STONE SURGERY

This page has only one article because I have not been active enough in getting surgeons to write for us. It is very good, and covers a leading surgical modality. I need to get more of them.

The Surgeon, David Teniers the Younger, Flemish, 1610 – 1690, hangs in the Chrysler Museum of Art, Norfolk Virginia.

Ureteroscopy – An excellent review of this modern technique

Percutaneous NephrolithotomyAn equally excellent review of this complex stone surgery

 

6 Responses to “STONE SURGERY”

  1. Vik

    Dear Dr Coe,
    Recently I went for a preventive CT scan of the heart and while everything was normal, there was finding of bi lateral non obstructing kidney stones measuring 8mm and 4 mm. There are no symptoms and they don’t bother me currently.
    An xray last week confirmed the same findings. Because I don’t have symptoms and not knowing how long they have been sitting there, I am a little reluctant to have them removed through a procedure and go through all the suffering and pain . I have been reading online and quite stressed out knowing experiences given my low pain tolerance level.
    Is there a way to say how long they can remain stuck inside my kidney ? Should I go out and get them treated prophylactically or wait our for them to either pass or cause symptoms before starting treatment ?
    In theory , can one continue to live with stones in the kidney as long as they aren’t growing and remain non obstructing ?
    Many thanks,
    Vik

    Reply
  2. Dd Dow

    Dear Dr Coe, I had a CT scan done with the following results:
    – Both kidneys are identified in their respective renal fossa and appear normal in size and contour with normal parenchymal pattern.
    -Radiodense stone measuring about 4 mm (HU377) noted at the lower pole of
    the left kidney.
    -Radiodense stone about 6 mm noted at the proximal part of left ureter causing
    mild hydronephrosis.
    -no fluid collection or abnormal fat stranding of the peri or para nephric spaces noted.

    My urologist has prescribed tamsulosin and a painkiller. It’s a week and a half now and since the 6mm stone hasn’t passed, he’s suggesting ureteroscopy w laser litho next week. Similar to Mihir above, should I wait a couple of weeks to see if it passes or go ahead with the surgery. Thank you for your time

    Reply
  3. Mihir trivedi

    I am interested in learning about kidney nephrosis and why and how it occurs and how to repair. I have had kidney pain and have previously had multiple lithotripsy. This time round the doctor performed a CT scan and noted I have an approximately .9 mm stone in my ureter half way between the kidney and bladder. The doctor says uretoscopy is the only was as lithotripsy will not achieve a good result as the stone is in an are of the ureter behind the pelvis. I am not In pain right now but the CT scan showed that the kidney is moderate nehprosis. Currently the doctor says we can try and wait for the stone to pass or do the uretroscopy. He thinks it is is a low chance of passing even if I do not have symptoms and if left too long can cause permanent kidney damage. I am not sure what to do. Should I wait a couple of weeks to see if it passes or go ahead with the surgery.

    Reply

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