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Suggest Remedies For A 9 Mm Calculus In Urinary Bladder

Posted on Mon, 19 Sep 2016

Question: Hi I have 9 mm calculus in Uretero Vesical Junction and global hyrdronephrosis. My doctor has given me medicine he is suggesting to go to a uro surgeon for surgery. I am also on blood thinner acitrom which I have not taken since two days, my doctor has said to not take acitrom for 7 days and then go for surgery.

Please guide me what procedure will be best. I don't want to go for surgery. Is 9 mm not easy to pass, the medicines won't dissolve it? list of medicines given.

Tab Neeri 2 tab thrice daily. alkasol solution 15 ml half cup water and tab drotin thrice after food. I have also attached my report. Impression in it is: LEFT HYRDRO NEPHROSIS WITH CALCULUS IN URETERO VESICAL JUNCTION.

Thanks in advance.

Answered by Dr. Hari Charan Perigela (25 minutes later)

Brief Answer:
I prefer Surgery.

Detailed Answer:
Hi
I saw the report.
A 9mm calculus is present at the junction of Ureter and Urinary bladder on left side.I prefer Surgery for a 9mm stone.
You are prescribed with stone dissolution medicine.You can wait for 2 weeks( if there is no pain )and repeat the Ultrasound abdomen. If the stone is still present, it's better to plan for surgery.
Stone can be crushed and removed endoscopic XXXXXXX .There will be no cut or incision over the body.
Nothing to worry.
Hope I answered your query.If you have any questions, I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (9 hours later)

Hi, Thanks for the reply. What will be the cost of surgery endcopically and procedure?

Thanks.

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
Cost varies from hospital to hospital.

Detailed Answer:
Hi
The cost of the procedure varies from hospital to hospital.
If you have any health insurance, you can get it done through it.
You should consult a XXXXXXX Urologist and discuss the cost .You can take second opinion from another urologist of your town.
Hope I answered your query.
Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Hari Charan Perigela (2 days later)

What is the procedure of surgery and what is it called. Thanks.

Answered by Dr. Hari Charan Perigela (3 hours later)

Brief Answer:
It is Transurethral Ureterolithoprisy.

Detailed Answer:
Hi
The procedure is called Transurethral Ureterolithoprisy,means the stone of the distal ureter is crushed by shock waves through catheter passed from Urethral opening.
No incision over the abdomen.
Regards

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Above answer was peer-reviewed by : Dr. Yogesh D