Revolutionary treatment for kidney stones at Southampton General Hospital

  • bhaskar somani

SOUTHAMPTON patients suffering from kidney stones can now be stone-free after one treatment, thanks to the use of a revolutionary treatment.

Bhaskar Somani, a consultant urological surgeon at Southampton General Hospital, is pioneering the use of a technique to clear both kidneys in the same procedure, rather than two.

The bilateral simultaneous ureteroscope sees the surgeon using both a viewing instrument to see and position the stones and than a laser beam to break them up.

Patients with renal stones traditionally undergo treatment on each kidney individually during separate hospital admissions but this treats both at the same time.

Mr Somani said: “The idea is to clear all stones in both kidneys at the same time rather than individually as patients then only have to undergo one procedure and, as a result, only one anaesthetic.

“In particular, for patients with urinary tract infections who have stones in both kidneys, it is sensible to try and clear everything at once as you can’t be sure which side is causing the infection.

“Many surgeons may be fearful of attempting both sides due to the risk and worry of causing trauma to the kidneys but, with the right expertise, confidence and experience, the benefits of a single procedure far outweigh the risks of performing more work in a single session.”

In a recent study, presented at a regional meeting of the British Association of Urological Surgeons, Mr Somani reported 22 bilateral simultaneous ureteroscopies to remove stones of a combined size of 21mm.

The technique was performed with a stone-free success rate of 92 per cent and patients suffered minimal complications and more than three-quarters of patients went home the same day.

Mr Somani added: “Our data, which we believe is the first published and presented series in the UK, suggests this is a safe and effective technique with minor complications that are equivalent to individual procedures and can be used as standard treatment.

“Performing them separately means they have more hassle, more time off work and, logically, if both stones can be removed at the same time then why do it at different times and prolong discomfort for these patients.”

“Stone treatment no longer has to be carried out in a staged manner when we have a chance to make people stone-free in one sitting.”