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Suggest treatment for kidney stone

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Posted on Wed, 20 Apr 2016
Question: My kidney stone size is 15mm x 8 mm at right ureter. What i have to do? It is at the level of crossing over iliac vessels causing mild to moderate hydronephrosis and hydroureter.
?
doctor
Answered by Dr. Mohammed Taher Ali (1 hour later)
Brief Answer:
It needs to be removed by Uretetoscopy.

Detailed Answer:
Dear XXXXXXX Hi & Welcome.
Thanks for posting your query on Health Care Magic.
Noted the size and the location of the stone.

It seems to be located at one of the narrow portions of the ureter.
Normally in majority of cases stones up to size of 8 mm pass out spontaneously.

Since it is (15x8) mm and located at the level of crossing over iliac vessels and it is already causing blockage resulting in back pressure changes that is swelling of kidney and ureter, so it needs to be removed by ureteroscopy and fragmentation.

It is normally done under spinal Anesthesia & requires hospitalization for 2-3 days and recovery period of one week.

Meanwhile drink more water to produce more urine & take antispasmodics like tab Drotaverine twice daily for temporary relief.

Hope the suggestion given above would be useful to you.
Best regards.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mohammed Taher Ali (50 minutes later)
Whether it can not removed with tablets ? Please suggest
doctor
Answered by Dr. Mohammed Taher Ali (46 minutes later)
Brief Answer:
Tablets may not be effective in expulsion of the stone.

Detailed Answer:
Dear XXXXXXX Hi & Welcomeback.
Thanks for your reply. I can understand your concern.

Since at present the stone is located (rather impacted) at the constriction (narrow part) of the lower ureter hence the tablets may not be effective in removing the stone which is (15x8) mm in size.


Hope I could answer your query.
Best wishes.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mohammed Taher Ali (9 hours later)
Thank you sir. I will go for uetoscopy. I am at XXXXXXX , XXXXXXX Any advanced technology available tell me. If hospital name also known to you. Tell the hospital name
doctor
Answered by Dr. Mohammed Taher Ali (1 hour later)
Brief Answer:
You are most welcome.

Detailed Answer:
Dear XXXXXXX Hi & Welcomeback.
Thanks for your reply and the compliments.
Most of the hospitals with urosurgical departments have the sperienced surgeons with advanced technology like Samved Hospital, XXXXXXX Urosurgical Hospital, or Aarogyam Hospital in Ahmedbad. You may visit one of these hospitals for the treatment. Hope this information will help you.
Wishing you best of your health.
Kindly rate the answers if you do not have any follow up query.

Above answer was peer-reviewed by : Dr. Yogesh D
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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

Brief Answer: It needs to be removed by Uretetoscopy. Detailed Answer: Dear XXXXXXX Hi & Welcome. Thanks for posting your query on Health Care Magic. Noted the size and the location of the stone. It seems to be located at one of the narrow portions of the ureter. Normally in majority of cases stones up to size of 8 mm pass out spontaneously. Since it is (15x8) mm and located at the level of crossing over iliac vessels and it is already causing blockage resulting in back pressure changes that is swelling of kidney and ureter, so it needs to be removed by ureteroscopy and fragmentation. It is normally done under spinal Anesthesia & requires hospitalization for 2-3 days and recovery period of one week. Meanwhile drink more water to produce more urine & take antispasmodics like tab Drotaverine twice daily for temporary relief. Hope the suggestion given above would be useful to you. Best regards.