The Center for Endourology and Stone Disease is located within the Glickman Urological & Kidney Institute. Through a multidisciplinary approach, urologists and nephrologists explore all medical and surgical treatment options to ensure the most successful possible outcome for each patient. Our program is the busiest in the United States with more than 1,000 surgical procedures for kidney stones performed every year.
Experienced urologists and nephrologists investigate the causes of kidney stone formation through 24-hour urine analyses and blood tests. They then develop prevention strategies tailored to individual patients. Our patients receive a better understanding of why their kidney stones develop and what lifestyle changes they can make to prevent them.
Patients are provided with dietary recommendations based upon the results of their 24-hour urine evaluation. While encouraging increased fluid intake is a universal recommendation, all dietary interventions are not the same. Tailored dietary plans are mutually agreed upon with the patient, label reading is discussed and other health-related issues are incorporated into the dietary instructions for a comprehensive approach to managing kidney stone recurrence.
At Cleveland Clinic, our urologists are trained in performing shockwave lithotripsy under conscious sedation. This technique is used in select patients, decreasing the risks and recovery time associated with the procedure. Cleveland Clinic Urologists were among the first in Ohio to use shockwave lithotripsy, and more than 3,000 patients have undergone it here.
Percutaneous nephrolithotomy is used for larger stones. Our urologists perform on average four to six percutaneous nephrolithotomy procedures per week – more than the average urologist in the United States performs annually. Cleveland Clinic urologists also employ a “tubeless” approach in select patients to avoid the pain and inconvenience of a tube coming out the back.
We are exploring questions important to answer for all stone formers:
- Why do stones form?
- Which surgical procedures lead to the best outcomes with the least amount of pain and risk?
- Which dietary and medical approaches to stone prevention are the most effective?
- Can we identify new ways to prevent stones?
- Can we identify novel ways to help stones to pass while they are small rather than grow to the size where they cause pain?
- How do medications and other diseases impact the risk of stones?
- Can exercise help prevent stones?
- How much does your family history impact your risk for stones?
- Can we determine what type of stone you have using new x-ray technologies?
- How much does kidney stone disease impact your quality of life?
- Can we design new medical devices to help in kidney stone surgery?
- How can we decrease the amount of radiation used to diagnose stones?
- How can we predict if your stone will pass?