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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Required For A 14.4 Mm Calculus?

Hi, I am having 14.4 MM Calculus at Right PUJ, but don t have pain every time. Its pain when I have a long walk or some heavy exercise. For that 14.4 MM do I need to go for surgery or it can be dissolved with medicines. If surgery required then, which type of surgery?Till now I am having homeopathy medicine treatment, but from last 4 months result are same.Please suggest.ThanksJoginder Sutar
Mon, 2 May 2016
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Gastroenterologist 's  Response
hi
thanks for posting in HCM
I have understand your concern

normal size of ureter is 6mm
your stone size is 14mm , so definitely you need intervention to clear that.

procedures in order
1.ESWL, if it doesn't work then
2.ureteroscopy , break the stone and remove
3.PCNL

like order wise it should be followed

it is not a major surgery also

hope this helps you
any further questions please let me know
thanks
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Is Surgery Required For A 14.4 Mm Calculus?

hi thanks for posting in HCM I have understand your concern normal size of ureter is 6mm your stone size is 14mm , so definitely you need intervention to clear that. procedures in order 1.ESWL, if it doesn t work then 2.ureteroscopy , break the stone and remove 3.PCNL like order wise it should be followed it is not a major surgery also hope this helps you any further questions please let me know thanks