How to manage kidney stones and an enlarged prostate gland?

Hi,

Welcome to icliniq.com.

I understand your concern.

Sorry to hear about your troubles. Kidney stones are likely to explain the high levels of RBCs (red blood cells) and WBCs (white blood cells) in your urine sample. The stones will rub against the inner lining of the kidney and lead to microscopic hematuria (invisible blood in the urine). The other reason can be the enlarged prostate gland. If you are having trouble peeing, like straining to pee or feeling incomplete bladder emptying, it is likely that your prostate is causing you obstructive symptoms and a UTI (urinary tract infection), too. You will need to get that checked along with planning surgery for your kidney stones.

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Yes, I agree, you do need a procedure. Whether it is PCNL (percutaneous nephrolithotomy) or RIRS (retrograde intrarenal surgery), I cannot comment on that until I have seen the scans myself. PCN (percutaneous nephrostomy) now is a routine procedure carried out hundreds of thousands of times every day around the world. Whilst every procedure carries risks, the risks of undergoing the surgery outweigh the risks of delaying the surgery. Every day, the stones live within your kidney; they damage it a little bit more and can keep causing infections. So, my advice is not to worry so much and to go through the surgery.

I hope this helps you.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Here are the explanations for your condition:

1. Stones, regardless of where they are lodged are a foreign body within the body. They are not supposed to be there. Some stones are composed of infective material themselves, which can infect the system. Even non-infectious stones provide a base for the bacteria to cling to (which would normally be washed away in the urine), and this causes a proliferation of bacteria within the system.

2. An enlarged prostate can cause bleeding (both visible and invisible) as there can be resistance to the flow of urine against the enlarged prostate. This will lead to inflammation of the surface of the prostate and burst micro blood vessels. Any enlarged prostate will also most likely be inflamed, as that is a natural process that can happen during the course of the enlargement.

The reason for the infection is if your enlarged prostate is not letting you empty your bladder completely and there is some urine left behind - the bacteria can infect this urine. Think of it as a glass of water left undrained. Eventually, it will become murky.

I hope I have been able to explain this to you in an easy way.

Is there anything else I can help you with?

Regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Thank you for sharing the report (attachments are removed to protect the patient’s identity). What you have in the left kidney is a sort of staghorn calculus. These types of stones are more likely to be infectious, which explains why it is showing up in your urine. I would advise you to get these removed sooner rather than later to reduce the negative impact on your kidneys and prevent them from getting any bigger. The larger they get, the more complicated the surgery will be.

I hope this helps you.

Revert in case of queries.

Regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is unlikely that the flutter is due to Ciprofloxacin. I would not worry about that and finish your course. As far as making the urine completely sterile before the surgery that is not possible either as the stones will always harbor some bacteria. Regardless, you can undergo the PCNL procedure under appropriate antibiotic cover. Is there anything else that I can help you with?

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I would advise you to repeat the test.

I hope this information will help you.

Thanks.