Dr Jo Schoeman
Urological Surgeon

        

Service List 3

Stone (Calculus) Surgery

Uretero-renoscopic stone extraction with laser (URSE)

Endoscopic removal of renal and ureteric calculi using a flexible/ rigid ureteroscope usually with laser. Indicated for stones smaller than 1,5-2cm. May require preoperative stenting. May require more than 1 procedure.

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Perctaneous Nephro-lithotomy (PCNL)

Endoscopic surgery with trans-cutaneous access through lower lumbar area. Indicated for stones larger than 2-3cm, situated in the kidney. Has a 90-95% chance of stone clearance in first go. Yet may require subsequent procedures. Is more risky than endoscopic surgery.

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Extra-corporeal Shock Wave Lithotripsy

Non-invasive technique of shattering renal or ureteric calculi using sound waves. Calculus fragments then pass spontaneously. This service is only provided at Brisbane Private Hospital. More than likely to have more than 1 procedure depending on size calculus.

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Open Nephro / Uretero lithotomy

Open surgery for large or complicated renal and ureteric calculi where all other techniques have failed. Seldomly done today.

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