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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for large stones in the kidney

Answered by
Dr. Remy Koshy

General & Family Physician

Practicing since :2014

Answered : 507 Questions

Posted on Tue, 4 Apr 2017 in Kidney Conditions
Question: Is an incision required to kidney stone removal by ultrasound,and do they go up through the penis?
Answered by Dr. Remy Koshy 2 hours later
Brief Answer:
Explained below...

Detailed Answer:
Thanks for posting your query in HealthcareMagic,

The treatment options available for large kidney stones are:

- extracorporeal shock wave lithotripsy (ESWL)
- ureteroscopy
- percutaneous nephrolithotomy (PCNL)
- open surgery

Ideally ESWL and ureteroscopy is done commonly for moderate to large stones. It involves the passage of a telescope through the urethra and into the ureter till where the stones are located. The stones are then blasted using laser or will be picked up using another instrument and removed.

Open surgeries are very uncommon for kidney stone removal.

Only percutaneous nephrolithotomy (PCNL) involves making a small incision over the back through which a small tube will be inserted.

The treatment options will be decided for you depending on the scan findings.

I hope this helps.

Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Remy Koshy

The User accepted the expert's answer

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