Doctor insights on:
Complications From Kidney Stone Removal
My fiancee had kidney stone removal surgery 3 days ago, and still is in a lot of pain. Is there a complication?
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Nephrolithotomy: While smaller kidneys stones can often be passed, staghorn stones often form in the calyces or conduit between the kidney and the ureters. These are considered complicated stones and often will require percutaneous (through the skin) nephrolithotomy by a urologist. ...Read more
Kidney stones: Treatment options for calcium oxylate stones are dictated by the size, location and density of the stone. Eswl (shock wave lithotripsy) is often effective for small to moderate size stones in the kidney or upper ureter. Large stones in the kidney may require pcnl (keyhole surgery with scope through the back). Stones in the lower ureter often require ureteroscopic extraction. ...Read more
Ureteral stone: The size of the stone does not correlate well to the intensity of the pain. The nearly unbearable pain of "ureteral colic" is from spasm of the muscular ureter. Although 50% probability to pass on its own within a few days, a 5-6mm stone sometimes will get stuck and fail to progress. Usually after 5 days, I recommend having the stone extracted with a ureteroscope as an outpatient. ...Read more
Stenting for temproary relief of pain and obstruction
extracorporeal shockwave lithotripsy - stones less than 2 cm
ureteroscopy with laser lithotripsy - stones in ureter or kidney
percutaneous nephrolithotomy - stones > 2cm or 10-15mm in lower pole. Inpatient procedure often combined with one or both of the above procedures over the course of several days. ...Read more
Usually, disappear..: Stone removal for pain from its blockage will relieve its related symptoms, but if requiring a stent as part of stone management, you have to endure its related pain especially during/at the end of voiding. Fortunately, counseling for realistic expectation and judicious use of drug to relieve pain or bladder irritation will make most of patients reasonably comfortable to cope with it. ...Read more
Prevention: Preventing stones is the obvious answer. But if you have a stone it should be treated if it is unable to pass. If you have had previous stones and know your stone- type such as uric acid, this can be treated medically and may be dissolvable. Most calcium based stones however are not dissolvable and must be removed or passed. A urologist can guide you with these decisions. ...Read more
Where & how: If the stone was in the ureter & removed through the urethra you will have discomfort for a day or 2 in the urine channel. The pain in the flank would be gone. If a stent was left you will have some irritation in the urethra, especially if it has a thread to pull it out later. I hope this helps. ...Read more
It depends: To make a generalization, it depends primarily on the size of the stone as well as the location. Anatomic factors may also play a role. Most stone procedures are not complicated; some may be if stones are large and/or multiple, infection is present, etc. ...Read more
Here's some: The need for stent or catheter is to secure urine drainage and concern about possible blockage by stone or clot, which is decided by the surgeon's judgement. Most of times stent or catheter is needed for days or weeks, depending on if you need the second entry to complete the works for all stone-related procedures. Ask Doc for individual details timely. ...Read more
I've always wanted surgery and I have a kidney stone. What were the risks of a self kidney stone removal surgery?
For young age as you are, stone removal from kidney may be needed, when and how? These questions should be addressed by your urologist according to the size, shape, location of the stone, the history of spontaneous stone passage, and the symptom from the stones. Besides, how to prevent further stone recurrence after current stone removal needs to be addressed before procedures.
Talk with doctor. ...Read more
Here are some...: The degree of suffering from stone removal highly varies depending on surgeon's skill, size of stones, and complexity of the procedures. So, it is hard to state which one is least painful. For the individual details, ask your urologist. ...Read more
Usually: Most stone procedures are fairly straightforward, but some can be very complex. If yours seems like a complicated case, do not hesitate to get a second opinion if possible. ...Read more
It depends: It depends on what you mean. If you truly mean no surgery then it is almost by definition cheaper. However, the hidden costs of observation are in the amount of lost productivity due to being unable to work or go to school, the costs of er visits to treat pain, nausea, and vomiting, and the costs of the medications which help facilitate passage and control pain. ...Read more
I had laser kidney stone removal surgery in April and I still have pain and do not feel well. My dr said it takes time to feel better. I am 66?
Pain: Your doctor is right. He might also want to check an ultrasound or X-ray to make sure that there is no further blockage of your kidneys or ureters. ...Read more
Two ways: If the stent is left with a long "string" if intended to be short term, this can be grasped and pulled out easily. If there is no visible string, an office procedure to retrieve it with a flexible fiberoptic scope (cystoscopy) is a rapid and relatively painless method to remove the stent. ...Read more
No need: Side effects from eswl have very little to do with intercourse. There is no reason to abstain from intercourse after eswl, unless it is very vigorous. This can potentially cause bleeding from an injured kidney, but in general, there is no contraindications. ...Read more
When does bleeding stop after kidney stone removal from rt. Uterer- on average while drinking liquids. Pain issues?
See below: Usually a few days, but if you have a ureteral stent in place, you may see bleeding for as long as the stent is present. Be sure to drink plenty of fluids to keep your system flushed out. ...Read more
I've had a fever iff and in since last night could this be caused by the stent inside me from kidney stone removal?
I am taking deplatt tablets, I also have kidney stones and am to undergo laser kidney stone removal, have to stop deplatt, is there an alternative?
Nephrostomy tube currently placed in my kidney after kidney stone removal, can I still masturbate?
Sure: Enjoy yourself. You've been through a lot. ...Read more
Can I masturbate with a nephrostomy tube currently placed in my kidney (after a kidney stone removal)?
Sure: Enjoy yourselfGet a more detailed answer ›
Hi, I had a uteroscopy last week for kidney stone removal, however it is six days later and I have a swollen penis head, should I be worried?
Had kidney stone removal the 15th stent removed the 20th now I woke up with kidney pain that goes into my lower bladder feels almost clogged. Help pls?
Need evaluation.: You really need to be evaluated again. This could be a retained stone or an infection. You should be evaluated by your Urologist soon. ...Read more
Kidney stone removal stent with string placed String was smaller on first day now string out my penis is much longer? Is this normal do I need to worry
Not worrying...: Hi! AlistairK, Seeing variable length of the string attached to stent is normal reflecting the variable penile length between erection or no erection. All what you have to do is just be careful not to incidentally pull it out. More doubt? Call your surgeon for clarifying your concern. (In fact, I have answer similar Q for two times.) If more, to www. HealthTap. Com/dr-Lin with RQPWJC to login... ...Read more
Yes.: Yes, but as always, in moderation.Get a more detailed answer ›
Uteroscopic kidney stone removal 2 days ago. Stent fitted. Urine looks like red wine, and the pain is excruciating. Is this normal?
Here are some. ..: To an extent, what you described could be "normally" expected, but judicious use of medications + mental modification toward reality will help& ease. For detailed individual need, ask your Doc to see what he/she may & can do for you. ...Read more
Solutes precipitate and combine to form stones formed of calcium oxalate usually around a nidus of uric acid. Other solutes that form stones are ca and mg phosphates, cystine, and uric acid staghorn calculi form in the presence of chronic urinary tract infections. Stones can be painful, may require ...Read more
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