Laparoscopic Kidney Stone Surgery in Singapore

During the initial recovery period, pain management is prioritised with medications adjusted to your comfort level. The urinary catheter may be removed within 24 hours if drainage is adequate. You’ll be encouraged to walk short distances to prevent blood clots and improve recovery. Clear liquids progress to regular diet as tolerated. The surgical team monitors urine output and kidney function through blood tests. Mild bloating from residual CO2 gas is common and resolves gradually. Discharge may occur 1-2 days post-surgery once you’re comfortable and mobile.

At home, continue prescribed pain medications as needed, though many patients transition to simple analgesics. Keep incisions clean and dry; showering may be permitted after 48 hours. Avoid heavy lifting (>5kg) and strenuous activities. Light walking is encouraged to promote healing. Some blood in urine may persist, especially if a stent was placed. Drink plenty of water to flush the kidneys. Return to work may be possible for desk jobs within 7-10 days. Your first follow-up appointment may occur within this week to check incisions and review pathology results.

Full recovery may take 2-4 weeks. Gradual return to normal activities is encouraged, with heavy lifting and contact sports restricted for 6 weeks. If a ureteral stent was placed, it may be removed 2-4 weeks post-surgery via cystoscopy. Follow-up imaging (ultrasound or CT) at 3 months can confirm stone clearance and kidney healing. Long-term stone prevention strategies, including dietary modifications and possible medications, are discussed. Regular monitoring with annual imaging may be recommended for those at high risk of recurrence.

Temporary shoulder or abdominal discomfort from residual CO2 gas may occur and typically resolves within a few days. Mild blood in the urine is expected and usually clears within a week. Temporary bladder spasms may occur if a stent is placed, which can be managed with medication. Minor wound bruising and soreness at incision sites are normal. Some patients may experience temporary changes in bowel habits or mild nausea from anaesthesia effects. These common effects are generally self-limiting and resolve with supportive care.

Bleeding requiring transfusion can occur. Infection despite antibiotic prophylaxis is uncommon but requires prompt treatment. Injury to surrounding organs (bowel, spleen, liver) may occur. Urine leakage from the kidney repair site occasionally occurs and usually resolves with prolonged stent drainage. Conversion to open surgery may be necessary due to technical difficulties or complications.

Residual stone fragments requiring additional procedures can occur depending on stone complexity. Deep vein thrombosis or pulmonary embolism, though rare, can be prevented through early mobilisation and compression devices. The surgical team employs careful technique and modern technology to minimise these risks whilst aiming for comprehensive stone removal.