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Urology • Andrology • ReSurgeClinic
Kidney Stones and Urinary Stone Disease
At ReSurgeClinic in Kyrenia / Cyprus, kidney stones, ureter stones and bladder stones are evaluated by Assoc. Prof. Necmi BAYRAKTAR according to stone location, size, effect on the kidney, infection risk and the patient’s general condition. In stone disease, emergencies are excluded first; in patients who do not benefit from medical treatment or require active intervention, minimally invasive options such as URS, RIRS, percutaneous stone surgery, supine percutaneous technique and combined stone treatment (ECIRS) are planned individually.
Emergency assessmentURS / RIRSPercutaneous stone surgerySupine PCNL / ECIRS
During the first consultation
The main complaint, duration of symptoms, previous treatments, accompanying diseases, medications, expectations and relevant examination findings are evaluated together.
Clinical focus
The aim is not to apply the same treatment to every patient, but to understand the underlying mechanism and choose the safest suitable step.
Treatment logic
Follow-up, medical treatment, minimally invasive procedures or surgery are discussed step by step according to the patient’s condition.
How does stone disease present?
Kidney or ureter stones may cause flank pain, nausea, blood in urine, burning, frequent urination or sometimes silent obstruction.
The severity of pain alone does not always show the seriousness of the stone; obstruction and infection risk are critical.
Stone-related emergencies
Fever, chills, infection with obstruction, a single kidney, kidney failure risk or uncontrolled pain require urgent evaluation.
A febrile obstructed kidney is not only a pain problem; it may become a serious infection risk requiring drainage.
How is diagnosis made?
Urinalysis, blood tests, ultrasound and when necessary CT imaging help define stone location, size, obstruction and infection risk.
Treatment is chosen according to the stone and the patient, not according to the name of the method alone.
Not every stone is treated with the same method
Small stones may pass with follow-up and medical support, while larger or obstructing stones may require intervention.
URS, RIRS, PCNL, supine PCNL or ECIRS are selected according to stone location, size, anatomy and infection status.
URS, RIRS, percutaneous surgery and ECIRS
URS is used for stones in the ureter through the natural urinary tract; RIRS is used for selected kidney stones through a flexible scope.
Percutaneous stone surgery is powerful for large kidney stones. Supine percutaneous positioning and ECIRS may allow combined access in selected complex stones.
Emergency distinction
Fever, obstruction or kidney risk changes the priority of treatment.
URS
Endoscopic treatment for ureter stones through the natural urinary tract.
RIRS
Flexible endoscopic treatment for selected kidney stones.
PCNL / ECIRS
Powerful options for large or complex stones, planned individually.
Frequently asked questions
Does every kidney stone need surgery?
No. Some stones can be followed or treated medically; others require intervention.
When is stone disease urgent?
Fever, infection, obstruction, single kidney or uncontrolled pain require urgent evaluation.
How is the treatment method chosen?
Stone size, location, obstruction, infection risk, anatomy and general health determine the method.
