Kidney Stones

Kidney stones are common - about one in 10 Australians will have kidney stones.

Bendigo Urology provide comprehensive care for patients with kidney stones at St John of God Hospital in Bendigo.

Acute Renal Colic

Kidney stones may cause severe pain (Acute Renal Colic) due if they pass into the ureter and block the kidney. Stones may pass spontaneously with analgesia, medication and fluids. But some stones are too big to pass, and surgery to remove the stone and relieve pain and obstruction.

If you have severe pain, you should call an Ambulance on 000 or attend your nearest Emergency Department.

Mr Stephen Lindsay accepts urgent referrals for patients with acute renal colic, however a referral from your GP or an Emergency Department doctor is required. There is no Emergency Department at St John of God Hospital in Bendigo.

Please call (03) 5442 6330 for all appointments.

Treatment Options

Conservative

Small ureteric stones usually pass spontaneously with no need for surgery.

• strong pain relief
increased fluids
strain your urine to catch the stone
medication may help the stone to pass spontaneously

Lithotripsy (ESWL)

Shock waves generated outside the body pass through the skin and into the kidney to break up stones in the kidney.

day case procedure
the stone is shattered into fragments that pass out of the body in the urine
you will need pain relief and an increased fluid intake postoperatively to flush out the stone fragments


Ureteroscopy and Pyeloureteroscopy

Telescopes can be passed through the bladder up into the ureter or kidney to remove stones.

Small stones can be captured in a "basket" and removed 
Larger stones usually need to be broken up (by Lithoclast or Holmium Laser, as in this image) and the fragments removed


Percutaneous Nephrolithotomy

Percutaneous "keyhole" surgery is performed through a small incision in the flank. The telescope is passed directly into the kidney.

Large stones in the kidney are broken up and removed in this way