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.See 3 more doctor answers
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.See 1 more doctor answer
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.See 2 more doctor answers
It depends: 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.See 1 more doctor answer
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.See 2 more doctor answers
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.See 3 more doctor answers
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.See 1 more doctor answer
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.
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.
I've always wanted surgery and I have a kidney stone. What were the risks of a self kidney stone removal surgery?
Necessary?: 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.
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.See 1 more doctor answer
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.
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.See 3 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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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