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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Kidney Stones, Ureter Stent And Nephrostomy Tubes Did Not Work?

Hi, I have a 11mm kidney stone. My ureter was cut and reimplanted in 09 during a hysterectomy. In 2011 I had 2 lithrotripsies with no success. I ve had many episode s of kidney stone pain since then with my urologist wanting to wait & watch. February 26th I had a ureter stent & nesphrostomy tube place & on the 27th had my 3rd lithrotripsy which didn t budge the stone.
Mon, 25 Aug 2014
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Urologist 's  Response
Hi,

After ureteric reimplantation, it is difficult to enter the ureter. Otherwise a 11 mm stone could have been easily removed using flexible ureteroscopy and laser. Since you have a nephrostomy tube in place, your Urologist can use a nephroscope (endoscope to see inside kidney) through the same tract and remove the stone easily.
I hope you would have got ridden of the stone long back and recovered very well. This may be a very late reply. I just came across this query. However, if you need any assistance please let me know.

Wish you good health,
Warm regards,
Dr. Raguram G MS, MRCS, MCh (Uro), F. Endouro
Endourologist
AUKI
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How To Treat Kidney Stones, Ureter Stent And Nephrostomy Tubes Did Not Work?

Hi, After ureteric reimplantation, it is difficult to enter the ureter. Otherwise a 11 mm stone could have been easily removed using flexible ureteroscopy and laser. Since you have a nephrostomy tube in place, your Urologist can use a nephroscope (endoscope to see inside kidney) through the same tract and remove the stone easily. I hope you would have got ridden of the stone long back and recovered very well. This may be a very late reply. I just came across this query. However, if you need any assistance please let me know. Wish you good health, Warm regards, Dr. Raguram G MS, MRCS, MCh (Uro), F. Endouro Endourologist AUKI