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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kidney Stones

Last night I was at a party with no available restroom. I had been drinking, so I had to go really bad, but I held it until I got home. I ran straight to bathroom, sat down and started to go, I went a lot at first, then suddenly without warning it completely stopped midstream. I still had the urge to urinate, and my bladder still felt very full, and I was experiencing some burning. I tried pushing but could not get a single drop out. When I wiped with the tissue I felt something hard, I was mortified to feel a kidney stone lodged in my urethra! Part of it was sticking out, I could grab it with my fingernails, but I couldn t pull it out. I spent nearly 2 hours wiggling it, pulling it, pushing it, trying to turn it but it was stuck. Finally it came out, and I was able to void my bladder, and I m feeling fine. I had no warning, I m familiar with kidney stones, I ve passed many before, the biggest bring 8mm. Those always caused me excruciating pain, but this one did not. All day I was wearing a tight corset as part of my Halloween costume, maybe I was compressed so tight I didn t feel it? I don t know. I measured my stone and it it 18mm. I always was told a stone that large would be unable to pass, so I m wondering if stones that large are common, and if people pass them without medical intervention, or am I unique??
Wed, 9 Dec 2015
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Urologist 's  Response
Hello
Thanks for query .

You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain .

The reasons for not feeling the pain due to such a large stone are
1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .
2) The shape of the stone may be oval like a pea nut without spikes helping it to pass down through dilated ureter without any obstruction and pain .
.
We do get patients with passing large sized stone without pain .This is very common in patients who have history of repeated and recurrence of stone disease .

Dr.Patil.
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Suggest Treatment For Kidney Stones

Hello Thanks for query . You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain . The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain . 2) The shape of the stone may be oval like a pea nut without spikes helping it to pass down through dilated ureter without any obstruction and pain . . We do get patients with passing large sized stone without pain .This is very common in patients who have history of repeated and recurrence of stone disease . Dr.Patil.