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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History of kidney stones. Have calculi in kidney. Advisable to go for DJ stent?

My husband , 31 yr male, has following problem. He has history of kidney stones . at present, he is diagnosed with multiple calculi in right kidney, with largest 5mm in midpole. multiple calculi in left kidney, with largest 7 mm in lower pole. 8 mm sized left proximal ureteric calculus with ipsilateral hydroureteronephrosis. Is it advisable to go for DJ stent + ESWL procedure, OR are there any other methods by which these stones can be removed more easily? Also what would be the cost of DJ stent + ESWL procedure approximately?
Sat, 9 Feb 2013
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Nephrologist 's  Response
Thank you for using health care Magic

the presence of an 8 mm stone on the left with hydroureteronephrosis would be an indication for intervention. The longer the obstruction remains present, the higher the likelihood of damage to the left kidney. 8 mm is at the upper limit in size with regards to the ability of the stone to pass itself. If adequate time and nonsurgical methods (pain medication, increased fluid intake and use of selective alpha antagonist such as tamsulosin) has not resulted in the stone passing then the next step would be proceeding with cystoscopy and stent placement. I am unaware of the cost of ESWL.

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History of kidney stones. Have calculi in kidney. Advisable to go for DJ stent?

Thank you for using health care Magic the presence of an 8 mm stone on the left with hydroureteronephrosis would be an indication for intervention. The longer the obstruction remains present, the higher the likelihood of damage to the left kidney. 8 mm is at the upper limit in size with regards to the ability of the stone to pass itself. If adequate time and nonsurgical methods (pain medication, increased fluid intake and use of selective alpha antagonist such as tamsulosin) has not resulted in the stone passing then the next step would be proceeding with cystoscopy and stent placement. I am unaware of the cost of ESWL. Take care and be well