Suffering from Hematuria. A patient of Chronic Liver Parenchymal Disease. Platelet count 56, Hb 10.8. Urine RE shows RBC>100. Urologist done a cystoscopy and said Prostate enlargement and advised immediate removal of prostate. But after CT KUB it showed three 2.5mm stones in kidney. One 7mm in ureter. Kidney stones Uric acid in nature. Doc told thats why it was not detected in USG. Prostate is minimally increased and other kidney is Duplex. Now Doc advises microsurgery of ureter (not Prostate) to remove stone. Taking Alfusin(D). Noculi has been stopped. Please give opinion.
The kidney stones could be causing the hematuria. And uric acid stones can be missed by an ultrasonogram. If the stones do not pass through they need to be removed. The therapy for renal stones depends on the size, the location and the kidney functions. Extracorporeal shock wave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. Percutaneous nephrolithotomy is recommended, when the stone is quite large or in a location that does not allow effective use of ESWL. Ureteroscopy may be needed for mid- and lower-ureteral stones. So, don't worry and discuss various options with your doctor before consenting for surgery.
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