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Suggest Treatment For Mild Hydronephrosis In The Left Kidney

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Posted on Sat, 20 Aug 2016
Question: I have in left kidney mild hydronephrosis and hydroureter noted with a 7 to 8mm calculus in distal VUJ what treatment is recommended.
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Answered by Dr. Suresh Radhakrishnan (1 hour later)
Brief Answer:
Best treatment option would be surgery called ureteroscopy

Detailed Answer:
Hi
Thank you for contacting Healthcaremagic.

From the information given, the best option for you would be to have surgery in the form of ureteroscopy and fragmentation of stone. The stone can be broken down by LASER or by a machine called lithoclast.

7-8 mm stone can pass by itself in 20-30% of patients. I, for my patients decide whether to allow the stone by pass by itself only if patient is totally against surgery or high risk for surgery and if the pain is under control. Surgery is a quicker way of relieving the patient of the stone. I then place them on a tablet called tamsulosin and painkillers.

However if you have urine infection, or if kidney function is impaired (blood test called creatinine) then i would opt for surgery directly rather than waiting.

Please contact an urologist for further management.

Hope that answers your query. Please contact me again if you have any further questions.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Suresh Radhakrishnan

Urologist

Practicing since :1994

Answered : 299 Questions

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Suggest Treatment For Mild Hydronephrosis In The Left Kidney

Brief Answer: Best treatment option would be surgery called ureteroscopy Detailed Answer: Hi Thank you for contacting Healthcaremagic. From the information given, the best option for you would be to have surgery in the form of ureteroscopy and fragmentation of stone. The stone can be broken down by LASER or by a machine called lithoclast. 7-8 mm stone can pass by itself in 20-30% of patients. I, for my patients decide whether to allow the stone by pass by itself only if patient is totally against surgery or high risk for surgery and if the pain is under control. Surgery is a quicker way of relieving the patient of the stone. I then place them on a tablet called tamsulosin and painkillers. However if you have urine infection, or if kidney function is impaired (blood test called creatinine) then i would opt for surgery directly rather than waiting. Please contact an urologist for further management. Hope that answers your query. Please contact me again if you have any further questions.