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I have a 9 mm kidney stone, so the doctor told me to do lithotripsy. Is there any side effect?

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

Patient's Query

Hi doctor,

My latest report shows nearly 9 mm of kidney stones. The doctors suggested me to do the lithotripsy. So need some consultation related to this. I need to know is there any side effect, and is that possible to avoid this procedure? Impressions are, bilateral nephrolithiasis with large obstructing calculus in the proximal left ureter. Mild left pelvocaliectasis and proximal left hydroureter secondary to 9 x 6 mm stone lodged in the left ureter at L3 level, and cholelithiasis.
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

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Hi,

Welcome to icliniq.com.

Left 9 mm proximal ureteric stone and three stones most massive at 7 mm in the left kidney. The stone density was 145 HU on the CT (computed tomography) report. The lithotripsy is the first option, and least invasive option of managing this 9 mm ureteric stone expecting good response and fragmentation as the stone is not hard HU 145. Lithotripsy (ESWL (extracorporeal shock wave lithotripsy)) is a day cause procedure and does not require anesthesia. But make sure urine culture and blood tests FBC (full blood count), UEC (urea, electrolytes, and creatinine) coagulation profile done, and you are not on anti-coagulations or anti-platelets. The second option is a flexible ureteroscopy. It is more invasive and done under anesthesia, but can clear all stones, ureter, and kidney in a single procedure. If you have any more queries, please do not hesitate to ask.

Kind regards.

Patient's Query

Hello doctor,

Thank you for your reply.

As per my report, can I hold this process, or immediately can I go with this procedure? Currently, I do not have pain, but I am worrying it will affect my kidney function. Please clarify me.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Thanks for the follow-up.

I prefer you to go for the procedure as soon as possible because the stone is obstructing your left kidney and causing damage by reducing the kidney function or by infection later. I agree now there is no pain, but the kidney is blocked with the stone, and that blockage needs to be cleared to stop further kidney damage.

Kind regards.

Medically reviewed by Dr. Preetha. J
Published At October 24, 2020
Reviewed At July 30, 2023

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

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Prep / Recovery Guide

Kidney Stone Lithotripsy Prep and Recovery Guide

How it works

Kidney stones can be painful and require treatment. Lithotripsy is a common procedure to break up stones. This guide helps you understand the process.

1

Understanding
Kidney

2

Why
Treat

3

Prep
Lithotripsy

4

Expect
Procedure

5

Lithotripsy
Detail

6

Contact
Doctor

Important Medication Information

Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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