How to remove a kidney stone with mid-pole calculus measuring 5.9mm and lower-pole calculus 4.0mm?
Kidney Stone
Dr. Vishal Dutt Gour
Answer
For a mid-pole calculus measuring 5.9mm and a lower-pole calculus measuring 4.0mm, treatment depends on the symptoms and stone location. Smaller stones like these may pass naturally with increased hydration (4-5 liters of water daily) and medications like alpha-blockers to relax ureter muscles, aiding stone passage. However, if the stones cause pain, infection, or obstruction, procedures like extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy may be recommended to fragment or remove the stones.
Lower pole stones are harder to pass due to their location and may require minimally invasive surgery like retrograde intrarenal surgery (RIRS) or percutaneous nephrolithotomy (PCNL) for complete removal. Regular follow-ups with imaging tests like ultrasound or CT scans are essential to monitor progress. Consult a urologist for the best treatment plan based on your condition and symptoms.
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