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What Does My CT Scan Report Indicate?
Question: My father is a 54 year old male who doesn't smoke or drink. He is a diabetic and also has hypertension. He had kidney stones recently . He underwent a surgery in which the doctors removed some stones and put stents so that there is no obstruction in the passage of urine. post surgery his creatinine levels were high(10) which have come back to normal after a month(1.7).
The urologist has suggested stones removal in multiple phases due the number of stones and the location.
I wanted to ask if there is way to get it done at one go or is it advisable to proceed as the doc advised(multiple phases).
I'm attaching the CT scan report for reference.
The urologist has suggested stones removal in multiple phases due the number of stones and the location.
I wanted to ask if there is way to get it done at one go or is it advisable to proceed as the doc advised(multiple phases).
I'm attaching the CT scan report for reference.
Brief Answer:
You can expect to pass the residual stone spontaneously .
Detailed Answer:
Hello
Thanks for your query,based on the facts and C.T scan report that you have posted it appears that your father has undergone endoscopic surgery for fragmentation of stones in both kidneys and Double J stents have been placed .His recent C.T Scan has revealed presence of stones in the ureter and few small calyceal calculi .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) What is the size of residual calculi ?
Normally in majority of cases placing a stent in ureter results into passive dilatation of ureter so that small residual fragments left in ureter of the size of less than 8 mm pass out in urine with ease and no active intervention is required .However bigger size stone do require intervention to remove the residual fragments. Since ureter is widely dilated the procedure is comparatively easy and hassle free .
Similarly small residual calyceal stone can be expected to pass out spontaneously .The large residual calyceal stones of the size of more than 1 cm can be fragmented by a non invasive procedure called Extra Corporeal Shock Wave Lithotripsy (ESWL).
The decision regarding intervention and multi-phase procedure depends upon the size of the stones and status of kidney function .
In view of he having a compromised renal function you can discuss with your Urologist possibility of these stones passing spontaneously without active intervention .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
You can expect to pass the residual stone spontaneously .
Detailed Answer:
Hello
Thanks for your query,based on the facts and C.T scan report that you have posted it appears that your father has undergone endoscopic surgery for fragmentation of stones in both kidneys and Double J stents have been placed .His recent C.T Scan has revealed presence of stones in the ureter and few small calyceal calculi .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) What is the size of residual calculi ?
Normally in majority of cases placing a stent in ureter results into passive dilatation of ureter so that small residual fragments left in ureter of the size of less than 8 mm pass out in urine with ease and no active intervention is required .However bigger size stone do require intervention to remove the residual fragments. Since ureter is widely dilated the procedure is comparatively easy and hassle free .
Similarly small residual calyceal stone can be expected to pass out spontaneously .The large residual calyceal stones of the size of more than 1 cm can be fragmented by a non invasive procedure called Extra Corporeal Shock Wave Lithotripsy (ESWL).
The decision regarding intervention and multi-phase procedure depends upon the size of the stones and status of kidney function .
In view of he having a compromised renal function you can discuss with your Urologist possibility of these stones passing spontaneously without active intervention .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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