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Is there any non-surgical management for kidney stone?

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

Patient's Query

Hello doctor,

I am a diabetic taking Glimepiride and Metformin. I have developed a kidney stone measuring 1.6 mm and the doctor has advised for a surgery. Is there any non-surgical management?
Answered by Dr. Khant Shahil Rameshbhai

Education:

MBBS

Professional Bio:

Dr. Khant Shahil Rameshbhai is a skilled urologist and andrologist with expertise in general surgery, urological conditions, and male reproductive health. He provides advanced care in areas such as kidney and urinary disorders, male infertility, and sexual health. With a patient-centric approach, he ensures personalized treatment plans to support both recovery and long-term well-being.

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Hello,

Welcome to icliniq.com.

I have seen your report (attachment removed to protect patient identity). It is unlikely that 1.6 mm Kidney stone will come out on its own. You require surgery. There are many options like URSL and PCNL. Which option does your doctor prefer?

Patient's Query

Thank you doctor,

But what is URSL and PCNL? I am very scared of surgery. I live alone. Kindly suggest a better option.

Answered by Dr. Khant Shahil Rameshbhai

Education:

MBBS

Professional Bio:

Dr. Khant Shahil Rameshbhai is a skilled urologist and andrologist with expertise in general surgery, urological conditions, and male reproductive health. He provides advanced care in areas such as kidney and urinary disorders, male infertility, and sexual health. With a patient-centric approach, he ensures personalized treatment plans to support both recovery and long-term well-being.

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

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

There are two ways in which this stone can be removed: By endoscope through your urine passage called URSL (ureteroscopic lithotripsy). By small hole in the back called PCNL (percutaneous nephrolithotomy). You can ask your doctor for details. URSL will be a good choice, anyhow both are fine. Do not worry. Surgery is not an emergency. You can go home and get treatment there or can call your family members.

Medically reviewed by Dr. K. Shobana
Published At February 23, 2018
Reviewed At July 29, 2025

Education:

MBBS

Professional Bio:

Dr. Khant Shahil Rameshbhai is a skilled urologist and andrologist with expertise in general surgery, urological conditions, and male reproductive health. He provides advanced care in areas such as kidney and urinary disorders, male infertility, and sexual health. With a patient-centric approach, he ensures personalized treatment plans to support both recovery and long-term well-being.

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

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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

Consult other doctors in the same speciality

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

Dr. Khant Shahil Rameshbhai
Dr. Khant Shahil Rameshbhai

Urology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Khant Shahil Rameshbhai is a skilled urologist and andrologist with expertise in general surgery, urological conditions, and male reproductive health. He provides advanced care in areas such as kidney and urinary disorders, male infertility, and sexual health. With a patient-centric approach, he ensures personalized treatment plans to support both recovery and long-term well-being.

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

Consult other doctors in the same speciality
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