Tokuda Hospital Sofia

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Bloodless Medical Treatment of Kidney Stone Disease Saved a 12-year-old Boy from Surgery

10 january 2018

The team of Dr. Kaloyan Davidov, the head of Urology Department, performed a laser lithotripsy to a 12-year-old boy. The little patient came to Acibadem City Clinic Tokuda Hospital with renal colic caused by a concrement  located in the ureter and clogged the kidney.

The child had a high inflammation marker and was running a high temperature that had not been totally dealt with for weeks despite a couple of antibiotic therapies. To save the child from an open operation for the removal of the stone and to unclog the kidney the team took the decision to perform laser lithotripsy. With that procedure, by means of special equipment – ureterorenoscope, a surgeon gets into the ureter and reaches the stone which is shattered with laser. In the area of the crumbled stone a silicone prosthesis (stent) is placed which guarantees the unobstructed passage for the urine.  The stent is a tube whose two ends binds the kidney and the bladder and remains in the surgery area for about ten days after the procedure. It is removed in a similar manner. The operation is performed under full anaesthesia. The stone is reached totally through the ureter so the child would not have any surgery trauma.

This methodology is applied with adult patients every day but it is a novelty in the kidney stone disease treatment with kids due to the lack of accessible instrumentarium and experience. The traditional treatment in similar cases with children in Bulgaria is still through an open surgery, hence longer recovery period. Lighter cases – when there are no complications or comorbidity, are treated with extracorporeal lithotripsy, which is carried out under full anaesthesia.

In Bulgaria, between 1 and 2% of all patients are kids suffering from kidney-stone disease or 1500 cases a year.

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Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.

Map 

From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.