World-class medicine in Durban: Urologists make SA history with high-tech kidney stone removal

World-class medicine in Durban: Urologists make SA history with high-tech kidney stone removal

- Patients who undergo kidney stone removal through the percutaneous approach are normally hospitalised for two to three days

- South Africa’s first-ever procedure to remove kidney stones using a needle was successfully performed by a team of urologists at Inkosi Albert Luthuli Central Hospital (IALCH) in KwaZulu Natal

- The surgery is a world-class, high-tech procedure and the first of its kind performed in South Africa

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Three patients, aged 58, 66, and 62, were operated on by KwaZulu-Natal doctors for kidney stones, using a ground-breaking new procedure that involves the removal of kidney stones using a needle rather than open surgery.

The procedures were a success, and the patients are all doing well, after being operated on by Dr. E.H. Abdel Goad and his team.

Dr. Goad said: “Our hospital carries the major burden of the management of urinary tract stones.

“Traditionally, percutaneous surgery (PCNL) was only done as an alternative to open surgery. However, access to the kidney was via a bigger 35f hole, due to the available instruments size.”

Known as mini percutaneous nephrolithotomy surgery, this kind of surgery involves needle-puncture of the skin to get to the stones and remove them, gathered.

World-class medicine in Durban: Urologists make history with high-tech kidney-stone removal

KZN Health MEC Dr. Sibongiseni Dhlomo and Dr. EH Abdel Goad. Photo: The Citizen

The KZN health department said patients who undergo kidney stone removal through traditional open surgery are normally hospitalised for seven to 10 days post-operation, compared to two to three days in the case of the percutaneous approach.

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Dr. Goad said the risk of bleeding, losing the kidney and at least some loss of nephrons was the major obstacle for such surgeries.

“In the recent years, the instruments were modified to reach the smaller size of 12f (in comparison to 35f) which significantly minimised the risks associated with the traditional PCNL.

“I attended several meetings on improving the surgeries of MiniPCNL. The procedure is technically challenging. However, with the help of one of the local and international experts in traditional PCNL, Dr. Haroon Patel, we were able to successfully operate on three patients. They were discharged after just two days,” said Dr. Goad.

KZN Health MEC Dr. Sibongiseni Dhlomo congratulated the team of urologists for the achievement and urged them to continue working hard.

“I commend our team of urologists who have made this ground-breaking operation of removing kidney stones using this high technique of just inserting a needle in the skin and getting them out.

“It’s the first of its kind and we welcome it. We would want to say to our people, yes we are focusing on primary healthcare, but we are still very happy to see such procedures that use such a high level of technology.

“We thank the doctors for the good work that they’ve done. May they continue doing well and being an inspiration to others.”

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