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Is there any non-surgical management for kidney stone?

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

Patient's Query

Hello doctor,

I am a diabetic taking Glimepiride and Metformin. I have developed a kidney stone measuring 1.6 mm and the doctor has advised for a surgery. Is there any non-surgical management?

Answered by Dr. Khant Shahil Ramesh Bhai

Hello,

Welcome to icliniq.com.

I have seen your report (attachment removed to protect patient identity). It is unlikely that 1.6 mm Kidney stone will come out on its own. You require surgery. There are many options like URSL and PCNL. Which option does your doctor prefer?

Patient's Query

Thank you doctor,

But what is URSL and PCNL? I am very scared of surgery. I live alone. Kindly suggest a better option.

Answered by Dr. Khant Shahil Ramesh Bhai

Hello,

Welcome back to icliniq.com.

There are two ways in which this stone can be removed: By endoscope through your urine passage called URSL (ureteroscopic lithotripsy). By small hole in the back called PCNL (percutaneous nephrolithotomy). You can ask your doctor for details. URSL will be a good choice, anyhow both are fine. Do not worry. Surgery is not an emergency. You can go home and get treatment there or can call your family members.

Answered byDr. Khant Shahil Ramesh Bhai

Medically reviewed byDr. K. Shobana

Published At February 23, 2018
Reviewed AtJuly 29, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Khant Shahil Ramesh Bhai
Dr. Khant Shahil Ramesh Bhai

Urology

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