HomeAnswersInfectious Diseaseskidney stonesIs surgery necessary for kidney stones in a diabetic patient under COVID-19 recovery phase?

My diabetic FIL has kidney stones. Should he opt for surgery post COVID treatment?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At December 3, 2020
Reviewed AtJuly 17, 2023

Patient's Query

Hi doctor,

My father in law is a diabetic patient with stones in both kidneys. He had CO-RAD’s-3 in a CT scan. We have given home treatment separately. After a few days, he has tested negative in the rapid antigen kit.

Then we have taken CT scan post-COVID-19, and we got results (attached scan report). Please suggest anything we need to be concerned about.

For kidney stones, they have given tablets like Urifast, Urimax D, and Meftalspas. Also, the doctor suggested surgery after six weeks of post-COVID-19 infection. Anything we need to concern about here, or will these tablets be enough? Kindly help us with your suggested inputs.

Hello,

Welcome to icliniq.com.

I have seen the reports (attachment removed to protect patient identity).

The CT (computed tomography) chest report mentions the disappearance of ground glass appearance (in COVID-19 related findings) in all lung segments. It appears that his pneumonia has healed. However, I would request to share details of COVID-19 diagnosis, reports, and treatments given. Also, please share all other treatments (diabetes) details.

As for kidney stone on CT scan abdomen and pelvis, the stone at the vesicoureteral junction (VUJ) is causing pain and swelling of kidney entry (hydronephrosis) and has been suggested to be removed. It is advisable to go for surgery (it is an endoscopic or ureteroscopic removal of the stone, will require two visits, one for removal and stenting and the other for removal of stents) if RT-PCR based antigen detection (not rapid antigen) test is now negative. The other calculi or stones are in the kidney, are small, and do not need removal unless they descend into the ureter, which may or may not happen later.

The best case is to manage conservatively to attempt hydrotherapy or diuretic based stone removal (if the diameter is less than 5 mm) if the pain is not disabling and hydronephrosis is not progressing and if the renal function is not getting affected. Still, the confirmative way of removal is by ureteroscopic removal.

However, one must be careful and take complete prophylactic anti-COVID measures (to prevent recurrence) and post -COVID19 treatment before going in for surgery. It is a risk-benefit balance we need to see before this decision.

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

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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