Kidney stone

2026-07-09 17:19:49
She is 56 having stone in 5.1*6.6mm visualised in the interpolar calyx of right kidney. Calculus measuring 4.3* 9m7mm visualised in left lower ureter Is it pass out itself or need surgery
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The right kidney stone (5.1×6.6mm in interpolar calyx) has a reasonable chance of passing with conservative management — adequate hydration (2.5–3L water daily), alpha-blocker (Tamsulosin 0.4mg), and pain relief. However, the left ureteral stone (4.3×9.7mm) is too large to pass on its own — stones >6mm in the ureter rarely pass spontaneously and will almost certainly require intervention. Ureteroscopy with laser lithotripsy or ESWL will be needed for the left stone. Please consult a urologist urgently as an obstructive ureteral stone can damage the kidney if untreated.
Next Steps
Urgent urology consultation for the left ureteral stone — likely needs ureteroscopy or ESWL. Start Tamsulosin for the right stone. Increase water intake to 3L/day. Consult me on Practo for further guidance.

Answered2026-07-10 10:31:09

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