Munshi Pulia, Lucknow, Uttar Pradesh 226016

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Kidney Stones, Piles & Proctology

Keyhole stone surgery and day-care treatment for piles, fissure and fistula in Lucknow — with the least invasive option that will actually solve the problem.

Stones & Proctology

What We Treat

Two problems patients put off for years, usually because they expect a painful operation and a long stay. In most cases neither is true any more.

Kidney & Ureteric Stones

Stones anywhere from the kidney to the bladder — diagnosed on ultrasound and CT, then treated medically or by a keyhole procedure.

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RIRS & Laser Lithotripsy

Flexible scope passed through the natural urinary passage, stone broken with laser. No cut, usually a single day in hospital.

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PCNL & Mini-PCNL

For large or staghorn kidney stones — cleared through a small keyhole in the flank under imaging guidance.

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Piles (Haemorrhoids)

Graded on examination, then treated with medical therapy, banding, sclerotherapy, laser or stapler surgery as the grade demands.

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Fissure & Fistula

Anal fissure and fistula-in-ano treated definitively, with sphincter-preserving techniques wherever possible.

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Day-Care Surgery

Most stone and ano-rectal procedures are day-care — admitted in the morning, home the same evening.

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Kidney stone diagnosis and treatment in Lucknow

Urology

Kidney, Ureteric & Bladder Stones

Stone pain is the reason most patients first walk in, but pain is a poor guide to how serious a stone is — a silent stone quietly obstructing a kidney does far more damage than a small one that hurts. The first job is always to establish the size, position and whether the kidney is obstructed.

  • Ultrasound, X-ray KUB and CT urography to size and locate the stone
  • Kidney function and infection screening before any procedure
  • Medical expulsive therapy where the stone is small enough to pass
  • Clear criteria for when intervention is genuinely needed
  • Metabolic assessment for patients who form stones repeatedly
  • Diet and fluid plan to reduce the chance of recurrence
RIRS and laser lithotripsy for kidney stones, Lucknow

Laser Treatment

RIRS, URSL & Laser Lithotripsy

RIRS (retrograde intrarenal surgery) and URSL reach the stone through the body’s own urinary passage — there is no cut on the body at all. A holmium laser breaks the stone into fragments small enough to pass or be removed.

  • No external incision — access through the natural passage
  • Suited to kidney and ureteric stones up to roughly 2 cm
  • Usually a single day in hospital, back to desk work in two to three days
  • A temporary DJ stent is often placed and removed after two to three weeks
  • High clearance rates with a low risk of injury to the kidney
  • Spinal or general anaesthesia depending on the case
PCNL keyhole kidney stone surgery in Lucknow

Keyhole Surgery

PCNL & Mini-PCNL

For large, hard or staghorn stones that cannot be cleared from inside, PCNL reaches the kidney directly through a keyhole in the back, under ultrasound or X-ray guidance. Mini-PCNL uses a narrower tract, which means less bleeding and a quicker recovery.

  • For kidney stones larger than about 2 cm, and staghorn stones
  • A single small tract rather than open surgery
  • Mini and ultra-mini tracts used where the stone burden allows
  • Typically two to three days in hospital
  • Stone sent for analysis so recurrence can be prevented properly
  • Post-operative imaging to confirm the kidney is clear
Piles and haemorrhoid treatment in Lucknow

Proctology

Piles / Haemorrhoids

Piles are graded one to four, and the grade decides the treatment — which is why a patient with early piles should not be pushed into surgery, and a patient with grade four will not be fixed by ointments. We examine and grade first, then offer the least invasive option that will actually work.

  • Proctoscopy and examination to grade the disease
  • Grade 1–2: diet, fibre, medical therapy, banding or sclerotherapy
  • Grade 3–4: laser haemorrhoidoplasty, stapler surgery (MIPH) or excision
  • Laser and stapler procedures mean markedly less post-operative pain
  • Most patients discharged the same day and back to work within a week
  • Bleeding investigated properly — not every bleed is piles
Fissure and fistula treatment in Lucknow

Proctology

Anal Fissure, Fistula & Pilonidal Sinus

Fissure and fistula are frequently mistreated for months with creams before anyone examines the patient. Both have definitive treatments, and the aim throughout is to cure the problem while preserving sphincter function and continence.

  • Anal fissure: medical therapy first, then lateral sphincterotomy or laser if it persists
  • Fistula-in-ano: LIFT, laser (FiLaC) and seton techniques chosen by the tract
  • MRI fistulogram for complex or recurrent fistula
  • Pilonidal sinus: laser or excision with a low recurrence technique
  • Sphincter-preserving approach — continence is protected
  • Follow-up until the wound is fully healed, not just until discharge
Day-care surgical suite at Dr. AP Clinic, Lucknow

Recovery

Day-Care Surgery and Getting Back to Normal

Modern stone and ano-rectal surgery is overwhelmingly day-care. What matters to most patients is not the name of the technique but how long they are off work and how much it will hurt — so we tell you both, in plain terms, before you decide.

  • Admission in the morning, discharge the same evening for most procedures
  • Written pre-operative instructions covering fasting and medication
  • Pain managed with oral medication in the large majority of cases
  • Desk work usually resumed within three to seven days
  • Diet and bowel plan given in writing at discharge
  • A number you can call if something does not feel right

Straight Answers

What Patients Actually Ask Us

Not necessarily. Stones under about 6 mm often pass on their own with fluids, medication and time. Surgery is advised when the stone is too large to pass, is obstructing the kidney, is causing infection, or has not moved despite a fair trial of medical treatment. We will tell you which category you are in and why.

It used to be. Laser haemorrhoidoplasty and stapler procedures work above the pain-sensitive line, so post-operative pain is far less than with the older open operation. Most patients manage on oral painkillers and are back at a desk job within a week.

No, and this matters. Bleeding per rectum can come from a fissure, a polyp, inflammatory bowel disease or a cancer. Anyone over forty with new bleeding, or with a change in bowel habit, weight loss or a family history, should be examined and investigated properly rather than simply handed an ointment.

Most piles, fissure and fistula procedures, and RIRS for stones, are day-care — in the morning, home the same evening. PCNL for a large kidney stone usually needs two to three days.

Roughly half of stone formers form another stone within ten years if nothing changes. That is why we send the stone for analysis and check for a metabolic cause, then give you a fluid and diet plan specific to your stone type — prevention is far cheaper than a second procedure.

Get It Looked At Properly

Both stones and piles get harder to treat the longer they are left. A single consultation tells you what you are dealing with and whether it needs treating now.

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