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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Calculus Seen In Left Kidney. Everything Else Is Normal. Treatment?

left kidney appear normal in size.small calculus seen in left kidney measuring about 10mms in size.no evidence of hydronephrosis .the urinary bladder is normal and well distended.prostate bladder is normal and well distended.prostate appear normal in size and shape.in post void urinary bladder approx. 400ml of residual urine seen.what is the treatment required
Tue, 2 Jul 2013
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  User's Response
Hi, many thanks for the query!
1) Well, 10 mm is not a small calculus, it is less likely to pass out from ureters on its own, needs surgical removal, PCNL is a good option or RIRS can be attempted. Till then take antispasmodics, tamsulosin, diuretics with your doctor's opinion.
2) You haven't mentioned your age. Though prostate size & shape appears to be normal, post void residue of 400 ml is abnormal.
You need to do certain investigations- USG KUB, X-ray KUB, Urine (R&M),
Sr. creatinine, Sr. BUN, Sr. Uric acid, Sr. PSA, Uroflowmetry.
Per Rectal examination by your doctor to know prostate size & more importantly its consistency.
If prostate is HARD in consistency on P/R exam. & Sr. PSA is raised, it indicates malignancy (cancer), in which case you need to do TRUS-biopsy of prostate to get the histopathological diagnosis.
Wish you a good health.
Take care.
Regards.
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Small Calculus Seen In Left Kidney. Everything Else Is Normal. Treatment?

Hi, many thanks for the query! 1) Well, 10 mm is not a small calculus, it is less likely to pass out from ureters on its own, needs surgical removal, PCNL is a good option or RIRS can be attempted. Till then take antispasmodics, tamsulosin, diuretics with your doctor s opinion. 2) You haven t mentioned your age. Though prostate size & shape appears to be normal, post void residue of 400 ml is abnormal. You need to do certain investigations- USG KUB, X-ray KUB, Urine (R&M), Sr. creatinine, Sr. BUN, Sr. Uric acid, Sr. PSA, Uroflowmetry. Per Rectal examination by your doctor to know prostate size & more importantly its consistency. If prostate is HARD in consistency on P/R exam. & Sr. PSA is raised, it indicates malignancy (cancer), in which case you need to do TRUS-biopsy of prostate to get the histopathological diagnosis. Wish you a good health. Take care. Regards.