Renal Health & Intervention
Centre for Renal Health and Intervention The department of Nephrology at the Centre for Renal Health and Intervention (CRHI), Meitra Hospital, Kozhikode aims to provide comprehensive clinical care integrated with transparent, ethical practices and cutting edge research. Our endeavour is to facilitate an exceptional experience for patients tethered to the best possible clinical outcomes, in tune with the larger Meitra Hospital vision. The department in phase one of inception is manned by two consultants and assisted by a dedicated team of Dialysis nurses, Technicians and other support staff. Comprehensive Nephrology care is offered; comprising of outpatient services including multidisciplinary speciality clinics, in patient renal care including consultation service and ICU dialysis, maintenance hemodialysis, peritoneal dialysis, treatment of poisoning, renal biopsy and management of Glomerular disease, Plasmapheresis and Plasma Exchange, The centre is equipped to provide the full range of transplantation services both living donor and deceased donor kidney transplantation. The hemodialysis unit and outpatient clinics of the CRHI are located on the first floor in the main outpatient area adjacent to the day care space. The outpatient department will function daily 9.30 AM to 5.00 PM. Maintenance hemodialysis unit will be operational Monday to Saturday 7.30 AM to 5.30 PM. Emergency hemodialysis will be provided round the clock. Inpatient services are available throughout the day.

Ureteroscopy

Ureteroscopy is a procedure done to find and sometimes treat problems in the urinary tract. A thin, flexible tube is inserted into your bladder and ureter for this procedure. Ureteroscopy is usually done when you have kidney stones in your ureter. It is also done for polyps, tumours or abnormal tissue somewhere in your urinary tract.

Procedure

  • Ureteroscopy is done under general anaesthesia and may last from 1 to 3 hours.
  • The procedure is done under general anaesthesia.
  • You will be instructed to urinate and empty your bladder before the procedure begins.
  • Your urologist will insert an instrument called the ureteroscope into your ureter and bladder. This allows your doctor to look into your ureter, find the stones and remove them.
  • For small stones, they may be snared with a tiny wire basket device and removed completely from the ureter.
  • For large stones, or if the diameter of the ureter is narrow, stones are needed to be fragmented, which is usually accomplished with a laser. 
  • Once fragmented, these pieces of stones are removed.
  • A temporary ureteral stent may be left inside the ureter to ensure that the kidney drains the ureter well.

Benefits

  • It allows to get a very clear view of the urinary tract
  • Removes or break up stones completely 
  • It also enables to take out suspicious looking tissue
  • It can treat stones located at any position in the ureter and kidney
  • Allows treatment of stones that cannot be seen on an x-ray

Risks

  • Injury to the ureter
  • Infection
  • Discomfort while urinating afterwards 
  • Complete removal of large stones may not be possible

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