Urologia

Pedras nos Rins

ESWL shock wave, ureteroscopy (URS) with holmium laser, and percutaneous nephrolithotomy (PCNL) widely available.

Opções de Tratamento

Centros Recomendados

$2,500

A partir de

7-21 dias

Espera Típica

Planos de Tratamento para Pedras nos Rins

Compare opções baseadas em evidências nos principais hospitais chineses — preços transparentes, tempos de espera e recuperação.

Plano Principal

Ureteroscopy + Holmium Laser Lithotripsy

Flexible URS with laser fragmentation for stones <2cm.

Tempo de Espera

3-5 days

Internação

1-2 days

Recuperação

1 week

Preço Estimado

Approx. $3,500

Ver Introdução Detalhada — Procedimento, Comparação de Preços e Mais

Comparação de Preços: China vs EUA

🇨🇳 China

$2,500

🇺🇸 EUA

$13,750+

Economize até $11,250 por tratamento

Etapas do Procedimento

Pre-op: CT KUB + urine culture + stent placement if obstruction

Spinal or general anesthesia + lithotomy position

Flexible ureteroscope (with digital sensor) advanced through urethra → bladder → ureter

Guidewire placement + ureteral access sheath (9.5-14F)

Stone visualization + holmium:YAG laser dusting or fragmentation

Laser settings: low-energy high-frequency for dusting (0.3J × 50Hz)

Basket extraction of larger fragments

JJ stent placement × 1-2 weeks

What is RIRS?

Retrograde intrarenal surgery uses a flexible ureteroscope to access kidney stones through the natural urinary tract — no skin incisions. The holmium laser fragments stones into fine dust that passes spontaneously.

Why China?

Cost: $3,500-$6,500 vs. $10,000-$25,000 in the US
Latest scopes: Single-use LithoVue, reusable WiScope — at major urology centers
Thulium fiber laser: Faster dusting than holmium, available at premium centers
Same-day discharge: Outpatient procedure possible

Who is a candidate?

Ureteric or kidney stones <2cm
Failed SWL
Lower pole stones 1-2cm
Anticoagulated patients (lower bleeding risk than PCNL)
Bilateral stones

Outcomes

Stone-free rate: 85-95% for stones <1cm, 75-85% for 1-2cm. Complication rate: <5%. Return to normal activities: 3-5 days.

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Percutaneous Nephrolithotomy (PCNL)

For large staghorn stones — direct kidney puncture approach.

Tempo de Espera

5-7 days

Internação

5-7 days

Recuperação

2-3 weeks

Preço Estimado

Approx. $6,500

Ver Introdução Detalhada — Procedimento, Comparação de Preços e Mais

Comparação de Preços: China vs EUA

🇨🇳 China

$5,000

🇺🇸 EUA

$22,500+

Economize até $17,500 por tratamento

Etapas do Procedimento

Pre-op: non-contrast CT + urine culture + coagulation panel

General anesthesia + prone or supine position

Retrograde ureteral catheter placement for injection of contrast/methylene blue

Ultrasound or fluoroscopy-guided puncture of target calyx

Tract dilation to 24-30F (mini-PCNL: 16-22F)

Nephroscope insertion + stone fragmentation (laser or pneumatic)

Stone extraction with basket or suction

Nephrostomy tube placement × 1-2 days or tubeless exit

What is PCNL?

Percutaneous nephrolithotomy is the gold-standard treatment for large kidney stones (>2cm) and complex staghorn calculi. Through a small flank incision, a tract is created to the kidney allowing direct stone fragmentation and removal.

Why China?

Mini-PCNL expertise: Chinese urologists pioneered mini (16-22F) and super-mini (12-14F) PCNL for reduced morbidity
Cost: $4,500-$8,500 vs. $15,000-$35,000 in the US
Ultrasound-guided puncture: Reduces radiation exposure, improves accuracy
Same-session bilateral: Both kidneys treatable in one anesthesia

Who is a candidate?

Kidney stones >2cm (or >1.5cm in lower pole)
Staghorn calculi
Cystine or struvite stones
Failed SWL/RIRS
Anatomic abnormalities (horseshoe kidney, calyceal diverticulum)

Outcomes

Stone-free rate single session: 75-90% (depending on size/complexity). Major complications: 3-5% (bleeding, infection). Hospital stay: 3-5 days standard, 1-2 days tubeless.

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Os preços são faixas indicativas em USD baseadas nas tarifas publicadas. A cotação final depende dos seus registros médicos e hospital selecionado — solicite uma estimativa personalizada gratuita.

Por que a China para Pedras nos Rins?

High-volume teams at 1/4 US cost; same-day URS + laser lithotripsy common.

Hospitais Recomendados para Pedras nos Rins

Selecionados por volume de casos, resultados e experiência com pacientes internacionais.

Beijing

Sobre Pedras nos Rins

Sintomas Comuns

Severe flank pain
Hematuria
Nausea/vomiting
Urinary urgency
Fever (if infected)

Causas Comuns

Dehydration
Hypercalciuria
Hyperoxaluria
Uric acid lithiasis
Genetics

Métodos Diagnósticos

Non-contrast CT (KUB)
Ultrasound
Urinalysis
24-hour urine chemistry

Condições Relacionadas

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Pedras nos Rins

Planos de Tratamento para Pedras nos Rins

Ureteroscopy + Holmium Laser Lithotripsy

What is RIRS?

Why China?

Who is a candidate?

Outcomes

Percutaneous Nephrolithotomy (PCNL)

What is PCNL?

Why China?

Who is a candidate?

Outcomes

Por que a China para Pedras nos Rins?

Hospitais Recomendados para Pedras nos Rins

Peking Union Medical College Hospital

Zhongshan Hospital, Fudan University

Sun Yat-Sen University Cancer Center

Sobre Pedras nos Rins

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