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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Kidney Stone Be Removed?

I have a kidney stone1.2 cm and trying to find a recommendation for leaving it or breaking up the stone. I recently probably passed a kidney stone (no evidence other than severe pain), my first, but no others, other than the large one was found (CT scan). Located in lower quadrant and appears to be stable My concern is waiting for an emergency or creating several smaller problems by trying to break it up. Thank you, Linda
Wed, 27 Dec 2017
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General Surgeon,  's  Response
Hi and welcome to HCM.
Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy.
Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease.
In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney,.
Kindly regards. Wish you a good health.
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How Can A Kidney Stone Be Removed?

Hi and welcome to HCM. Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney,. Kindly regards. Wish you a good health.