Kidney stones are among the most painful conditions ever described, and if they are blocking the flow of urine through the ureter, they can cause serious and long-term damage to the kidneys. If a stone cannot be removed using various techniques such as ureteroscopy or lithotripsy, surgery is the only option left, and the stones are too large for other techniques.

As far as I know, it’s not possible to have surgery on the kidneys or ureters without being put under anaesthesia.

Having Parkinson’s disease and undergoing anaesthesia or surgery is not normally a problem, and a short period of anaesthesia does not usually lead to any subsequent problems related to Parkinson’s disease.

In most cases, it is recommended to stop taking long-acting medications (depot forms of dopamine agonists (Sifrol Depot/Pramipexol Depot, ReQuip Depot/Roprinorol, Neupro patches) and MAO-B inhibitors (rasagiline/Xadago) for 24 hours beforehand and to restart them the day after the anaesthesia, whilst taking L-dopa as usual in the period immediately before and after the operation. Bring a complete list of your medicines with you when you are admitted or when you contact the anaesthetist before the operation, and draw up a plan with them ahead of the operation. If the operation is very short, it is sometimes not necessary to skip any doses. /Håkan Widner