Laser Surgery for Stones

This is also called laser lithotripsy. The surgery is minimally invasive and does not require opening up the body. An endoscope called a ureterorenoscope is passed into the kidney. A laser fibre, passed through the endoscope, transmits laser energy which breaks the stones. The procedure is done under anaesthesia. Patient does not feel pain or discomfort. After surgery, patient can go home same day or next.

Over 300 stones removed from one calyx of the kidney

Smooth pebble-like stones, more than 300 in number, removed from one calyx of the kidney using flexible ureterorenoscope. Patient was discharged same day; no wound on the body. Another reason to choose Minimally invasive procedures.

HoLEP: Minimally Invasive Prostate Surgery

Holmium Laser Enucleation of the Prostate (HoLEP) is a minimally invasive surgical procedure for Benign Prostatic Hyperplasia (BPH). It uses laser technology to remove the prostate gland, if it is obstructing the flow of urine or becoming a threat to the health of the individual in general or the kidneys in particular.

HoLEP: Bloodless Prostate Surgery

This is the most effective way of taking out the prostate if it is obstructing urine flow or causing damage to the kidneys. Patient can go home same or next day. HoLEP is the most common surgery done at Kelina Hospital.


HoLEP vs Urolift

Why bother about Urolift as palliative treatment for BPH when HoLEP is superior and even curative?

There was a lot of hype about Urolift here in Nigeria recently. But it has disadvantage compared to HoLEP in that it is only palliative while HoLEP offers definitive care. Urolift does not provide prostate tissue to test for and rule out cancer. HoLEP does.

PCNL & Swiss Lithoclast Master for Kidney Stones

Sometimes you need multiple entry points. Not all kidney stones can be taken out through a single access point. Open surgery is no longer a routine today, even for huge stones. While Retrograde Intra-renal Surgery (RIRS) is suitable for small stones, for kidneys filled with large stones, RIRS will not suffice. PCNL using the Swiss Lithoclast Master and three (3) entry points was more useful in this case. It is important to note: The kidney was so filled with stones that it was unnecessary to give contrast before a puncture.

Supine PCNL for a partial Staghorn Kidney stone

Supine (PCNL) Percutanenous Nephrolithotomy for a partial staghorn kidney stone. Supine position for PCNL came in handy when patient was found to be desaturating in the prone position, our most preferred approach.

PCNL is the best minimally invasive procedure for removing stones that are more than 2cm in diameter. We used standard PCNL (26F) sheath and the Lithoclast Master.

Retrograde Intrarenal Surgery (RIRS)

RIRS is an endoscopic procedure for kidney surgery. It can be combined with laser lithotripsy to take out kidney stones without any wound on the body. Patients can go home same or next day. Kidney stones are formed from precipitation of minerals and salts that are excreted through the kidneys. They cause excruciating pain when they pass through the urinary tract. When they fail to pass, they damage the kidneys.

Laser lithotripsy. It took two hours to disimpact the stone.

Kelina Hospital is an Endoscopic and Laser Surgery Specialist hospital with a mission to promote, preserve, and restore individual and family health by providing expert medical and surgical care within an innovative and dignified environment is among the league of hospitals locally and globally reputed for minimal access surgery and a wide range of other surgical procedures.

Percutaneous Nephrolithotomy (PCNL) Walkthrough (With Subtitles)

This video walks the viewer through a Percutaneous Nephrolithotomy (PCNL) procedure. The video includes voice commentary and subtitles to follow along.

Suitable for professional learning and casual curiosity.


Haemostasis Using Kelina Hospital's 3rd Laser Appliance

Video footage of Kelina Hospital’s 3rd Laser Equipment stopping patient bleeding during Surgery. On Saturday, 20th June, 2020, Kelina Hospital added a third laser machine to her list of equipment. One may ask: “Why so many lasers?” Over 50% of our surgeries at the moment, including kidney stones(Lithotripsy)and prostate procedures eg HoLEP, are done with Holmium Lasers. We use lasers in Urology, Gynecology and General Surgery.


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