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Urinary & radiologic: Urinalysis to detect presence of blood or cystine, microscopy can detect crystals. Timed urinary excretion, commonly 24 hrs, for calcium, uric acid, citrate or oxalates. Kidney & bladder ultrasound, plain abdominal x-ray (kub) and most reliable of all is abdominal ct scan. ...Read more
Stones, both sides.: Urolithiasis are stones in the urinary tract, such as a kidney stone, ureteral stone, or bladder stone. Bilateral means both sides. Since the body has two kidneys, one of the left and one on the right, the phrase "bilateral urolithiasis" could simply mean that there is a kidney stone on the left and right sides of the body. ...Read more
Here is...: I assumed you probably meant varicocele phlebolith, not urolithiasis. Urolithiasis denotes stones forming inside urinary tract - kidneys, ureters, ; bladder. Phlebolith indicates stone formed inside vein, usually at its valves as the phlebolith commonly seen in pelvic veins in imaging study, which carries no practical weight in clinical care. So, i assumed stones similarly forms inside varicocele. ...Read moreSee 1 more doctor answer
Removal & prevention: Pain management if necessary. Elimination of stones, by natural means if small enough to pass on their own + copious fluid intake or by IV & ? Flomax (tamsulosin) to help ureter dilate & facilitate passage. May require ureteral stenting in presence of significant obstruction.Cystoscopic or ureteroscopic laser lithotripsy or basket extraction. Shockwave lithotripsy. Percutaneous nephrolithotomy. Then prevention. ...Read more
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