Most kidney stones today can be treated without open surgery, often as day-care, often the same week you walk in. Dr. Deepesh Kalra has personally performed over 10,000 endoscopic urology procedures — including hundreds of RIRS, PCNL, and ESWL stone surgeries — at Kalra Endo-Uro Care in Rajapark, Jaipur.
Don't drive to a clinic. Call us first. We'll triage your case and tell you exactly what to do.
📞 Call Emergency LineA kidney stone is a hard, crystalline mineral mass that forms inside one or both kidneys when certain substances in your urine — calcium, oxalate, uric acid, cystine — become too concentrated and crystallise. Small stones (under 4 mm) often pass on their own. Larger stones get stuck, block urine flow, and cause the kind of pain people frequently describe as the worst they've ever experienced — including patients who have given birth.
In medical terms, the condition is called urolithiasis (stones anywhere in the urinary tract), nephrolithiasis (stones in the kidney specifically), or ureterolithiasis (stones lodged in the ureter).
The classic kidney stone pain has a pattern — once you know it, you'll recognise it.
Stones look similar from outside the body. Inside, they're chemically very different.
The most common type. Form when calcium combines with oxalate (spinach, beetroot, nuts, chocolate, tea) in concentrated urine.
Form in acidic urine — gout, diabetes, obesity, high-protein diet. Often dissolvable with medication alone if caught early.
Linked to urinary infections. Grow large quickly — sometimes filling the entire kidney (staghorn calculi). Always need surgical removal.
Rare. Caused by an inherited condition (cystinuria). Run in families and often appear in young patients.
At your first consultation, Dr. Kalra will assess your symptoms and order the right tests — not every test.
Not every stone needs surgery. And of the stones that do, not every stone needs the same procedure.
| Treatment | Best for | Anaesthesia | Stay | Recovery | Cost |
|---|---|---|---|---|---|
| Medical managementTablets + fluids | < 5 mm · uric acid stones | None | None | Ongoing | ₹ |
| ESWLShock wave lithotripsy | < 10 mm · well-positioned | None / sedation | Same day | 2–3 days | ₹₹ |
| RIRSRetrograde intrarenal surgery | Up to 20 mm · hard / lower pole | General / spinal | Same day or next | 3–5 days | ₹₹₹ |
| Mini-PCNLMini percutaneous | 15–30 mm · multiple / hard | General | 1–2 days | 5–7 days | ₹₹₹ |
| Standard PCNLPercutaneous | > 30 mm · staghorn | General | 2–4 days | 7–10 days | ₹₹₹₹ |
Medical management works for small stones under 5 mm with no infection or blockage. Tablets, water, alpha-blockers, follow-up imaging at 2–4 weeks.
ESWL uses focused sound waves from outside the body to break stones into sand-sized fragments. No cuts, no scope. Best for soft, well-positioned stones under 1 cm.
RIRS is the modern gold standard for medium stones. A flexible scope through the urethra; Holmium or Thulium Fiber laser fragments the stone. Same-day discharge often possible.
Mini-PCNL and PCNL work through a small keyhole in the back, directly into the kidney. The right choice for stones over 2 cm or multiple stones.
Dr. Deepesh Kalra holds M.S., M.Ch (Urology), and DrNB, and was awarded the H.S. Bhat Gold Medal by the President of India.
Medical management, ESWL, RIRS, mini-PCNL, standard PCNL — no referral needed. We choose the right treatment.
Holmium plus Thulium Fiber Laser — the same systems used at Fortis Gurugram and Apollo Chennai.
Every retrieved stone is sent for chemical analysis at no extra charge. Most clinics skip this. We don't.
| Procedure | Starting from |
|---|---|
| Initial consultation | ₹ [____] |
| Medical management (per visit) | ₹ [____] |
| ESWL (per session) | from ₹ [____] |
| RIRS laser surgery | from ₹ [____] |
| Mini-PCNL | from ₹ [____] |
| Standard PCNL | from ₹ [____] |
| Stent placement / removal | from ₹ [____] |
| Stone chemical analysis | Included |
Most CGHS / ECHS / PSU panels supported. We handle pre-authorisation paperwork for you. Call +91 9509370455 for a personalised estimate. EMI options available for self-pay patients.
Review of symptoms, prior imaging, physical exam. Diagnostic plan finalised.
Blood, urine, ultrasound — most same day on-site. NCCT KUB within 24 hours.
Diagnosis, recommended procedure, indicative cost — all in writing.
Surgery scheduled at earliest mutually convenient slot.
Stent removal if placed. Stone analysis report. Prevention plan made.
| Procedure | Hospital stay | Off work | Back to gym | Stent removal |
|---|---|---|---|---|
| Medical mgmt | None | None | None | N/A |
| ESWL | Same day | 1–2 days | 1 week | N/A |
| RIRS | Same day–1 | 3–5 days | 2 weeks | 2–4 weeks |
| Mini-PCNL | 1–2 days | 5–7 days | 3 weeks | 2–4 weeks |
| Standard PCNL | 2–4 days | 7–10 days | 4 weeks | 2–4 weeks |
Surgery removes the stone you have. Prevention is about not forming the next one.
I'd been carrying a 14 mm kidney stone for two years. Two hospitals said open surgery. Dr. Kalra did it with PCNL — three days later I was back home, walking, working.
The classic signs are sharp one-sided back/side pain, blood in urine, nausea, and pain in waves. Some stones cause no symptoms. The definitive test is imaging — ultrasound first, sometimes NCCT.
Yes — most stones under 5 mm pass within 2–4 weeks with hydration and pain control. Stones 5–10 mm pass about 50% of the time. Stones over 10 mm usually need procedural treatment.
As a guide: over 6–7 mm in the ureter, over 10 mm in the kidney, any stone causing infection or blockage, any stone in a single kidney usually warrant treatment.
RIRS varies from a few tens of thousands at smaller centres up to ₹2 lakh+ at metro corporates. At Kalra Endo-Uro Care, RIRS starts from a transparent published rate, with cashless TPA partners accepted.
RIRS: natural urethral route, no external cut, stones up to 2 cm, faster recovery. PCNL: small keyhole through the back, stones over 2 cm, higher clearance for large/complex stones.
RIRS: desk work in 3–5 days, gym in 2 weeks. Mini-PCNL: 5–7 days / 3 weeks. Standard PCNL: 7–10 days / 4 weeks.
A DJ stent keeps the ureter open while the kidney heals. Not painful when still — some bladder irritation possible. Removed at a brief outpatient procedure 2–4 weeks later.
Without prevention, about half of patients form another stone within 5 years. With a personalised plan based on stone analysis, recurrence drops dramatically.
Yes — kidney stone surgery is covered by all major Indian health insurers. We handle pre-authorisation paperwork.
Depends on stone type. Calcium oxalate: spinach, beetroot, nuts, chocolate, strong tea. Uric acid: red meat, organ meats, alcohol. All: less salt, more water.
Most stones — within 24–72 hours of consultation. Emergencies — often same-day or next-day.
Yes. Bring all prior reports, imaging, prescriptions. We give honest assessments — sometimes the answer is 'your current plan is right'.
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