Suggest Treatment For A Kidney Stone

Posted on Thu, 2 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 2 Jun 2016 Answered on

Tue, 5 Jul 2016 Last reviewed on

Question : Yes, thank you. My left kidney has a large stone that is blocking the urinary track. The left kidnet also has another stone and a few smaller stones. I have had a neprothomy tube in the back of my kidney now for about three months and have seen teo urologists whose only interest is removing my kidney based upon a functionality test of about 10percent. I was advised to have a renogram test again. I have not been given any other options and I question the reliability and accuracy of a renogram when the urinary tract is obstructed. Is there a way to dissolve the stones by medicine and why don't they perform a lithotripsy?

Answered by Dr. Dr. Erion Spaho (2 hours later)

Brief Answer:
Please provide some more information.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

It is necessary to provide more information about your condition such the size of the stones, serum creatinine levels, other conditions such high blood pressure, urinary tract infections etc. in order to get a better understanding of the possible treatment ways.

Awaiting for more information......

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Dr. Erion Spaho (25 hours later)

.I will have to review my medical records and see them to answer your questions. Other than creatine, is there anything you need from the lab reports.

Answered by Dr. Dr. Erion Spaho (2 hours later)

Brief Answer:
You can upload the lab tests results.

Detailed Answer:
Hello again.

Serum creatinine, stones size and other health conditions are sufficient as information to evaluate the best treatment ways about your condition.

But, you can share all the lab tests you underwent, this only helps in understanding better your condition.

Awaiting.....

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Erion Spaho (4 days later)

The size of the staghorn stone isn 2.7x1.7. type calculus within the renal pelvis. There are multiple left renal calculi as well. Moderate left hydronephrosis. 2/8/2016, the creatinine was 0.7, BUN:17. One doctor wants to remove the entire left kidney. I am diabetic and have malapsorption issues. The right kidney also has stone. I am very fearful of ending up on dialiysis and do not want my kidney removed. Can the staghorn stone which is creating a blockage be removed by a surgical technique or are the medications treatments that can dissolve the stone. I have a history of urinary tract infections and the problem was discovered by a CTscan a few months ago when I was evaluated with a kidney infection. Do you have any advise other than removing my kidney?

Answered by Dr. Dr. Erion Spaho (17 hours later)

Brief Answer:
Percutaneous nephrolithotomy/ nephrolithotripsy

Detailed Answer:
Welcome back and thanks for additional information.

In this case lithotripsy is not a good option, because the stone is bigger than 2 cm.

In my opinion, this stone can be removed surgically by procedures such percutaneous nephrolithotomy and percutaneous nephrolithotripsy.

Stone of that measure is almost impossible to be dissolved by medications.

Hope I helped you.

Take care.

Above answer was peer-reviewed by : Dr. Naveen Kumar