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Kidney stone 6mm hydeoureteronephrosis
Hello Doctor, I have attached the ultrasound report. It shows a 6 mm stone in the lower left ureter, close to the VUJ, with moderate hydroureteronephrosis.
He sometimes has very severe pain, followed by vomiting, and at times he vomits even after eating anything. He also sometimes has difficulty passing urine.
Could you please advise:
1. Does this level of blockage require urgent treatment?
2. Should we do RFT/KFT, urine routine/CUE, urine culture and CBC now?
3. Can we wait for the 6 mm stone to pass naturally, or would you recommend laser/ureteroscopy?
4. If medicines are appropriate to help the stone pass, what should he take and for how long?
5. Does the moderate hydroureteronephrosis need any immediate treatment or monitoring?
Please advise what the next step should be.
Answers (8)
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I have seen 3mm stone getting stuck in lower Ureteric with smallest possible ureteroscope 4Fr also unable to clear it easily due to very tight ureter in my surgical practice .
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Also if you decide to get it removed , I can clear this calculus but you have to visit my hospital in Hyderabad
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Consult for discussion and treatment
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A 6 mm lower ureteric stone near the VUJ with moderate hydroureteronephrosis can be managed conservatively only if pain is controlled, kidney function is normal, and there is no infection.
Get CBC, RFT/KFT, urine routine & culture now. If pain is recurrent/severe or vomiting persists, ureteroscopy (laser) is the better option rather than waiting.
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Consult for discussion and treatment
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Dr. Ramkumar Suryavanshi
Urologist
14 yrs exp
Bilaspur
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Dr. Aditya Prasad Padhy
Urologist
13 yrs exp
Bhubaneswar
Connect please
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Dr. Jatin Soni
Urologist
5 yrs exp
Chennai
Plz consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.