The right
kidney stone (5.1Ã6.6mm in interpolar calyx) has a reasonable chance of passing with conservative management â adequate hydration (2.5â3L water daily), alpha-blocker (Tamsulosin 0.4mg), and pain relief. However, the left ureteral stone (4.3Ã9.7mm) is too large to pass on its own â 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 â likely needs ureteroscopy or ESWL. Start Tamsulosin for the right stone. Increase water intake to 3L/day. Consult me on Practo for further guidance.