{"id":1332,"date":"2022-06-27T11:35:38","date_gmt":"2022-06-27T11:35:38","guid":{"rendered":"https:\/\/www.vakalj.gr\/lithiasis\/"},"modified":"2022-10-20T11:00:03","modified_gmt":"2022-10-20T11:00:03","slug":"lithiasis","status":"publish","type":"page","link":"https:\/\/vakalj.gr\/en\/lithiasis\/","title":{"rendered":"Lithiasis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1332\" class=\"elementor elementor-1332 elementor-493\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-693daf9 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"693daf9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 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data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-063cff6\" data-id=\"063cff6\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f886fd2 elementor-widget elementor-widget-heading\" data-id=\"f886fd2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Lithiasis<\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8fa7f09 elementor-widget elementor-widget-heading\" data-id=\"8fa7f09\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Effective and immediate elimination of stones <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-829bc9c elementor-widget elementor-widget-heading\" data-id=\"829bc9c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The method of endoscopic laser lithotripsy<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13efa4a elementor-tabs-view-vertical elementor-widget elementor-widget-tabs\" data-id=\"13efa4a\" data-element_type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2091\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-2091\" aria-expanded=\"false\">Effective and immediate elimination of stones<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-2091\" aria-expanded=\"false\">Effective and immediate elimination of stones<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2091\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2091\" tabindex=\"0\" hidden=\"false\"><p><strong>Effective and immediate elimination of stones<\/strong><\/p><p><img decoding=\"async\" class=\" wp-image-495 alignleft\" src=\"https:\/\/www.vakalj.gr\/wp-content\/uploads\/2022\/06\/P50-585x444-1-300x228.jpg\" alt=\"\" width=\"426\" height=\"324\" srcset=\"https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P50-585x444-1-300x228.jpg 300w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P50-585x444-1-192x146.jpg 192w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P50-585x444-1-50x38.jpg 50w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P50-585x444-1-99x75.jpg 99w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P50-585x444-1.jpg 585w\" sizes=\"(max-width: 426px) 100vw, 426px\" \/><\/p><p>A definitive result offered by the <strong>endoscopic laser lithotrispy.<\/strong> The ureter lithiasis consists a common problem, which can cause from a simple colic to the complete obstruction of the ureter with a progressive infection and destruction of the kidney. Colic and haematuria are the most common effects, but there are also cases where the pain can be mild, or deep, where there is no haematuria and, sometimes, where there are no symptoms at all.<\/p><p>The <strong>diagnosis of lithiasis<\/strong> is made very easily with a simple x-ray, an intravenous pyelogram and, if necessary, a CT scan, given the fact that all stones do not appear in simple x-rays.<\/p><p>The <strong>ultrasound<\/strong> does not directly <strong>show the ureteral stones<\/strong>, as it can show kidney and urinary bladder stones, but it can show the presence of a dilatation, which can be caused by an obstruction by the stone. <strong>Surgical operations<\/strong> for the removal of stones are very limited today, after the application of extracorporeal lithotripsy, which is the optimal method for renal radiopaque stones with a diameter up to 2 centimeters. Larger kidney stones can be also successfully removed, under some conditions, with extracorporeal lithotripsy. Extracorporeal lithotripsy can be also applied for the elimination of ureteral stones. However, there are some limitations here.<\/p><p>Thus, stones that cause a complete <strong>obstruction of the ureter<\/strong> must be immediately treated in order to avoid renal complications. Extracorporeal lithotripsy cannot assure the immediate removal of the ureter obstruction and consequently prevent some possible complications. Furthermore, stones that have remained for a long time in the ureter are \u201canchored\u201d, due to inflammation and edema, at its wall and thus the extracorporeal lithotripsy is not effective regarding the removal of these stones.<\/p><p>Furthermore, stones that are found lower in the inferior part of the ureter can be difficultly focused by extracorporeal <strong>lithotripsy<\/strong> and consequently its effectiveness is significantly reduced. The success of extracorporeal lithotripsy is also limited in case of ureteral stones in obese patients or in patients with skeletal abnormalities, due to the difficulty to focus the shock waves.