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What Does This Ultrasound Report Indicate?
Question: Hi, my brother(22year old) have a stone of 8mm at left UV junction as diagnosed in ultrasound today. 2weeks back he got CT-KUB in which the stone was 6mm and was in mid-ureter. Doctor advised for endoscopy. Please suggest.
Brief Answer:
The modality of treatment depends upon following factors .
Detailed Answer:
Hello
Thanks for query .
Your brother has been detected to have stone of a size of 6-8 mm in left ureter at URetero Vesical Junction .
The modality of treatment in such cases is decided on following few factors
1) Severity of symptoms --Whether patient has fever ,persistent vomiting suggesting infection
2) Degree of hydronephrosis (Back pressure changes in kidney)as reported in Ultrasound Scanning
Normally a stone of a size of 6-8 mm located at UV junction can be expected to pass out spontaneously.
I would suggest you to wait and watch and take following treatment
1) Take antibiotic like Ciprofloxacin twice daily to prevent infection
2) Tomsulosin once daily this is a smooth muscle relaxant and causes dialatation of ureter and there by halps to mve the stone down i to bladder
3) Tab Drotavarine twice daily This also helps to dilate the ureter and reduces the pain .
4) Drink more water to produce more urine ,This will help to pass the stone down early .
5) Repeat your ultrasound Scanning after two weeks to see whether stone is at the same level or moved down .
However if he gets severe pain and vomiting during this expectant period he may need to get the stone removed endoscopically .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
The modality of treatment depends upon following factors .
Detailed Answer:
Hello
Thanks for query .
Your brother has been detected to have stone of a size of 6-8 mm in left ureter at URetero Vesical Junction .
The modality of treatment in such cases is decided on following few factors
1) Severity of symptoms --Whether patient has fever ,persistent vomiting suggesting infection
2) Degree of hydronephrosis (Back pressure changes in kidney)as reported in Ultrasound Scanning
Normally a stone of a size of 6-8 mm located at UV junction can be expected to pass out spontaneously.
I would suggest you to wait and watch and take following treatment
1) Take antibiotic like Ciprofloxacin twice daily to prevent infection
2) Tomsulosin once daily this is a smooth muscle relaxant and causes dialatation of ureter and there by halps to mve the stone down i to bladder
3) Tab Drotavarine twice daily This also helps to dilate the ureter and reduces the pain .
4) Drink more water to produce more urine ,This will help to pass the stone down early .
5) Repeat your ultrasound Scanning after two weeks to see whether stone is at the same level or moved down .
However if he gets severe pain and vomiting during this expectant period he may need to get the stone removed endoscopically .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
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Above answer was peer-reviewed by :
Dr. Prasad
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