Hounsfield density, calyceal anatomy, and stent positions, guiding RIRS vs mini-PCNL decisions.

Metabolic Profiling & Stone Analysis

For recurrent stone formers, we perform 24-hour urine studies, serum metabolic panels, and send calculus fragments for composition analysis. Insights feed into personalised diet charts and medical therapy.

Treatment Pathways

Lifestyle & Medical Expulsive Care

Initial management includes hydration, salt reduction, potassium citrate, and alpha blockers for small, distal stones. Tele follow-ups ensure analgesic safety and warn against NSAID overuse.

Endoscopic Stone Clearance

Flexible and rigid scopes with holmium laser technology break stones into dust, allowing natural passage. Mini-PCNL handles larger stones with minimal trauma. We keep radiation exposure low with ultrasound-guided access when feasible.

Combined or Staged Procedures

For staghorn or bilateral stones, ECIRS and staged interventions limit blood loss and maintain renal function. We counsel families on realistic timelines and remote monitoring between stages.

Infection & Obstruction Control

Cases with fever or sepsis trigger emergency stenting or percutaneous nephrostomy within the first hour, in line with Global Sepsis Alliance goals. Antibiotics follow culture-directed protocols.

Prevention & Recurrence Clinics

Dietitians craft hydration schedules using buttermilk, coconut water, and infused waters popular in Telangana. We coach on reducing processed snacks high in oxalate and manage vitamin D supplements carefully.

Telemedicine & Rural Support

We offer 48-hour teleconsult follow-ups for patients in Karimnagar or Nalgonda, reviewing pain charts and urine outputs. Logistics support arranges ambulance transfers if repeat imaging shows obstruction.

What to Expect: Your Care Journey

Your first visit involves pain assessment, ultrasound, and labs. Once the plan is agreed, we schedule surgery—often within 24 hours for urgent cases. A care coordinator handles insurance pre-authorisation, pre-anaesthesia check-up, and fasting instructions.

On procedure day, most URS or RIRS cases are day care. Mini-PCNL patients spend a night or two in our monitored unit. We share stent care instructions in Telugu and English, and set up WhatsApp reminders for medication, hydration, and wound review.

Follow-up includes a 6-week ultrasound or CT to confirm clearance, stent removal if required, and a metabolic clinic appointment. Prevention counselling continues via tele-visits, and our dietician remains accessible for festival-specific dietary tips.

Technology & Innovation

Ajuda’s urology OT boasts fourth-generation holmium lasers with pulse modulation, digital flexible ureteroscopes, C-arm fluoroscopy, and ultrasound guidance. Images sync to our PACS so consultants in Secunderabad or Sainikpuri can review real time. We deploy smart IV pumps and ERAS protocols to minimise opioid use and expedite recovery.

Preventing Complications

Untreated stones can lead to obstructive uropathy, urosepsis, and chronic kidney disease. We pre-empt complications with sepsis bundles, nephrology collaboration for electrolyte management, and aggressive infection control. Diet and hydration plans aim to prevent bone loss and gout flares linked to recurrent stones.

Why Ajuda for Kidney Stone Treatments?

💠 Fast Diagnostics

Same-day ultrasound and low-dose CT, with reports shared digitally for second opinions.

🤝 Cashless Support

Dedicated TPA desk handles Aarogyasri, Ayushman Bharat, and corporate policies before admission.

📱 Tele Follow-Ups

WhatsApp reminders for hydration goals and medication, with nurse check-ins for rural patients.

Take the First Step

Don’t wait for another painful episode. Ajuda Hospitals offers swift diagnosis, minimally invasive stone clearance, and long-term prevention pathways. Call 9010550550 or drop a WhatsApp message to secure a same-day stone consult and reclaim comfort.

Diagnosis Approach

1

Emergency Stabilisation

Analgesia, hydration, and infection screening aligned with Urological Society of India (USI) acute colic protocols.

2

Point-of-Care Ultrasound

Bedside ultrasound within 2 hours to detect hydronephrosis and stone location.

3

Low-Dose CT-KUB

24/7 access to low-radiation CT for stone sizing, density, and surgical planning.

4

Metabolic Workup

Serum calcium, uric acid, PTH, 24-hour urine to uncover metabolic triggers for recurrent stones.

Treatment Options

Medical Expulsive Therapy

Alpha blockers, hydration, and pain control for small distal stones with telemonitoring.

Facilitates passage in 70% of stones <6 mm
Up to 4 weeks with weekly review

Ureterorenoscopy (URS)

Rigid/semirigid scopes for distal ureter stones with pneumatic or laser lithotripsy.

90% clearance for ureteral stones in one sitting
Day-care; discharge within 12 hours

Retrograde Intrarenal Surgery (RIRS)

Flexible scope and holmium laser for renal stones ≤20 mm and difficult lower pole stones.

92% stone-free at 3 months
Overnight observation

Mini-PCNL

Tract size 14–18 F with mini nephroscopes for larger or complex stones.

94% clearance with shorter hospital stay
48–72 hours inpatient

ECIRS & Staged Procedures

Combined antegrade/retrograde approach for staghorn stones per EAU 2024 guidelines.

Reduces need for repeat surgeries by 30%
Staged over 1–2 weeks

Recurrence Prevention Clinic

Hydration plans, dietician-guided low-oxalate menus with millets, potassium citrate, and metabolic correction.

Cuts recurrence by half within 2 years
Quarterly follow-up for 24 months

Expected Outcomes

Treatment Timeline

24 Hours

Pain relief and infection control

1 Week

Stone removal procedure completed

6 Weeks

Ultrasound confirms clearance; stent removed if placed

6 Months

Metabolic profile optimised with diet and medication

Success Metrics

  • Stone-free on imaging
  • Pain score <2 by week 1
  • Recurrence rate <10% annually