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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > Kidney Stone Surgery
Expert: Arthur Goldstein, M.D.
Date: 9/28/2008
Subject: Kidney Stone Surgery
Question
My mother has kidney stones. She had a surgery 3 years ago. She had it done in Hong Kong. Unfortunately, kidney stones weren’t completely removed. The symptoms are coming back now. We live in Chicago area. She doesn’t have insurance. Therefore, I would like to know how it would cost to have kidney stones removed.
I just want to get a general idea.
Your reply is greatly appreciated.
Thanks,
Chen
Answer
Chen, I cannot give you a specific answer to your cost question for many reasons. First, there are a number of different options in treating kidneys stones such as ESWL (extracorporeal shock wave therapy - also referred to as the "stone bath"), percutaneous stone removal, and open surgery. With ESWL, the patient's stones are fragmented with energy and the pieces are then passed over time. Percutaneous removal is done in an operating room where the kidney pelvis is accessed via a puncture wound in the back and the stones fragmented and removed under direct vision with instruments (nephroscope). Open surgery is what you mother apparently had with her first stone. The decision as to the best type of procedure depends on many factors including the size & location of the stone(s), the presence or absence of obstruction &/or infection and the general health of the patient. In addition to the cost varying significantly between the procedures, each region of the country has totally different payment schedules. My suggestion is that your mother first needs to see a urologist in consultation for initial evaluation and recommendations as to what stone removal technique is best for her. Because she has no insurance, there may be a urology clinic in your area that will provide this free of charge. This information can usually be obtained from your local county medical society. You can then inquire locally as to the cost involved in getting this performed in your area. Good luck.
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