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Suggest Remedy For Stones In Ureter
Question: 5mm stone just above vuj in distal ureter . can it pass naturally?.
(5*4 mm(HU=1330). Causing mild proximal hydroureteronephrosis.
is it needed any URETEROSCOPY . to remove this stone. what is best suggestion from your side.
is URETEROSCOPY needs to be done under full anesthia? and what is recovery period
(5*4 mm(HU=1330). Causing mild proximal hydroureteronephrosis.
is it needed any URETEROSCOPY . to remove this stone. what is best suggestion from your side.
is URETEROSCOPY needs to be done under full anesthia? and what is recovery period
Brief Answer:
You can expect the stone to pass down spontaneously .
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have a stone of a size of 5 mm in distal ureter with mild hydronephrosis .
Normally in majority of cases stones up to size of 8 mm pass out spontaneously and no surgical intervention (Ureteroscopy) is required .
Following treatment and measures will help to pass out the stone spontaneously.
1) Drink more water to produce more urine .That will help to flush out the stone .
2) Take smooth muscle relaxant like Tomsulosin once daily This will help to dilate the ureter and there by tp pass the stone down into bladder .
3) Tab Dataverine twice daily .It has action similar to Tomsulosin .
4) Antibiotic as a prophylaxis to prevent infection .
Ureteroscopy and fragmentation is needed only if there is severe pain , vomiting and fever suggesting secondary infection and severe hydronephrosis .
It is normally done under regional anesthesia (Spinal Anesthesia) and requires hospitalization for 2-3 days and recovery period of one week.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
.
You can expect the stone to pass down spontaneously .
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have a stone of a size of 5 mm in distal ureter with mild hydronephrosis .
Normally in majority of cases stones up to size of 8 mm pass out spontaneously and no surgical intervention (Ureteroscopy) is required .
Following treatment and measures will help to pass out the stone spontaneously.
1) Drink more water to produce more urine .That will help to flush out the stone .
2) Take smooth muscle relaxant like Tomsulosin once daily This will help to dilate the ureter and there by tp pass the stone down into bladder .
3) Tab Dataverine twice daily .It has action similar to Tomsulosin .
4) Antibiotic as a prophylaxis to prevent infection .
Ureteroscopy and fragmentation is needed only if there is severe pain , vomiting and fever suggesting secondary infection and severe hydronephrosis .
It is normally done under regional anesthesia (Spinal Anesthesia) and requires hospitalization for 2-3 days and recovery period of one week.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
.
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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