Kidney Stone Surgery Ahead

[jkn2kids]

I have kidney stone surgery scheduled for Aug 19.The first part of the surgery is to place a stent in.Do I need to stop my coumadin for this? Secondly,about 2 or 3 days later,I will have a tube inserted to break up the stone with a laser.Do I enter the hospital a couple of days early to go on heparin until surgery? Please give me your thoughts.

 

[Phyllis]

I can't help you with your question, but I did put you on the calendar. We like to keep track of all our members even when the surgery is not heart related!

 

[WayneGM]

I don't have an answer to your question, but best wishes for a successful surgery.

 

[Cooker]

These are not really question to be answered here....ask your doctors,....I wish you well with the procedure and I hope it is resolved soon.

 

[Guest]

Having had a stent for a kidney stone, I can tell you that it is a soft piece of rubber. Its insertion should not cause you to bleed. You may or may not be instructed to stop warfarin for the laser insertion. If you do stop it, then you should have what is called bridge therapy. Usually this is done as an outpatient with a low molecular weight heparin such as Lovenox. The laser is also encased in a soft material. The greatest risk for bleeding is when the stone fragments pass down the ureter. These fragments came be passed up to six weeks after the surgery. The last time I had it done it was the day after Thanksgiving and I passed the biggest stone fragment in mid-January. So the doctor may decide to continue the warfarin since the actual procedure is not the major time for bleeding. Be sure to discuss this with your urologist. If the urologist wants you to stop warfarin for a week before and after the procedure with no bridging, find another doctor.

 

[ALCapshaw2]

You need to tell your Cardiologist and your Urologist to Consult on this procedure and come to a common understanding and agreement on how to manage your anti-coagulation.

Your anti-coagulation manager can then prepare a schedule and dosing information for Lovenox Bridging. (S)he will also instruct you on how to self administer the injections. It's not fun, but it's not horrible. (If I can do, anybody can do it

The Doctors need to talk directly to each other,
NO messangers or 'middle persons'.

'AL Capshaw'