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Laser Lithotripsy

What are kidney stones?

Kidney stones are solid pieces of material that form when substances normally found in the urine, such as mineral and acid salts, become concentrated and crystallize. A stone can range in size from a grain of sand to as large as a golf ball. It may remain in the kidneys or travel down the urinary tract into the ureter. A small stone may pass on its own, causing little or no pain. However, a larger stone may get stuck along the tract and block the flow of urine, resulting in intense pain or bleeding.

Anyone can develop a kidney stone, but some people are more likely to get one.

Those with increased risk include:

  • Men
  • Overweight and obese individuals
  • Individuals with a family or personal history of kidney stones
  • Dehydrated individuals
  • Individuals who maintain diets high in protein, sodium, or sugar.
  • Individuals with certain bowel conditions, such as chronic diarrhea and Crohn’s disease, or those who have undergone gastric bypass surgery
  • Individuals with other medical conditions including renal tubular acidosis, cystinuria, hyperparathyroidism, certain medications, and some urinary tract infections

Symptoms

Kidney stones do not always cause pain. If they do, the first sign can often be the sudden development of intense, unrelenting, and contraction-like pain in the side and back, below the ribs that spread to the lower abdomen and groin.

Other symptoms may include:

  • Nausea and vomiting
  • Blood in the urine
  • Painful or frequent urination
  • Foul-smelling or cloudy urine
  • Fever (if an infection is present)

Diagnosis

Tests and procedures to diagnose kidney stones include:

  • Detailed family history, lifestyle and dietary habits
  • Blood tests
  • Urine tests
  • Imaging tests
  • Analysis of passed stones

What is a Lithotripsy?

A lithotripsy is a medical procedure involved in removingAdobeStock 191194801 kidney / bladder stones through the use of different processes. Kidney and bladder stones are solid pieces of material that form when substances normally found in the urine, such as minerals and acid salts, become concentrated and crystallized. These stones can grow up to the size of a golf ball. If the stone attempts to exit through the urinary tract, this may lead to immense pain and likely bleeding. Through the lithotripsy procedure, these stones are broken down through the use of laser or shock waves.

What is Laser Lithotripsy?

Laser Lithotripsy is going to be the minimally invasive form of kidney/bladder stone removal. This procedure involves the use of an ureteroscope. The ureteroscope acts as a camera for your Urologist. He uses this camera to navigate through the urinary tract into the ureter or kidney. Once inside, he will locate the stone. The ureteroscope also acts as a tube for a fiver to extend out. This fiber creates a laser that will then breakdown the kidney or bladder stone. If necessary, a stent will then be placed within the ureter to protect it as the stones pass through. Once the stones have completely passed, your Urologist will remove the stent. This usually takes a few days to a couple weeks.

Post Laser Lithotripsy

Effects of lithotripsy sometimes may be painful. You’re likely to see bleeding within your urine and pains within your lower abdomen. The best way to relieve pain is to drink large amounts of water and using some type of oral pain medication. If problems persist for more than a week such as continued bleeding, severe pain, or a strong feeling of needing to urinate, then contact your health care provider immediately. Although seldom, these kidney stones may cause bleeding near the kidney, a blockage within your urinary tract or possibly severe damage where the stone was residing.

Contact a medical professional at Z Urology if you have any of the following symptoms,

  • Blood in the urine.
  • Painful or frequent urination.
  • Foul-smelling or cloudy urine.
  • Fever (if an infection is present.)

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

Whether you're experiencing urinary symptoms, dealing with a chronic condition, or need specialized treatment, Z Urology is your go-to care team. We provide the highest quality of care and truly value patient communication so you feel comfortable and informed every step of the way.

Contact Z Urology today to book an appointment and take the first step towards better urological health!
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