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Kidney stone
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
Answers (1)
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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.
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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.