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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hydronephrosis, Calculus In The Lower Ureter. Need Surgery Or Can It Be Treated With Medications?

My brother has the below kidney problem and request you to suggest what is the next step. Whether he has to undergo surgery or with the medication it can be rectified. Right sided moderate hydro nephrosis with hydro uretra due to calculus in the lower 1/3rd ureter(below the level of iliac vessels crossing) measuring 6.4mm(along short axis of the ureter) x 9.7mm(along long axis of the ureter) with distinct post acoustic shadowing.
Thu, 19 Jul 2012
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Nephrologist,  's  Response
The chances of his calculus getting out on his own is minimal as the size of the stone is more than 3 mm. Also it is causing blockage resulting in back pressure changes that is swelling of kidney and ureter. The more you wait, the more chances of irreversible damage to your kidney. Hence it is best to get the stone removed through cystoscopic (endoscopic) surgery at the earliest.
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Diagnosed With Hydronephrosis, Calculus In The Lower Ureter. Need Surgery Or Can It Be Treated With Medications?

The chances of his calculus getting out on his own is minimal as the size of the stone is more than 3 mm. Also it is causing blockage resulting in back pressure changes that is swelling of kidney and ureter. The more you wait, the more chances of irreversible damage to your kidney. Hence it is best to get the stone removed through cystoscopic (endoscopic) surgery at the earliest.