I have had recurrent kidney stones for 3 years with having acute episodes maybe 1 to 2 times a year. However, last year went to urology and it was suggested to have them surgically removed and I declined at that time. In the past 3 weeks I have had 3 acute episodes with gross hematuria x 4 days and then mild hematuria for the past week. They are staghorn calculi. I cannot seem to keep in under control and had to call off work. The pain is so bad that I vomit from it and my right hand has been swelling in the mornings for the past week since the last acute episode. Today I am again in pain but on my left side, should I think about having them surgically removed and what else can I do at this time. I will call urology today but it is hard to get time off work and I really don't want to go invasive if I don't have to.