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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Passage Of Kidney Stones Damage/scar Ureters?

I am 48 years old and have had kidney stones since I was 19. I just recently had lithrotripsy to take care of a 14 mm stone. Sometimes I can feel them pass, sometimes I cannot. Does this mean my ureters are damaged or scarred? Also, how many CT scans are too many. I seem to average about 4 a year. Also, I have already had a parathyroidectomy and watch my diet. Any ideas?
Tue, 18 Aug 2015
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist, let me advise you, that as a stone former, you need CT- scan (plain), once a year. ESWL is ideal for kidney stones upto 2.5 cms size. Stones above 1 cm size or causing pain need treatment.
The fragments do no harm to ureter. If stent is placed,(optional only),it can injure the ureter. Drink 12-15 glasses liquids daily.
You should be more careful after para-thyroidectomy, as small stones need no treatment. You must have done blood calcium,phosphorus, and uric acid.
You're welcome to send a copy of your reports, with last CT, here, in my name, for an expert opinion. Get well soon.
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Could Passage Of Kidney Stones Damage/scar Ureters?

Hello and welcome to HCM. As an Urologist, let me advise you, that as a stone former, you need CT- scan (plain), once a year. ESWL is ideal for kidney stones upto 2.5 cms size. Stones above 1 cm size or causing pain need treatment. The fragments do no harm to ureter. If stent is placed,(optional only),it can injure the ureter. Drink 12-15 glasses liquids daily. You should be more careful after para-thyroidectomy, as small stones need no treatment. You must have done blood calcium,phosphorus, and uric acid. You re welcome to send a copy of your reports, with last CT, here, in my name, for an expert opinion. Get well soon.