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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kidney Problem

sir i have an opacity with faint acoustic shadowing measures about 8mm is seen in midpole of right kidney?
no pc fulllness is seen
right kidney is normal in size shape 101*51 mm


LEFT KIDNEY--
MILD PELVICALYCEAL FULLNESS IS SEEN
UPPER URETERIC DILATATION IS SEEN.
MID AND LOWER URETER NOT VISUALISED
LEFT KIDNEY MEASURES 112*58MM

URINARY BLADDER-
NORMAL SONOLUCENCY , CAPACITY AND WALL THICKNESS
POST VOID SHOWS 22ML OF RESIDUAL URINE.


PROSTATE--
NORMAL 12 GMS


TELL ME SHOULD I GO FOR LASER TREATMENT OR ELSE?
Mon, 23 Nov 2015
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Urologist 's  Response
Hello
Thanks for query Based on the report of your scanning I would state that you have stone of a size of 8 mm in your Rt kidney and impacted stone in Left upper ureter causing dilatation of proximal ureter and kidney (Hydronephrosis) .

In a given situation I would suggest following line of treatment .

A stone in Rt kidney can be fragmented with a procedure called Extra Corporeal Shock Wave lithotripsy (ESWL).This is outpatient procedure and does not require anesthesia.

A impacted stone in left upper ureter has to be dealt with an endoscopic procedure called Uretero Renoscopy (URS ) with fragmentation of stone by laser energy and D J stenting .This requires Hospitalization for 2-3 days and done under spinal anesthesia.

Dr.Patil.
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Suggest Treatment For Kidney Problem

Hello Thanks for query Based on the report of your scanning I would state that you have stone of a size of 8 mm in your Rt kidney and impacted stone in Left upper ureter causing dilatation of proximal ureter and kidney (Hydronephrosis) . In a given situation I would suggest following line of treatment . A stone in Rt kidney can be fragmented with a procedure called Extra Corporeal Shock Wave lithotripsy (ESWL).This is outpatient procedure and does not require anesthesia. A impacted stone in left upper ureter has to be dealt with an endoscopic procedure called Uretero Renoscopy (URS ) with fragmentation of stone by laser energy and D J stenting .This requires Hospitalization for 2-3 days and done under spinal anesthesia. Dr.Patil.