Doctor insights on:
Kidney Stone Lithotripsy Doesn T Work
Use Laser: Some types of stones do not fracture well with shockwave lithotripsy. If the stone needs to be treated then either ureteroscopy (scope from bladder up ureter) with laser can be used or a scope through the back directly into the kidney can be used. The latter procedure is for larger stones, usually over 2cm, and is called percutaneous nephrolithotomy (pcnl). ...Read moreSee 1 more doctor answer
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
Depends: Stones fragments may never completely pass on their own. Better chance of passing if an easily fragmented stone. Better chance if located within the upper portion of the kidney or within the ureter. Less chance if located in the lower portion of the kidney. ...Read moreSee 1 more doctor answer
Kidney stone : Your chances of making another stone are greater then someone who has never had a stone but it is by no means assured. See your urologist and review xrays to see if any other stones are already present in the kidneys. If not, ask for specific prevention measures to adopt. Start by drinking enough liquid to make 2 liters of urine per day. Dietary restrictions are based on stone composition. ...Read more
ESWL: Depends-if your stone is radiolucent (eg uric acid/cysteine) you could manage it medically and dissolve it. If radio-opaque/calcium in composition, while unlikely to "pass" intact, would be best managed with eswl as a minimally-invasive mono-therapy. (pcnl would be too invasive, except with significant anatomic variation (eg calyceal diverticulum/infundibular stenosis). Possible ureterorenoscopy? ...Read more
Varies: Stone fragments may begin passing immediately. In some cases, depending on the location of the stone within the kidney, the fragments may pass up to several months after the treatment. ...Read more
How soon do you perform lithotripsy when a large kidney stone is detected? I have one meaning 17mmx12mmx5mm
Here's some...: There is no set timing advice for kidney stone of 17x12x5 'm, but depending on stone-related symptoms, past history of stone management, possible stone-related anatomical changes. So, ask urologist for details timely. ...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 moreSee 1 more doctor answer
5 mm. kidney stone that has been sitting at the top of the ureter for 9 days. Urologist recommends Lithotripsy. Reasonable or useless to tough it out?
Should pass without : need for intervention. Also depends upon symptoms. You have had multiple stones in past & presumably passed most or all. Worth active intervention to remove ureteroscopically or have stent placed if UR in pain. This is very small stone & certainly too small for extra-corporal shock wave lithotripsy (ESWL). Hope you have had metabolic work-up for stones! ...Read moreSee 1 more doctor answer
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