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Avatar universal

kidney stone treatment

Just found out by 4 ER visits and CT that I have a 1.4 cm kidney stone that is partially obstructing.  The doctor where I summer only has stents and stone blasting at his disposal.  The stone equipment shows up once a month at the hospital.

I have done a lot of research and want to have the procedure where they go into your back with a tube and extract the stone.  Does anyone know if you can "push" to get this one?  I don't feel comfortable with the success rate for the stone blasting AND they wanted FOUR treatments to get rid of the stone......and wear the stent, which I hear is as bad as putting up with the stone.

I am seeing another urologist in another state in September and hoping for a more prompt treatment.  Any comments or suggestions welcome!  This is new for me.
19 Responses
1759634 tn?1312954831
Just ask your doctor whether the stone can be melted by it's own with some medicines and for relieving the pain he can give any medicine or so. If it's possible then keep drinking water and other fluids when you are passing a kidney stone.
But if your pain is too severe or the stone is blocking the urinary tract or if you also have an infection, the doctor is doing the correct thing by suggesting the surgical treatment.
Avatar universal
The sone is too big to pass and he can't tell what kind of stone it is until I pass / remove it as meds do not work for all of them.  

I understand I need the surgical treatment.......I WANT it........I just want to have a say as to which one I have.  I do not want the blasting, it can cause blood clots and bruising to the kidney and research says it only about 30% successful.........

Perhaps I did not phrase that question right!
1035252 tn?1427231433
Hi there, sorry to hear about your stone! You can try to request your preferred surgery but to be honest, most doctors will not perform invasive surgeries where there are accepted and effective alternatives. I myself have had a lithotripsy and it's quite easy and painless, and the recovery time is very short, as opposed to cutting into your body which exposes you to numerous risks. You may be able to request that they use a basket to go up through your ureter and bladder to remove the stone instead, but they have to do different surgeries or treatments based on the type of stone, which they can determine to a small degree by HOW the stone is discovered in the first place. For instance, calcium stones will show up on an x-ray, while uric acid stones will require a CT scan. Based on the type of stone they think it is, they are limited as to how to treat it...so you may not have all of the available options. Best of luck!
168348 tn?1379360675
COMMUNITY LEADER
I agree with above posters and luckily, for me, my largest has only been 5 mm
Avatar universal
thanks, mine was discovered on CT and is 1.4 cm across; it is obstructing the ureter in the left kidney

my cousin had the lithotripsy and 3 weeks later is still too weak to move around.  I am 69 and am concerned about that.  

@Ashelen, I am glad you had a painless lithotripsy, you are the first one to endorse it!  
The basket is not an option by personal choice for reasons I won't go into here.

Thanks guys
168348 tn?1379360675
COMMUNITY LEADER
Here's some more info worth taking a look at:
http://www.medhelp.org/health_pages/Urology/MSK-FAQs-Resource-Area---Many-Medullary-Sponge-Kidney-Links-for-Common-s-/show/504?cid=185

MEDULLARY SPONGE KIDNEY

NEPHROLITHIASIS *KIDNEY STONES*


ALTERNATIVE TREATMENTS


BLOOD PRESSURE


CHRONIC PAIN



SURGICAL PROCEDURE'S - LITHOTRIPSY, URETEROSCOPY, CYSTOSCOPY, PERCUTANEOUS NEPHROLITHOTOMY ETC.


HYPERCALCIURIA


URETEROPELVIC JUNCTION OBSTRUCTION


URINARY TRACT OBSTRUCTION

NEPHROCALCINOSIS


Avatar universal
I have had lithotripsy on 2 occasions with no issues and its painless, a bit like being twanged with an elastic band over and over.
Avatar universal
lithotripsy is scheduled for monday but idiot will give me no pain meds for the pain I have presently; i have to go to ER to get it.......this best work, am getting very down over it.
Avatar universal
Dont worry about it.ive had 5 cyscostipys,3lithotripsy(eswol).and countless stints.ive even pulled my own stint out once.long story. Im 31 now and this has been goin on since i was a kid. I have medullary sponge kidney.aka cronic kidney stones and nothing they can do.just watch out with docs bedsife maners.urologist can be a holes aometimes.a lot of people fake kidney stone pain
Avatar universal
Dont worry about it.ive had 5 cyscostipys,3lithotripsy(eswol).and countless stints.ive even pulled my own stint out once.long story. Im 31 now and this has been goin on since i was a kid. I have medullary sponge kidney.aka cronic kidney stones and nothing they can do.just watch out with docs bedsife maners.urologist can be a holes aometimes.a lot of people fake kidney stone  pain to get pain meds ao thats why there shady now
Avatar universal
Shoot sorry for posting twice im on my not so amart phone.spelling also.goos luck
Avatar universal
I have recently had a stent put in to help get to 2 small stones in my kidney I was in excrusiating pain and was rushed into hospital and the stent fell out while passing urine. I am still in pain but it is mostly controlled by pain killers and anti inflammatory tablets to. Do i have another stent put in as the surgeon couldnt get to the stones to laser them thats why he put a stent in? Or do i have proper surgery to remove them once and for all?
Avatar universal
Had my ESWL on Monday......egads, that was certainly an adventure.  Everyone at hospital very nice except PACU nurse having a bad day. Sorry her pts did not read the memo about not being able to voice pain.

Bladder spasms from the stent is driving me nuts.....I'm up all day and night in the bathroom, feeling like passing glass or sand spurs with my urine.  Have not seen any stone particles yet, although I heard somewhere he got it all, will check with him on Monday next when I wish him a stone equal to mine so he can have a first hand experience.  This is the doc who doesn't like to give out pain meds........about to lose a patient for sure........

Nausea is gone, that's good, flank pain is gone, that's better, now to ditch this stent.......although the thought of him taking it out is driving me up a wall.......can you tell my pain threshold has intensified?  
Avatar universal
He put the stent in so you would be able to pass urine despite the stones.  The stent has tiny holes up and down it and is hollow, so the urine can seep into the holes and down and out.  If the kidney stone blocks the ureters and urine builds up in the kidney, then you have horrible pain and risk infections.

Be sure he knows it came out.
168348 tn?1379360675
COMMUNITY LEADER
How are you feeling now?
Avatar universal
jjust had the stent removed Monday.   That was interesting and certainly NO fun.  Perhaps now my appetite will come back.  Still passing stone fragments and he says 2/3 of the fragments are all piled up in the bottom of the kidney, guess he is hoping they don't resolidify.............
thanks for asking
168348 tn?1379360675
COMMUNITY LEADER
Hope those fragments move out soon ... it's really hard.  I have MSK (medullary sponge kindey) and know the feeling all too well.  Although I've never had a stent.

C~
Avatar universal
they are all gone now..........every single one......yeah.............
168348 tn?1379360675
COMMUNITY LEADER
Doing the Happy Dance for you!!!!!

Please stay with us and help other members ... :)

C~
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