How can I be free from kidney stone?

Question

Hi doctor,

I am a 59-year-old male. I had a kidney stone problem for nearly eight years. I had multiple operations, such as right pyelolithotomy and left ureterolithotomy, to remove stones during that period. Now, after 20 years, I got a sudden pain and my ultrasound detected a kidney stone. I had a CT scan, DTPA scan, and kidney panel test. I have attached the reports for your reference. My left kidney has one stone, and the right kidney is functioning very poorly with multiple stones. I would like to know how to proceed next.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

It is good that you remained without any major stone episodes for more than 10 years. Your creatinine level is normal (attachment removed to protect patient identity), which is good. You can wait and follow up every three months with an ultrasound for stones.

The best would be to undergo flexible ureteroscopy and laser lithotripsy on both sides to achieve stone-free status. Also, maintain your saturation levels.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Ideally, the right kidney should be removed because, as you rightly said, it would be really difficult to achieve stone-free status, and it is a poorly functioning unit. At the moment, it would be worthwhile to clear the left renal calculus and just follow up.

I hope this helps.

Thank you.