Kurnool: In a first, six-month-old baby diagnosed with two large stones in each kidney

Kurnool: A six-month-old baby from Kurnool was diagnosed with two large stones in each kidney, which obstructed urination, leading to temporary kidney failure.

This is the first reported case of such a condition in Andhra Pradesh, and globally, it occurs in only 10 out of every 100,000 children.

According to medical experts, pediatric organs, especially in babies as young as six months, are incredibly delicate and small. It is highly uncommon for infants of this age to develop kidney stones, especially stones large enough to block urine flow, causing kidney failure.

The medical team at Kurnool KIMS Hospital, led by Senior Consultant Urologist, Andrologist, Laparoscopic and Transplant Surgeon, Dr Y. Manoj Kumar, successfully removed all four stones using an advanced endoscopic procedure called RIRS (Retrograde Intra Renal Surgery).

"Initially, the baby was brought to the hospital by the mother and maternal uncle, as the father, who is in the army, was away on duty. The baby’s inability to urinate and severe abdominal swelling alarmed the family. After thorough tests, we discovered stones in both kidneys, and the baby was on the verge of kidney failure. We promptly inserted stents to stabilize kidney function before proceeding with the stone removal. The left kidney contained stones measuring 11 mm and 9 mm, while the right kidney had stones of 9 mm and 7 mm," explained Dr. Manoj Kumar.

These are sizes typically found in adults, making it an exceptional case. The stones were removed through an endoscopic, laser-assisted procedure, performed without any incisions, and with utmost care to prevent injury to surrounding organs.

Following the removal, the team of doctors also extracted the stents. The baby will now undergo metabolic and blood tests to monitor for potential recurrences.

"In children, there is a higher likelihood of stones reoccurring compared to adults, so ongoing monitoring and medication may be necessary. It is extremely rare for such young children to develop kidney stones, let alone undergo successful surgery at this age. The state-of-the-art facilities and experienced specialists at Kurnool KIMS Hospital have made this achievement possible," Dr. Manoj Kumar added.