HomeAnswersUrologyprostate enlargementMy reports show renal calculi and prostatomegaly. Need help.

How to treat a renal calculi with grade 1 prostatomegaly?

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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

iCliniq medical review team

Published At December 10, 2021
Reviewed AtOctober 12, 2023

Patient's Query

Hello doctor,

I am having on and off episodes of red-colored urine with suprapubic pain. My ultrasound report shows renal calculi with mild dilated pelvicalyceal system and grade 1 prostatomegaly.

Kindly help.

Hi,

Welcome to icliniq.com.

The reason for your red-colored urine might be an obstruction or stone. I suggest you do a complete urine analysis, urine culture, and a flexible cystoscopy to get a clear picture of your illness.

Regards.

Patient's Query

Hello doctor,

Thanks for the reply.

Can I attach my abdominal ultrasound reports?

Thanks.

Hello,

Welcome back to icliniq.com.

I already saw the report on your other query (attachments removed to protect the patient’s identity). It seems like you have got a ureteric stone, and a CT (computed tomography) will be useful for the diagnosis. According to the size and position of the stone, we will suggest treatment options.

Regards.

Patient's Query

Hello doctor,

Thanks for the reply.

Ultrasound (USG) does not show ureteric stones but renal calculi. Is it because the USG has not picked up the ureteric stones? Or can renal calculi also be a cause of blood in urine?

Thanks.

Hello,

Welcome back to icliniq.com.

Yes, the ultrasound will not show the ureteric stones. The cause is mainly obstruction, and renal stones do not usually cause pain.

Thanks.

Patient's Query

Hello doctor,

Thanks for the reply.

Is a plain CT sufficient, or CECT KUB is needed?Regards.

Hello,

Welcome back to icliniq.com.

As for stones, plain CT KUB (kidneys ureter bladder) without contrast is sufficient.

Regards.

Patient's Query

Hi doctor,

Thanks for the reply.

I will do a CT KUB.

Thanks.

Hi,

Welcome back to icliniq.com.

You are welcome.

Regards.

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

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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