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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Kidney Stones In The Right Renal Pelvis Be Removed?

I am a 57 year old female. Protein and blood were detected in my urine. I have scarring in my longs, I use 2.5 LPM oxygen. I had a CT scan which indicated that I have a 13 mm kidney stone in my right renal pelvis. What procedure will be used to remove it. Also is a 13 mm stone considered big? Thank you, LGC
posted on Fri, 14 Mar 2014
Twitter Sun, 22 Nov 2015 Answered on
Twitter Mon, 23 Nov 2015 Last reviewed on
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Urologist,  's  Response
Hello
Thanks for query .

You have been detected to have stone of a size of 13 mm in pelvis of your Rt kidney .

Since the stone is bigger one you can not expect it to pass out spontaneously .

There are two options for treating this stone
1) Extra corporeal Shock Wave lithotripsy (E.S.W.L).This is a non invasive modality where stone is fragmented in small pieces by external source of energy so that these small fragments can easily pass out through urine .

.This is a non invasive technique and does not require anesthesia nor hospitalization However you may need to do it 2-3 times at a weeks interval till the entire stone is fragmented completely .

2) The second alternative is to take out the stone out by a key hole surgery called Per Cutaneous Nephro Lithotomy (P.C.N.L.).

This requires hospitalization and anesthesia the only advantage of this technique is that it is carried out in one sitting and one can resume work within 4-5 days.

Dr.Patil.
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How Can Kidney Stones In The Right Renal Pelvis Be Removed?

Hello Thanks for query . You have been detected to have stone of a size of 13 mm in pelvis of your Rt kidney . Since the stone is bigger one you can not expect it to pass out spontaneously . There are two options for treating this stone 1) Extra corporeal Shock Wave lithotripsy (E.S.W.L).This is a non invasive modality where stone is fragmented in small pieces by external source of energy so that these small fragments can easily pass out through urine . .This is a non invasive technique and does not require anesthesia nor hospitalization However you may need to do it 2-3 times at a weeks interval till the entire stone is fragmented completely . 2) The second alternative is to take out the stone out by a key hole surgery called Per Cutaneous Nephro Lithotomy (P.C.N.L.). This requires hospitalization and anesthesia the only advantage of this technique is that it is carried out in one sitting and one can resume work within 4-5 days. Dr.Patil.