Kidney stone surgery: How removing stones and avoiding prolonged stent use can improve your quality of life

Written in association with: Mr Luke Forster
Published: | Updated: 16/10/2024
Edited by: Karolyn Judge

Do you require kidney stone surgery, and would like expert insight into how it can help you? Leading consultant urologist Mr Luke Forster tells us all about this procedure, considering how avoiding prolonged stent use can improve your quality of life, in particular.

 

Woman who has had kidney stone surgery

What are kidney stones?

Kidney stones are hard deposits made of minerals and salts that form inside the kidneys. They can vary in size, and when they block the urinary tract, they cause severe pain, discomfort and complications such as infections or kidney damage.

 

 

Kidney stone surgery options

When kidney stones are too large to pass naturally or cause complications, surgery may be necessary. The most common surgical options include:

Extracorporeal shock wave lithotripsy (ESWL): This non-invasive procedure uses sound waves to break kidney stones into smaller fragments, allowing them to pass through the urine.

 

Ureteroscopy: A thin scope is passed through the urethra to reach the stone, which can then be removed or broken up with a laser.

 

Percutaneous nephrolithotomy (PCNL): For larger stones, this procedure involves making a small incision in the back to access and remove the stone directly.

 

 

Why is it important to avoid prolonged stent use?

In some cases, a stent is placed in the ureter to help drain urine and relieve pressure on the kidneys before or after surgery. While stents are effective, prolonged use can cause discomfort, increase the risk of infection, and lead to complications such as stent migration or encrustation. It’s important to follow your doctor’s recommendations for stent removal to avoid these risks and improve your recovery.

 

 

How removing kidney stones improves quality of life

Kidney stone surgery, when performed promptly and efficiently, can significantly improve a patient's quality of life by:

Relieving pain: Removing stones can bring immediate relief from the intense pain associated with kidney stone attacks.

 

Preventing infections: Stones left untreated can cause infections, which may lead to serious complications if not addressed.

 

Protecting kidney function: Prolonged obstruction from stones can damage the kidneys. Surgery can help protect kidney function and prevent long-term issues.

 

 

Avoiding prolonged stent use and ensuring proper stone removal helps patients recover faster and return to their daily lives without the pain and discomfort associated with kidney stones. Following a personalised post-surgery plan, including dietary changes and regular check-ups, can also reduce the risk of recurrence.

 

 

 

If you think you require surgery for kidney stones, arrange a consultation with Mr Forster via his Top Doctors profile.

By Mr Luke Forster
Urology

Mr Luke Forster is a consultant urological surgeon in Buckinghamshire and Berkshire, who specialises in kidney stonesbenign prostate enlargement and bladder complaints, alongside haematuria (blood in the urine)laser lithotripsy and prostate problems. He privately practises at Parkside Private Suites at Wexham and Heatherwood, as well as Princess Margaret Hospital in Windsor. His NHS base is the Frimley Health NHS Foundation Trust. Here, he serves as the clinical lead at Wexham Park Hospital and the cross-site deputy lead for Urology. 

After qualifying with distinction from Guy's, King's and St Thomas' Medical School at King's College London in 2010, Mr Forster also earned a first-class honours degree in Health Psychology. He completed an elective placement at the Mayo Clinic, USA, and contributed to one of the first studies on Patient Reported Outcome Measures (PROMs) in surgical patients. His postgraduate training saw him specialise in urology across Yorkshire and London, completing his FRCS Urology in 2019. He went on to work in the tertiary stone units at Royal Free Hospital and Imperial College Healthcare NHS Trust, focusing on improving the care of patients with kidney stones and obstructed kidneys.

Mr Forster holds an MSc in Medical Education and is the Director of Undergraduate Medical Education at Frimley Health. In 2023, he was recognised for his excellence in teaching with the Best Undergraduate Teacher Award. His dedication to improving patient care extends to his leadership roles, where he has spearheaded service improvements, introducing the latest technologies and techniques to enhance patient outcomes, particularly in the management of kidney stones, urine symptoms and testicular pain.

Mr Forster's contributions to the field of urology and his leadership in service improvement have earned him Clinical Excellence Awards in both 2023 and 2024. As a former Chairman of the British Association of Urological Surgeons (BAUS) Section of Trainees (2018-2020), he has played a pivotal role in shaping national training standards and led fundraising and educational initiatives with The Urology Foundation, a UK-based charity.

In addition to his clinical and teaching roles, Mr Forster remains committed to patient safety and improving the patient experience. He works collaboratively with radiology, anaesthetics and other medical specialties to ensure comprehensive and safe care for his patients, often providing second opinions for complex cases. He is particularly passionate about ensuring that older patients with urine problems are treated with dignity and receive appropriate care.

Mr Forster sees local, national and international patients using e-consultation and in-person appointments.

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