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How can I be free from kidney stone?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.

Thank you.

Answered by Dr. Vivekanandan Govindasamy

Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concerns.

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.

Patient's Query

Hi doctor,

Thank you for the rpely.

I am more concerned about the right kidney. It is very small in size, about 2 x 0.7 x 0.78 inches, and has only 9 percent relative functionality with three stones.

  1. Do you have any comments on this?
  2. Specifically, will it be more complex to achieve stone-free status for the right kidney?
  3. Or would you advise going for stone-free status for both kidneys?

Please help.

Thank you.

Answered by Dr. Vivekanandan Govindasamy

Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by Dr. K. Shobana
Published At August 5, 2016
Reviewed At June 24, 2026

Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

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