Diabetes From Kidney Stone Blaster?
Nearly 4 Times Higher Diabetes Risk After Shock Wave Treatment for Kidney Stones
WebMD News Archive
There are different kinds of kidney stones -- and different treatment
"There are 101 ways to form a kidney stone," Krambeck says. "It all has to
do with genetic makeup, diet, and lifestyle. Once a person forms a stone, he or
she needs a complete metabolic evaluation to understand why. Then we can give
medication to prevent a second stone."
Some kinds of kidney stones can be prevented with medication or proper diet.
But when a stone can't be prevented or easily passed in the urine, treatment is
necessary. The options:
Shock wave lithotripsy. No surgery is required, although
some machines require general anesthesia.
Ureteroscopy. A small scope is passed through urethra and
bladder into the ureter, which is the tube that carries urine from the kidney
to the bladder. Lasers in the scope can break up the stone, and a tiny
basket-like attachment pulls out the stone or its fragments.
Percutaneous nephrolithotomy. A small tunnel is made
through the skin in the back to the kidney. A scope is used to break up and
remove the stone.
Open surgery, which now is rarely done.
The surgical options are a lot less invasive than in the past -- but they
are still more invasive than shock wave lithotripsy," Preminger says. "It is a
terrific alternative to standard surgery. It is essential that patients be made
aware of these possible new risks. But we should not discontinue shock wave