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Suggest treatment for kidney stone with hydronephrosis

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Posted on Mon, 23 Nov 2015
Question: Hi doctor,I had a 7mm stone at upper uretric junction last month and advised tab lasix and cystone for one month..now I have repeated the scan it shows 7mm calculi at VU junction with moderate hydronephrosis..pls suggest me that it requires surgical intervention or medical management will be helpful...at present I dnt have any problems like pain or discomfort...
I am more scared about moderate hydronephrosis..
doctor
Answered by Dr. Mohammed Taher Ali (1 hour later)
Brief Answer:
It needs to be removed by ureteroscope.

Detailed Answer:
Dear XXXXXXX Hi
I can understand your concern.

Since over a period of one month the the stone has passed down from the pelviureteric junction (upper portion of the ureter) to the vesicoureteric junction (above the urinary bladder) but become stuck at the constricted (narrow) part of the ureter. This has resulted in back pressure due to collection of urine within the collecting system of the kidney causing hydronephrosis.

Usually kidney stones of less than 5 mm tend to pass spontaneously. However, if the stone persists to cause obstruction along with pain, it needs to removed.
If neglected, it can impair the kidney functions on the affected side or it may also cause infection of the urinary tract.

Since the stone is located in the lowermost portion of the uterus, it can be easily removed by ureteroscope (thin lighted tube). To remove the stone in your ureter, your doctor pass the ureteroscope) equipped with a camera through your urethra and bladder to your ureter.

Once the stone is located, special tools can break the stone into pieces that will pass in your urine. Your doctor may then place a small tube (stent) in the ureter to relieve swelling and promote healing. You may need general or local anesthesia during this procedure.

So, I advise you to consult a urologist for further evaluation & treatment.

Hope this answers your query.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 6241 Questions

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Suggest treatment for kidney stone with hydronephrosis

Brief Answer: It needs to be removed by ureteroscope. Detailed Answer: Dear XXXXXXX Hi I can understand your concern. Since over a period of one month the the stone has passed down from the pelviureteric junction (upper portion of the ureter) to the vesicoureteric junction (above the urinary bladder) but become stuck at the constricted (narrow) part of the ureter. This has resulted in back pressure due to collection of urine within the collecting system of the kidney causing hydronephrosis. Usually kidney stones of less than 5 mm tend to pass spontaneously. However, if the stone persists to cause obstruction along with pain, it needs to removed. If neglected, it can impair the kidney functions on the affected side or it may also cause infection of the urinary tract. Since the stone is located in the lowermost portion of the uterus, it can be easily removed by ureteroscope (thin lighted tube). To remove the stone in your ureter, your doctor pass the ureteroscope) equipped with a camera through your urethra and bladder to your ureter. Once the stone is located, special tools can break the stone into pieces that will pass in your urine. Your doctor may then place a small tube (stent) in the ureter to relieve swelling and promote healing. You may need general or local anesthesia during this procedure. So, I advise you to consult a urologist for further evaluation & treatment. Hope this answers your query.