Concluded Case

Nephrolithiasis

A 62 year male patient having severe pain in left lumbar and iliac region of the abdomen which is radiating side and back of the abdomen along with nause and vomating. Three such episodes has been reported since past 2 months. •Abdomen USG reveals 10 mm calculus in lower 1/3rd part of the left ureter. •blood urea and creatinine report also attached. Please suggest the Management of the case.

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Concluded answer
As per latest AUA and EAU guidelines, a stone of this size in lower ureter has very little chance of passing. Since there is evidence of obstruction, best to go for URSL.
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Surgical required
Thank you doctor
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USG report 10 mm stone lower third of left ureter with urea borderline and creatinine marginally raised suggestive slight compromisation of kidney function due to obstruction by the presence of stone . 10 mm ureteric stone in lower third of left is also a borderline size may or may not pass automatically but as the kidney function is compromised and repeated attack with pain means stone is trying to move. Keeping every thing in mind I will suggest surgical intervention to remove the stone by endoscopy.
Thanks Dr Jagat Chaudhury
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9 mm size is alarming in view of compromised renal function../ Possible Hematuria.../ UTI../ & Intolerance smooth muscle pain..i am of the opinion to undergo gor leser shock wave or other competable surgery.
Thank you sir for your suggestion
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Big size ureteric calculus lt side obstructive Hydrotherapy Iv fluid+inj lasix Rest of supportive treatment Once pt settled down shift on oral treatment Sos retrograde ureterolithotomy
Thank you sir
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As per latest AUA and EAU guidelines, a stone of this size in lower ureter has very little chance of passing. Since there is evidence of obstruction, best to go for URSL.
Thank you sir
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10mm..CALCULUS.. LT.. URETER.. NEED'S.. LITHOTRIPSY..
Thank you sir
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Needs surgical mx
Thank you sir
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Case of urologist URSL
Thank you sir for your suggestion
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Cystoscopic removal.
Thank you doctor
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