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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do I Need A Lithotripsy For Stone Removal After Having Stent Removed From Kidney?

Hi.I had pain in abdomen, after ct scan stone was found in rt kidney which moved to ureter during hospitalization. So stent was placed. Dr say that as infection was high they did not do the stone removal. Now I have been told that my stent would be removed after 4 weeks. If stone is not found removed, will the stent be again placed after lithotripsy.
Mon, 16 Dec 2013
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General & Family Physician 's  Response
Hello there!
Thank you for asking. DJ stents are basically put at the border of pelvis of kidney and ureter where the odds of stones are pretty likely. And these stents help the stones to pass if they are less than 5 mm. Above those they are hardly to pass and lithotripsy would be required and that lithotripsy would also be useless if the stone is in the lower third of the ureter as bone behind there (pelvis) absorbs the shock waves and thus vibration is not effective to breaak stone. so in nut shell. the scenario is incomplete with superadded infection so multiple directions to go for but the good news is it is safe and you will be relieved what ever the way is opted for you. May you relieve with the easiest one
cheers
s khan
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Do I Need A Lithotripsy For Stone Removal After Having Stent Removed From Kidney?

Hello there! Thank you for asking. DJ stents are basically put at the border of pelvis of kidney and ureter where the odds of stones are pretty likely. And these stents help the stones to pass if they are less than 5 mm. Above those they are hardly to pass and lithotripsy would be required and that lithotripsy would also be useless if the stone is in the lower third of the ureter as bone behind there (pelvis) absorbs the shock waves and thus vibration is not effective to breaak stone. so in nut shell. the scenario is incomplete with superadded infection so multiple directions to go for but the good news is it is safe and you will be relieved what ever the way is opted for you. May you relieve with the easiest one cheers s khan