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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do If Lithotripsy Cannot Break A Kidney Stone?

46 year old male, had lithotripsy on left kidney to break up 4mm stone. Every went fine and urinated fragments out. Two months later had 5mm stone in right kidney lithotripsy didn t break up. Had it lithotripsy done again a month later, again didn t break up. What next?
Mon, 24 Feb 2014
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Urologist,  's  Response
Hello
Thanks for your query,based on the facts that you have posted it appears that you have a stone of 5mm size in your Rt kidney and it did not get fragmented even with two attempts of lithotripsy.

The stone of a size of 5 mm is likely to be passed down through ureter in to bladder and urethra .

You have to ensure that you drink more water to produce more urine to have a diuretic effect.

Taking alpha blockers like Tomsulosin will help to pass it down through ureter smoothly .

In case if it gets impacted into ureter and gives severe pain it can be fragmented endoscopic procedure called UreteroRenoscopy(URS) .
Dr.Patil.
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What To Do If Lithotripsy Cannot Break A Kidney Stone?

Hello Thanks for your query,based on the facts that you have posted it appears that you have a stone of 5mm size in your Rt kidney and it did not get fragmented even with two attempts of lithotripsy. The stone of a size of 5 mm is likely to be passed down through ureter in to bladder and urethra . You have to ensure that you drink more water to produce more urine to have a diuretic effect. Taking alpha blockers like Tomsulosin will help to pass it down through ureter smoothly . In case if it gets impacted into ureter and gives severe pain it can be fragmented endoscopic procedure called UreteroRenoscopy(URS) . Dr.Patil.