Rare surgery helps kidney patient 'cast a stone'

Multiple operations in the past had failed to provide relief to the 47-year-old

Balik Das Sahu (47) had been operated thrice in Jhansi and once at Agra for his kidney stone. But he couldn't get rid of the problem. After a few years, a stone again developed inside one of his kidneys, which led to a fourth operation. But as his kidney had already been operated upon thrice many doctors refused to treat him.

"I was depressed when the doctors refused to treat me. I was not able to make any kind of body movements as the pain was getting worse," said Sahu. Sahu was refused surgery at other hospitals as he is poor. Also, the case got complicated because of the previous surgeries and a cyst had formed around the operated area. Finally, he was admitted to Fortis Healthcare at Vasant Kunj.

"He had bilateral stones in the kidneys even after bilateral Percutaneous Nephrolithotomy (PCNL) procedures. PCNL procedure involves direct fragmentation of the kidney stone through a small incision made in the flank through which a telescope (called a nephroscope) is passed directly into the kidney)," said Dr Anant Kumar, director, urology & renal transplantation, Fortis Healthcare, Vasant Kunj.

According to the doctor, the patient came with a poorly-functioning right kidney. He was investigated and found to have multiple residual stone with secondary Pelvic Ureteric Junction (PUJ) obstruction. Stone clearance was achieved by making two tracts and the patient was discharged with plan of ureterocalicostomy.

The procedure was done on November 1, 2011, without clamping the kidney (without stopping the blood supply of the kidney). The patient was discharged on November 5, 2011 and is fit after the surgery.

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