hello sir MY age 25 i had stones in both kidneys in right side 10.8 x 1.3 cms(long x paren) Multiple small calculi noted latgest measuring 5 mm at lower pole.Pelvicalyceal system is diliated.Peivis AP diameter-1.1cm.Calculus measuring 7.2mm noted in proximal ureterleft kidney
HelloThanks for query. You have been detected to have bilateral Renal calculi. I would suggest following action to deal with the situation. Rt Kidney -There is stone in of a size of 7.2 mm in proximal ureter with 5\u00a0mm calculus in lower pole. The stone in proximal ureter is likely to get impacted and give rise to severe pain on Rt side. I would suggest two options 1) If technically feasible and possible you may go for ESL .2) Push the stone up in kidney, put a double J stent This will require anesthesia (This is called as Push and bang.) and later on get it fragmented by ESL after a day or two. All the fragments of the large stone and stone in lower pole will come out spontaneously. For stone in Left kidney no active intervention is required at this stage. It is likely to pass out spontaneously. Chat Doctor.