How to deal with stones in the upper and lower urinary tract

Patient's question:

Hello, I have kidney and ureteral stones measuring 6.1mm and 5.1mm respectively. I have been taking traditional Chinese medicine for over a month and have a slight sensation. Could you please ask the expert if the stones are gone?

Doctor's answer:

It is recommended to primarily use extracorporeal shock wave lithotripsy (ESWL) for stone removal treatment. This device should be the first choice for treating various kidney stones and ureteral stones (1) less than 1.2 cm in diameter. It is preferred because it causes no kidney damage, ensures thorough stone removal, is safe and painless, and avoids the collateral damage of shock wave fragmentation. If the stone diameter is greater than 1.2 cm, extracorporeal shock wave lithotripsy should first be used to fragment the larger stone, followed by ESWL for complete stone removal, achieving complementary advantages. (2) It is particularly suitable for acute ureteral stones and the resulting hydronephrosis, renal pelvis dilation, ureteral hydronephrosis, ureteral dilation, and renal colic. It can rapidly expel ureteral stones, immediately relieve pain, and quickly alleviate the aforementioned symptoms, making it the preferred treatment for ureteral stones. (3) For patients with multiple intrarenal stones complicated by contralateral ureteral stones, the ureteral stones should first be removed, followed by the removal of multiple intrarenal stones, to prevent the formation of a "stone street" in the ureter. If needed, please contact us.

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