<\/p><p><img decoding=\"async\" class=\"wp-image-496 aligncenter\" src=\"https:\/\/www.vakalj.gr\/wp-content\/uploads\/2022\/06\/P49.jpg\" alt=\"\" width=\"294\" height=\"271\" srcset=\"https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P49.jpg 190w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P49-159x146.jpg 159w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P49-50x46.jpg 50w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P49-81x75.jpg 81w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/>The solution for all these cases is <strong>ureteroscopic laser lithotripsy.<\/strong> This method is performed with the aid of a special thin instrument, which is called ureteroscope, that passes through the regular exiting way of the urine, without any incision, is entering the ureter under direct view with the aid of a camera and locates the stone. Then, through the working channel of the instrument passes the laser fiber, that breaks the stone into smaller pieces.<\/p><p><img decoding=\"async\" class=\"size-full wp-image-497 aligncenter\" src=\"https:\/\/www.vakalj.gr\/wp-content\/uploads\/2022\/06\/P52.jpg\" alt=\"\" width=\"280\" height=\"281\" srcset=\"https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52.jpg 280w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52-150x150.jpg 150w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52-145x146.jpg 145w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52-50x50.jpg 50w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52-75x75.jpg 75w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52-85x85.jpg 85w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P52-80x80.jpg 80w\" sizes=\"(max-width: 280px) 100vw, 280px\" \/>These pieces are afterwards either removed by themselves, or removed with special collection \u201cbaskets\u201d, that pass again through the working channel of the ureteroscope. This method is performed either with general or with epidural anesthesia and the patient can be discharged from the clinic on the same day, without even one night of hospitalization. <strong>The effectiveness of the method is almost 100% and the complications are negligible.<\/strong><\/p><p><img decoding=\"async\" class=\" wp-image-498 alignleft\" src=\"https:\/\/www.vakalj.gr\/wp-content\/uploads\/2022\/06\/P53-300x219.jpg\" alt=\"\" width=\"434\" height=\"317\" srcset=\"https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P53-300x219.jpg 300w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P53-200x146.jpg 200w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P53-50x37.jpg 50w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P53-103x75.jpg 103w, https:\/\/vakalj.gr\/wp-content\/uploads\/2022\/06\/P53.jpg 500w\" sizes=\"(max-width: 434px) 100vw, 434px\" \/><\/p><p><strong>The use of the flexible ureteroscope,<\/strong> in contrast with the rigid one, offers the possibility of accessing kidney stones too, as it can, in contrast with the rigid instrument, pass in the drainage system of the kidney and fragment kidney stones. Of course, the effectiveness of this technique cannot reach the effectiveness of percutaneous nephroscopy (refer to treatment of nephrolithiasis on the questions page), but it is more advantageous, due to the fact that it is minimally invasive, in contrast with nephroscopy, as there is no disruption of tissues and, if combined with the non-invasive extracorporeal lithotripsy for the stone residues that are not accessible with the flexible ureteroscope, the ratio effectiveness -morbidity is excellent.<\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd89eee elementor-widget-divider--view-line elementor-invisible elementor-widget elementor-widget-divider\" data-id=\"fd89eee\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInRight&quot;}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ad7a09e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ad7a09e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-daf6599\" data-id=\"daf6599\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Read More Read More Read More Read More Read More Previous Next Lithiasis Effective and immediate elimination of stones The method of endoscopic laser lithotripsy Effective<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":3,"featured_media":1127,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lithiasis | Dr. \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0392\u03b1\u03ba\u03b1\u03bb\u03cc\u03c0\u03bf\u03c5\u03bb\u03bf\u03c2<\/title>\n<meta name=\"description\" content=\"The method of endoscopic laser lithotripsy offers an effective and immediate elimination of stones with a 100% effectiveness and negligible complications. 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