Patient's question:
What are the manifestations and symptoms of kidney stones?Doctor's answer:
Hello:Clinical cases of renal calculi combined with ureteral calculi are relatively common, and they can be clearly diagnosed through ultrasound examination. Generally, multiple renal calculi that fall off and enter the ureter can be diagnosed as ureteral calculi. They often cause ureteral obstruction, leading to renal pelvis dilation and hydronephrosis. They typically present with lower back pain and discomfort, severe renal colic, causing great suffering to patients. Lower and middle ureteral calculi can radiate pain to the penis, testicles, and perineum. Accompanied by symptoms such as nausea and vomiting. It is recommended to use extracorporeal shock wave lithotripsy (ESWL) as the first choice for stone removal treatment. Early treatment is crucial for better stone removal results.
First, let me explain that the principle of extracorporeal shock wave lithotripsy (ESWL) is entirely different from that of extracorporeal shock wave lithotripsy. The advantage of ESWL lies in its lack of organ damage, thorough stone removal, and minimal pain for patients, making it more acceptable. In contrast, extracorporeal shock wave lithotripsy causes organ damage and is more painful. ESWL technology employs high-frequency superconducting fluid dynamic shock wave three-dimensional integrated stone removal technology, assisted by large digital ultrasound for precise positioning. It features accurate positioning, rapid stone removal, and effective treatment of bile duct stones, ureteral stones, allowing stones to be removed as they are passed. It is particularly effective in treating in the intrahepatic bile ducts. The most prominent feature of this equipment is its humanized operability, thorough stone removal for various types of stones, wide range of indications, minimal side effects on the human body, painless stone removal during the process, no need for hospitalization, and low treatment costs, making it easily acceptable to patients. It is a reliable, effective, simple, and practical treatment device with unique equipment and technical advantages. Therefore, it is currently the best choice for treating various types of stones.
For the treatment of renal calculi combined with ureteral calculi under 10mm, it is essential to first remove the ureteral calculi before treating the renal calculi. Generally, after several stone removal treatments, the stones can be successfully removed. For larger stones, the principle of first crushing and then removing the stones can be adopted to achieve complementary advantages. However, for ureteral calculi, it is necessary to wait for 3-5 days after the local ureter becomes congested and edematous before performing stone removal treatment. Generally, stones are relatively easy to remove. Whether it is small ureteral stones or larger multiple renal stones, due to the widespread use of ultrasound, the diagnosis of ureteral stones is timely and easy. Small stones that have just entered the ureter can generally be detected early, providing the best indication and timing for ESWL technology. For stones that have been lodged in the ureter for a long time, it is difficult to remove them and surgical or ureteroscopy lithotripsy measures may be required. At the same time, it is more important to provide patients with the latest measures for early stone removal treatment, avoiding excessive treatment methods that cause significant organ damage, poor efficacy, pain, and high costs.
The indications and treatment scope of extracorporeal shock wave lithotripsy are as follows:
(1) For various renal and ureteral stones less than 1.2cm, extracorporeal shock wave lithotripsy should be the first choice for stone removal treatment. This method does not cause kidney damage, ensures thorough stone removal, is safe and painless, and has no side effects of shock wave lithotripsy. If the stone diameter is greater than 1.2cm, extracorporeal shock wave lithotripsy should be used first to crush the stones, followed by extracorporeal shock wave lithotripsy for thorough stone removal, achieving complementary advantages.
(2) This equipment is particularly suitable for acute ureteral stones and the hydronephrosis, renal pelvis dilation, ureteral hydronephrosis, ureteral dilation, and renal colic they cause. It can quickly remove ureteral stones, alleviate pain immediately, and rapidly relieve the aforementioned symptoms, making it the preferred treatment method for ureteral stones.
(3) For patients with multiple renal stones on the same side as ureteral stones, the ureteral stones should be removed first, followed by the removal of multiple renal stones, to prevent the formation of a "stone street" in the ureter.
(4) For large renal stones that remain in the lower pole of the kidney pelvis and calyces after ESWL, these small stones are the best indication for extracorporeal shock wave lithotripsy for thorough stone removal. This is because the handheld high-frequency superconducting shock wave can directly touch the stones in the lower pole of the kidney, move them into the kidney pelvis and ureter, and remove them from the body.
(5) For the stone removal treatment of the aforementioned various types of stones, if there is a concurrent urinary tract infection leading to pyelonephritis, ureteritis, cystitis, prostatitis, urethritis, or infections of the liver and bile ducts such as cholecystitis and intrahepatic or extrahepatic cholangitis, the inflammatory congestion and swelling of the mucosa will affect stone removal. Therefore, it is necessary to first undergo antibiotic anti-inflammatory treatment before performing extracorporeal shock wave lithotripsy.
(6) Generally, extracorporeal shock wave lithotripsy requires 1-3 treatments to thoroughly remove the stones, with a duration of 5-7 days. Patients in good physical condition can undergo continuous stone removal treatments, while those with poorer physical fitness can have treatments once every other day. If there are urinary functional impairments or concurrent infections, the hospitalization period may be longer. According to clinical observations, Professor Chen Bangjing believes that extracorporeal shock wave lithotripsy is the leading new technology for treating stones both domestically and internationally. It is the preferred method for treating renal stones, ureteral stones (ureteral stones can generally be removed within two hours), gallstones, and extrahepatic and intrahepatic bile duct stones. With its completely thorough stone removal effect, no side effects on any organs, and low cost, it has brought benefits to a vast number of patients. For stones beyond the scope of extracorporeal shock wave lithotripsy, it is recommended to first perform shock wave lithotripsy before stone removal treatment. For large renal cast stones and gallstones, it is recommended to undergo surgical stone removal as soon as they are detected. If you need treatment, please contact me by phone or communicate online. Thank you for your cooperation.