Hello, I’m Dr. Lane Childs, I’m a urologist. I practice with Summit Urology Groupin Salt Lake City, Utah. So the causes of kidney stonesare often genetic factors, but especially dietary factors. The most common reasons that we see kidney stoneshappen to be the obvious things that people would think about. Dehydration. Salt is a real strong stimulator of kidney stones. Not because kidney stones are made of sodium, but the way the body processes sodium, it gets rid of all the extra salt.
So people that have salt heavy diets. Many stones are able to be passed. But let’s say if a stone is not passable, the patient continues to have symptoms,a stone which is in the ureter, or the tube between the kidney and the bladder, it tends to give a really severe pain on the one side involved. It’s rare for that pain to travel lover to the opposite side of the body.
So if someone has a one sided pain that tends to be working its way downward,or feel it’s radiating down towards the groin or to the low abdomen. Chances are it very well could be a stone. When you couple that with nausea or vomiting that also raises the likelihood that we could be dealing with a kidney stone. If a stone gets into that ureter,it may be treatable with what’s known as ureteroscopy. Ureteroscopy is a small, fiber optic scope which we pass through the urethra, up into the bladder, and then we’re able to pass it up into the ureter tube, between the bladder and kidney to identify the location of that stone.
There are small laser fibers nowadays which can help us fracture and break stones into smaller pieces to make it safe to extract the pieces. Some stones are a size which can actually just simply be carefully grasped and carefully drawn through. One wants to make sure that you’re not traumatizing or injuring the ureter tube in the process. So there’s a whole bunch of different types of treatments for kidney stones. And some are simply not options for certain patients depending on whether they’re very obese,whether or not they’re on blood thinners, whether they have active infection going on, et cetera. These kind of things have to be considered in the process of determining what type treatment is best for a kidney stone.
Vasectomy and Vasectomy Reversal
A vasectomy procedure involves dividing the small tubes,which transport sperm from the testicles on up to the reproductive tract. And, in order to accomplish that, we typically are able to make a small little opening into the scrotum to reach in and make this surgical division of these tubes. There’s one tube per testicle, so typically we’re able to do this procedure through a small, single little opening, and still divide both sides in a procedure that way. The procedure is fairly short. It’s typically done with a local anesthesia.
There are certainly some times some patients with characteristics and scar tissue and changes of their tissues, which makes an out patient sort of approach to vasectomy more difficult than others, but the majority are able to be done as a fairly straight forward procedure in our office in just a matter of a few minutes. There are certainly circumstances that come about that patients have a change of heart and want to consider reversing their vasectomy.
So vasectomy reversal is very dependent on the length of time it’s been since the vasectomy was completed, in terms of its overall long-term success. Vasectomies that have been done over nine to 10 years before have been shown statistically to have a little bit less likelihood of success of reversal. The sperm production, the factory, if you will, tends to be a little less efficient in reproducing the sperm and bringing up the production back to pre-vasectomy levels. I’ve had a lot of experience with different reconstructive techniques that, again, it’s very gratifying to see the success rates for that.