Urolithiasis Surgeries

The kidneys are a vital organ responsible for maintaining mineral, water, and salt balance in the body. When their function is impaired, various pathologies develop. One of the most common is urolithiasis. According to statistics, up to 3% of the world's population suffers from urolithiasis. This is a pathological process in which stones (calculi) form in the genitourinary system.

The K+31 Clinic offers its patients modern protocols and methods for treating urolithiasis. These methods can quickly resolve the problem of stone formation and improve overall health.

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Diagnosis of urolithiasis

Diagnosis of urolithiasis

The formation of stones in urine can be caused by various factors: inadequate hydration, metabolic disorders, excess of certain trace elements, etc. However, regardless of the cause, urolithiasis is a disease that can lead to serious complications and even death.

Before prescribing appropriate therapy, a urologist will order a comprehensive examination. This may include:

  • X-ray of the urinary tract
  • CT scan of the urinary system
  • Intravenous urography
  • Ultrasound of the kidneys

The combination of methods is selected individually and depends on the patient's condition and medical history. Based on the examination results, the urologist will choose one of the following options: conservative treatment, extracorporeal shock wave lithotripsy, contact ureterolithotripsy, percutaneous nephrolithotripsy, laparoscopic surgery, or open surgery.

Conservative treatment of urolithiasis

Conservative treatment of urolithiasis

In the early stages of the disease, surgical intervention may be avoided. This is possible if the stones are no larger than 4 mm in diameter and are located close to the bladder. In this case, the stone is naturally eliminated through the ureters.

To speed up the process, the urologist prescribes medications and increased fluid intake (more than 2 liters of water per day). This helps resolve the issue of how to remove kidney stones without surgery in the early stages. To monitor the passage of stones during conservative treatment, the patient is instructed to urinate in a special container.

This method has a number of contraindications:

  • Renal failure
  • Severe pain that is not relieved by medication
  • Urinary tract infection
  • The patient has only one kidney

If one or more contraindications are present, surgical treatment is used. Surgical treatment is also used if conservative therapy fails to produce the expected result within four weeks.

Andranovich Stanislav Valerievich
Andranovich Stanislav Valerievich
Urologist, ultrasound diagnostics doctor
Experience: 29 years
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Kotov Sergey Vladislavovich
Kotov Sergey Vladislavovich
Deputy chief physician of K+31 for urology, chief urologist of K+31, urologist-andrologist, oncourologist, doctor of medical sciences, professor
Experience: 22 years
Doctor of Sciences, PhD, professor
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Sorokin Nikolay Ivanovich
Sorokin Nikolay Ivanovich
Head of the urology department, urologist, oncologist, oncosurgeon, doctor of medical sciences, professor
Experience: 24 years
Doctor of Sciences, PhD, professor
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Kamalov Armais Albertovich
Kamalov Armais Albertovich
Chief consultant in urology, urologist, doctor of medical sciences, professor
Experience: 42 years
Academician, professor, Doctor of Sciences, PhD
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Denshchikov Mikhail Borisovich
Denshchikov Mikhail Borisovich
Urologist
Experience: 26 years
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Survillo Igor Igorevich
Survillo Igor Igorevich
Urologist
Experience: 13 years
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Tereshchenko Suren Alexandrovich
Tereshchenko Suren Alexandrovich
Doctor urologist-andrologist
Experience: 28 years
Doctor of Sciences, PhD
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Medvedev Alexander Alexeyevich
Medvedev Alexander Alexeyevich
Urologist
Experience: 31 year
PhD
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Dzhabrailov Jabrail Abdulazizovich
Dzhabrailov Jabrail Abdulazizovich
Urologist, andrologist
Experience: 25 years
PhD
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Pshikhachev Ahmed Mukhamedovich
Pshikhachev Ahmed Mukhamedovich
Urologist, Oncologist
Experience: 23 years
Doctor of Sciences, PhD
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Gomberg Mikhail Alexandrovich
Gomberg Mikhail Alexandrovich
Dermatovenereologist
Experience: 43 years
Doctor of Sciences, PhD, professor
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Navruzbekov Gamzat Abdulkadirovich
Navruzbekov Gamzat Abdulkadirovich
The urologist
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Valeev Danil Ravilovich
Valeev Danil Ravilovich
Urologist
Experience: 6 years
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Dzhalilov Dmitry Olegovich
Dzhalilov Dmitry Olegovich
Urologist
Experience: 17 years
PhD
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Alferov Anton Sergeevich
Alferov Anton Sergeevich
Leading urologist, andrologist
Experience: 16 years
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Gabaraev Alan Petrovich
Gabaraev Alan Petrovich
Urologist, andrologist
Experience: 13 years
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Meshkova (Borodaykina) Daria Yurievna
Meshkova (Borodaykina) Daria Yurievna
Urologist
Experience: 10 years
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Nemenov Alexander Alexandrovich
Nemenov Alexander Alexandrovich
Urologist, oncologist (oncourologist)
Experience: 7 years
PhD
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Kosova Inga Vladimirovna
Kosova Inga Vladimirovna
Urologist
Experience: 23 years
Doctor of Sciences, Docent
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Treatment methods for urolithiasis

Extracorporeal lithotripsy

ESL, or sonic stone fragmentation, is considered one of the least invasive methods. The procedure is often performed on an outpatient basis, and the patient can return to normal activities within 24 hours after surgery.

A lithotripter uses shock waves to break up the stone. It breaks into fragments, and the resulting sand and crystals are eliminated naturally through urination.

The entire procedure is performed under local anesthesia and X-ray guidance for precise stone fragmentation. The surgery lasts an average of 60 minutes, and the passage of residual fragments takes up to three months. The procedure is effective for removing a stone from the ureter or bladder (cystolithotripsy).

