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Urology (Expert Forum)
1000+stones within kidney----inoperable says indiana urologists
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
1000+stones within kidney----inoperable says indiana urologists
by Denis-Pery, Jun 14, 1998 12:00AM
The question I have is with this many stones growing within the "meat"
of my kidneys, is there a risk of some of the larger stones eroding through
the wall of the kidney's.(some of these stones are now 13mm in diameter).
I have medullary sponge kidney's,with ptosis of right kidney. Stones were
first discovered when I was ten, now I am fourty two, and they have gotten
out of hand, I have reocurrent infections and I can "feel" the stones all the
time, often there is substantial pain associated with fever and flu-like
symptoms. I have been told that all I can do is drink plenty of water and
rest when these symtoms ocurr. Is there a 'High" risk of erotion of the stones,what does the future hold for me as they grow?With reocurring
infections, how would this affect my renal health on a cronic condition?
I have alot of questions that remain unanswered and probubly will never
be.I would like a general idea of what I may be subject to in the future?
Dear Dennis
Thanks for your questions.
Medullary sponge kidney is a condition in which the small end tubules of the kidney dilate and therefore are predisposed to form stones which pass into the collecting system of the kidney. These stones in the meat (parenchyma) of the kidney usually do not cause pain unless they block the flow of urine in the larger tubes of the collecting system of the kidney, namely the ureter. An IVP is an x-ray is used to diagnose this blockage. Blockages when found should be treated or followed until the stone passes. Patients usually do not progress to renal failure but do tend to pass multiple stones. Other urine abnormalities could possibly coexist with the diagnosis of medullary sponge kidney which can be treated and thus decrease the number episodes of stone passage. I would recommend a second opinion anytime you feel you need further reassurance.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: medullary sponge kidney
