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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Undergo Cystoscopy, Bilateral URS, DJ Stenting For Stones In Kidney/ureter?

hello! I have 7mm stone at UVJ at right side. There is also a stone of 5.5mm size in upper ureter at left side. right now i am not having any pains.
Dr. has suggested cystoscopy and bilateral URS and DJ stenting. Is it really required or else i should wait for stone from right kidney to pass through urination only. My urine output is normal. I am 28 years , male.
Kindly guide me.
thank you.
Mon, 21 Sep 2015
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Urologist,  's  Response
Hello
Thanks for query .
You have been detected to have stones in both the ureters
1)Rt side at UV Junction 7 mm stone
2) 5 mm stone on left side in upper ureter

You have not mentioned regarding back pressure changes in kidney (Hydronephrosis) which is the key factor in taking the decision about the endoscopic intervention (URS).

There are two options of modality of treatment

1) If you have not severe pain ,vomiting or fever you can certainly wait for two more weeks and expect the stones to pass down spontaneously with understanding that in case you get severe pain or vomiting during this expectant period to visit hospital and Urologist for immediate endoscopic intervention (URS )

2) Get the procedure done as advised by your Urologist .

Dr.Patil..


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Should I Undergo Cystoscopy, Bilateral URS, DJ Stenting For Stones In Kidney/ureter?

Hello Thanks for query . You have been detected to have stones in both the ureters 1)Rt side at UV Junction 7 mm stone 2) 5 mm stone on left side in upper ureter You have not mentioned regarding back pressure changes in kidney (Hydronephrosis) which is the key factor in taking the decision about the endoscopic intervention (URS). There are two options of modality of treatment 1) If you have not severe pain ,vomiting or fever you can certainly wait for two more weeks and expect the stones to pass down spontaneously with understanding that in case you get severe pain or vomiting during this expectant period to visit hospital and Urologist for immediate endoscopic intervention (URS ) 2) Get the procedure done as advised by your Urologist . Dr.Patil..