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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stone-maker, Have Pedal Edema, Renal Stones. History Of Open Surgery For A Stag Horn Calculus, Lithotripsy. Treatment Options?

I have pedal adema and am a stonemaker. My stones are composed of calcium oxalate . How serious is this? Could I possibly ever need dialysis? This is my worst fear. Ive had open surgery for a staghorn calculus ten years ago, several lithotripsy procedures . I had lithotripsy done one week ago but the treatment was unsuccessful. Currently I have stones on both sides. The pedal edema has been going on for two weeks. What is your opinlon of what to do ?
Fri, 12 Jul 2013
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  User's Response
Hi, many thanks for the query!
As you are recurrent stoneformer, do - Metabolic workup of 24 hrs
urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid.
B/L obstruction to urine outflow due to stones may compromise renal function, do- RFT, USG KUB.
Dialysis is needed when renal function is severely compromised, in your case, your Sr. creatinine (more than say 7.5 to 8) will decide need for dialysis.
You haven't mentioned exact size & site of your stones.
Lithotripsy failure is expected as Ca-oxalate stones are very hard to break by ESWL, need to be removed by scopy/open procedure.
Wish you a good health.
Take care.
Regards.
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Stone-maker, Have Pedal Edema, Renal Stones. History Of Open Surgery For A Stag Horn Calculus, Lithotripsy. Treatment Options?

Hi, many thanks for the query! As you are recurrent stoneformer, do - Metabolic workup of 24 hrs urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid. B/L obstruction to urine outflow due to stones may compromise renal function, do- RFT, USG KUB. Dialysis is needed when renal function is severely compromised, in your case, your Sr. creatinine (more than say 7.5 to 8) will decide need for dialysis. You haven t mentioned exact size & site of your stones. Lithotripsy failure is expected as Ca-oxalate stones are very hard to break by ESWL, need to be removed by scopy/open procedure. Wish you a good health. Take care. Regards.