How can a ureteric calculus be treated?

Health Description
Health Consultation Description: I have an 8 mm ureteric stone in a proximal Position on the right side. What to do?


Expert Reply

Condition analysis:
Thank you for your question.

Proximal Ureteric stone should be dealt with by Laser surgery.

They would put a scope through your urinary tract and with a Uretero-renoscope push the stone into the kidney and then break it with laser into small fragments so that it can flow out with the urine without causing any blockages. They also might like to put a stent(DJ or Double J shaped) into the Ureter from the kidney till the bladder to avoid any blockages. The treatment is simple without any cuts on the body.

You will need to consult a Urologist for the same. It would be better to get it treated as it can otherwise lead to blockage and problems.

Take care and do let me know if there are any queries on this issue.

Instructions:
Partial and Complete Obstruction: Most blockages usually only affect one ureter (unilateral) and are partial thereby allowing kidney function to continue fairly unaffected. Very few diseases may afflict both ureters simultaneously and if this does occur, it can have grave consequences. As with most diseases affecting most hollow organs, an obstruction is usually expected to occur gradually. However the most common cause of ureteral obstruction – urinary stones – is of abrupt onset. Therefore there may be a complete obstruction which can cause the sudden onset of symptoms often within minutes.

A partial blockage of one ureter may be barely noticeable as the urine may still pass through, albeit with slowly, and the other kidney with an intact ureter will compensate for the urinary output. With significant partial ureteral obstruction or complete obstruction on one side, there may be hydronephrosis and/or hydroureter. A hydronephrosis is when the the pelvis of the kidney and eventually even the calyx becomes dilated as the fluid accumulates within it. Hydroureter is a dilation of the ureter as the urine accumulates within it and causes distension. A hydroureter is unlikely to occur with a blockage at the ureteropelvic junction – this is where the kidney (renal pelvis) and ureter meet.



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 Key words:  Ureteral calculus

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