Contraindications:

  • Ureteral stenosis below the stone location
  • Acute infectious process occurring in the genitourinary system
  • Impaired renal excretory function
  • High density or large size of the calculus
  • Acute pyelonephritis

In rare cases, this method can cause complications: kidney swelling, ureteral obstruction, and hemorrhage at the site of stone fragmentation.

системы да Винчи

Contact ureterolithotripsy

CUT is performed endoscopically. First, the stones are crushed using any available method: compressed air, sound waves, laser, etc. Then, a special instrument, a urethroscope, is inserted into the patient's urethra. It allows for the removal of stone fragments without tissue excision.

Following the procedure, ureteral stenting is performed. For this, the patient is implanted with a ureteral stent—a thin tube placed directly in the ureter to facilitate the removal of urine along with sand and debris.

The surgery is performed under general or special anesthesia. It has several advantages:

  • High efficiency
  • Low trauma
  • Possibility of removing multiple stones in a single session

A contraindication to the procedure is the presence of acute inflammation in the genitourinary system.

In some cases, complications may develop, including local bleeding, infection, and damage to the ureters.

Этапы операций

Percutaneous nephrolithotripsy

This method is used to remove large kidney stones.

The surgeon makes an incision in the patient's lumbar region and creates a tunnel. A nephroscope, an endoscopic instrument, is inserted through the tunnel. The stone is then broken up and removed using a laser or ultrasound.

This method is highly effective and is performed under general anesthesia. The recovery period lasts approximately four weeks, but the patient is discharged from the hospital on the fourth day after the procedure or removal of the nephrostomy tube.

What is a nephrostomy? This is a special catheter or stent that is placed to drain urine after kidney surgery.

Contraindications to the procedure:

  • Pregnancy
  • Acute inflammatory process in the urinary tract or kidneys
  • Bleeding disorder
  • Obesity
  • Abnormal position of the colon
  • Pathological enlargement of the spleen

Possible complications: development of pyelonephritis, damage to internal organs, and bleeding.

Percutaneous nephrolithotripsy

Laparoscopic surgery

It is considered one of the least invasive treatment methods for urolithiasis. This minimally invasive technique allows for the removal of stones through small punctures in the skin. For this purpose, the doctor uses a special hollow needle, which allows access to the stones with minimal tissue damage.

Laparoscopic surgery is performed under general anesthesia. This method has several advantages:

  • Possibility of destruction of large formations
  • Absence of wide skin incisions and blood loss
  • Minimal risk of infection or damage to adjacent organs and tissues

This method cannot be used in the following cases:

  • The patient is in a coma or shock
  • Hemostasis disorders
  • Hernias of the anterior abdominal wall
  • Decompensated pathologies of the respiratory or cardiovascular systems

The recovery period after laparoscopy lasts from one week to two months and depends on the severity of the patient's condition, the number of stones, and their location.

Laparoscopic surgery

Open lithotomy: a surgery to remove kidney stones

Currently, this method is used very rarely—no more than 5% of cases. It is resorted to when other treatments are ineffective or contraindicated.

Open surgery is prescribed for:

  • Acute pyelonephritis
  • Spinal deformities
  • Obesity
  • Exacerbation of cardiovascular diseases
  • Pregnancy
  • Acute renal failure
  • Severe patient condition

In some cases, after surgery, a nephrostomy or renal stenting is necessary—the placement of a stent or catheter in the organ to collect and drain urine.

Surgical treatment for urolithiasis can be avoided. To do this, consult a doctor at the first sign of symptoms:

  • Renal colic
  • Problems with urination
  • Pain in the bladder or lower back
  • Changes in urine color or odor

Annual preventative examinations by a urologist are also effective.

Open lithotomy

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The K+31 Medical Center offers patients treatment for urolithiasis at all stages of development. Experienced urologists use modern medical treatment protocols, and diagnostics and surgeries are performed using the latest equipment.

The Urology Department performs cystolithotomy (removal of bladder stones), nephrolithotomy (removal of kidney stones), stent placement in the kidney or ureter, and more.

You can schedule an appointment with a specialist, undergo an examination, or have a stone removal procedure performed at your convenience by submitting a request online or contacting us by phone. You can also call this number to receive information about diagnostic details, services, and clinic promotions.

Make an appointment at a convenient time on the nearest date

Reviews

An amazing doctor, professional and human being
28.05.2026
Aleksey G.
A very attentive and intelligent doctor.
28.05.2026
Viktor P.

About doctor:

Alferov Anton Sergeevich

Many thanks to Dmitry Olegovich!!! For believing in yourself!!!
25.05.2026
Valeriy A.
The Doctor is from God
22.05.2026
Vladimir S.
Doctor Medvedev AA on 5 plus!
21.05.2026
Konstantin U.
I would like to express my gratitude for the operation.: 1. You got into my position as much as possible and adjusted to my requests – not just to get out of work. 2. Managers Valeria and Tatiana took a very careful and responsible approach to solving organizational issues: they chose the most convenient time for tests, research and consultations of specialists with a minimum number of visits to the Clinic, perfectly organized hospitalization and all related issues, including payment and living conditions 3. The payment for the deposit was made very accurately, there were no additional "hidden" payments, etc. 4. Well, the medical staff was excellent, they did everything at the highest level – thanks to S.V. Kotov, N. I. Sorokin and M. B. Denshchikov. I have never seen such care and attention anywhere before Thank you very much!
21.05.2026
Mihail L.
Everything is normal. Little by little, slowly, slowly, it's getting better. Knocking on wood! If someone had told me that on the fifth day after the operation I would be able to walk my dog, I would not have believed in such a miracle. The photo is right now!! I bow low to you and Sergey Vladislavovich. Your team is amazing! With respect and gratitude
21.05.2026
Vadim D.
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