Urology Specialist Op. Dr. Ahmet Apak said that the risk is high in people who have a family history of stone disease and who have previously lost stones. Kiss. Dr. Apak said, “Those living in hot climates are at more risk than those living in cold regions due to water loss through sweat. Stone formation is more common in people with low fluid consumption, high consumption of animal foods, and high salt consumption.
May cause urinary tract infection
Stating that stone formation can occur in any part of the urinary system, Op. Dr. Apak said, “Salts dissolved in the urine (calcium, oxalate, phosphate, uric acid, etc.) can crystallize for various reasons. These crystals stick together to form hard stones. There are substances in the urine that prevent stone formation. Urinary tract infection, low fluid intake, genetic (familial), metabolic reasons, this system is disrupted and stone formation begins.
Nausea and vomiting may occur
Pointing out that one of the most common symptoms of the disease is severe pain on the side where the stone formed, accompanied by nausea and vomiting, Op. Dr. Apak shared the following information:
“The pain radiates from the kidney area to the groin and abdomen. Rarely, burning is also seen in case of bleeding from the urine and urinary infection due to obstruction. In men, the pain may radiate to the testicles. Sometimes stone formation may not give any symptoms. Asymptomatic stones are usually formed due to metabolic reasons or infection, and they can fill the entire kidney cavity. While direct urinary system radiographs that we use in the diagnosis of kidney stones help us to detect the stones at a rate of 90 percent, ultrasonography and computed tomography are used to determine the size of the stone, its location in the urinary system, and the damage it causes to the system, as well as urinalysis, blood urea and creatinine values.
Treatment methods may vary according to the size of the stone.
Stating that the treatment of stones formed in the body may vary according to the number of stones, the region and size of them, Op. Dr. Apak said, “Most of the small stones (less than 1 cm) can pass spontaneously in the absence of additional pathology (such as stenosis in the urinary canal) in the patient. It should be supported with painkillers and plenty of fluid consumption during stone removal. With the reflection of technology in medicine, open surgery applications have decreased considerably recently. Open surgery has been replaced by lithotripsy (ESWL), endoscopic ureteral stone treatment and percutaneous surgery methods.
Shock sound wave can be used for stone treatment
Underlining that stone breaking treatment is applied for patients smaller than 2 cm and who do not have many stones, Op. Dr. Apak stated that depending on the structure of the stone, stone breaking can be applied with a single session or several sessions of shock sound waves. Kiss. Dr. Apak added that anesthesia is usually not required when breaking stones with the shock sound wave method applied outside the body.
Endoscopic ureteral stone treatment
Stating that the process of detecting and breaking the stones falling into the urinary canal with an endoscopic imaging device is called endoscopic ureteral stone treatment, Op. Dr. Apak said, “This method can be applied to stones that fall into the urinary canal and block the urinary canal, as well as stones in the kidney can be broken and cleaned with flexible ureterorenoscopes with this method. It has a very high success rate of 85-95%. Patients can return to their homes on the same day and can even start work 1 day later.
Percutaneous surgical treatment may be preferred
Dr. Apak said the following about the percutaneous surgical treatment applied in the treatment of stone breaking:
It is a surgical method in which a thin tube called a catheter is inserted into the kidney with the help of imaging devices such as Ultrasound, Computed Tomography or Fluoroscopy, and then the stone is broken and removed from this channel. With this method, less damage is done to the patient and the kidney compard to open surgery. Since there is no need for wound healing, the patient can return to his home and social life early.
Physical activity should not be neglected
Pointing out that the individual should consume plenty of fluids during the day in order to prevent the production of stones in the body, Op. Dr. Apak said, “Besides, say hello to active life, do walking, jogging and sports. Observe your urine color. If your urine turns dark, increase your fluid intake and spread it throughout the day. Take care to consume plenty of fibrous foods and citrus fruits.”
Do not hesitate to consult a doctor
Emphasizing that attention should be paid to the consumption of excessive salt and animal foods in meals, urology specialist Op. Dr. Ahmet Apak; He concluded by saying, “If you have stone disease in your family and you have a genetic predisposition, if you have had a stone-related procedure before or if you have lost a stone, do not neglect your doctor’s check-ups every 6 months.”