I recently had to u/as with large blood and 40-50 rbcs and a ct confirmed an 8 mm lower pole stone.  I have a hx of passing stones about 20 years ago.  I am currently asymptomatic.  Is it necessary for the stone to be removed? If so what procedure is most appropritate?
Hello and welcome to Chat Doctor. As a Urologist, I advise you to undergo an ESL, for the lower pole stone.ESL(extra corporeal shock wave lithography), is a treatment for fragmenting stones in the urinary system, especially in kidney. This is done under sedation, and no need for admission more than a day. Bleeding episode may recur, along witChatDoctorplications like kidney infection. Chat Doctor. You should've got your creatinine, calcium, phosphorus, and uric acid tested. If you want my expert opinion, on any doubt, send it as a direct question.