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Advanced Endourology

Kidney Stone Disease

Recurrent, large, and complex kidney and ureteral stones, treated with the approach that fits your anatomy, not a single default technique.

Stones That Are Not Straightforward

Stone disease ranges from a single small stone to large, recurrent, or staghorn stones in patients with complex anatomy or prior surgery. Dr. Farhan offers the full range of endoscopic and percutaneous techniques so the plan can be matched to the stone and the patient.

Success is measured not only by stone clearance, but by getting patients back to work, sleep, travel, and daily life with a plan to reduce recurrence.

Prevention

Lowering your chance of another stone

Removing a stone treats today's problem. The next step is understanding why stones form for you, so the same cycle is less likely to repeat.

Everyday habits

  • Drink enough water to keep your urine light in color, usually about two and a half to three liters a day.
  • Cut back on salt; salty food pushes more calcium into the urine.
  • Keep a normal amount of calcium from food. Cutting out calcium can actually raise stone risk.
  • Go easy on oxalate-rich foods such as spinach, nuts, and dark chocolate if your stones are the oxalate type.
  • Limit sodas and sugary drinks; water, and citrus drinks like lemonade, are kinder to the kidneys.

Finding the cause

  • Stone analysis: any stone or fragment you pass or we remove is sent to the lab to learn exactly what it is made of.
  • A 24-hour urine collection shows how much calcium, oxalate, uric acid, and citrate your kidneys pass in a day.
  • Simple blood tests check for contributing conditions.
  • Together, these results explain why your stones form and which changes will actually help you.

Your prevention plan

  • A plan tailored to your stone type, which may include diet changes, medication, or both.
  • Follow-up imaging at sensible intervals to confirm nothing new is forming.
  • Adjustments over time as your results change.
  • Prevention works: most patients who follow a plan form far fewer stones.

Treatment Options

Choosing the Right Stone Procedure

Ureteroscopy & Laser LithotripsyEndoscopic Stone Surgery

Ureteroscopy & Laser Lithotripsy

A small scope passed through the natural urinary tract allows the stone to be fragmented with a laser and removed, without any incision.

  • No incisions
  • Advanced flexible ureteroscopy for upper-tract stones
  • Usually outpatient

Frequently Asked Questions

How is the surgical approach chosen?+

By stone size, location, composition, kidney anatomy, medical condition, previous treatment, and overall complexity. The objective is to choose the most appropriate approach for the individual patient rather than applying one technique to everyone.

Do all stones need surgery?+

No. Many small stones pass with hydration, medication, and observation. Treatment is recommended when the stone is unlikely to pass, causes obstruction or infection risk, or continues to affect daily life.

I keep forming stones. Can that be addressed?+

Yes. Recurrent stone disease deserves evaluation beyond the current stone, including review of prior imaging, stone analysis, and contributing factors, so the plan addresses prevention as well as removal.

Recurrent or complex stones?

Bring your prior imaging and operative reports, they often change the plan.