Is surgical treatment necessary for kidney stones?

Patient's question:

A few days ago, I noticed pain in my lower abdomen and prostate. Later, during a health check-up, I found out I had kidney stones (8×5mm) and an enlarged prostate. There's also a stone in my prostate (8×6mm). The prostate hurts, but the kidney never does. I want to ask if drinking can help break the stones. Besides that, what other medications can help break the stones? Are there any foods I should avoid? Do I definitely need surgery?

Doctor's answer:

For the treatment of stones, the following suggestions are provided: Stones smaller than 0.6 cm can be expelled from the body through oral lithotripsy medication or by drinking a large amount of water. Stones larger than 0.6 cm but smaller than 2 cm, or those that do not respond to medication, can be treated with extracorporeal shock wave lithotripsy. Stones larger than 2 cm require surgical treatment. Additionally, Ginkgo biloba has diuretic and stone-expelling effects, but it is cold in nature and should not be taken orally for long periods alone. For patients with prostatitis, timely treatment can reduce the risk of recurrence. If left untreated, it may affect fertility. Therefore, patients should seek timely and symptomatic treatment.

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