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kidney stone



Hello,


my husband had ultrasound report dated jan. 30, 2008.

impression is;

nephrolithiases, right


x-ray report

there is calcific outline of the calyces of the right kidney.
there is an elongated calcification noted on the pelvic area on the right.
impression: right calyceal stones with suspicious ureteral stone negative left renal shadow.

the doctor immediately recommends SHOCKWAVE. is there any alternative cure or medicine aside to resort with SHOCKWAVE?

the prescribed drug is ROWATINEX...is it effective???

thanks a lot and GOD BLESS!!!
2 Responses
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498330 tn?1209958888
lithrotripsy is a walk in the park ive had 2 of them and have kidney stones since 1995!! i have msp meddular sponge kidney disease so i always get them
ill explain everyting in english what they do for lithotripsy
they knock u out, pound your back with shockwaves(ur husband will have some good bruises for couple weeks not painful at all) he will urinate the crushed stones out and he will be back to normal in a week or so give or take time for the stint to come out if they put one in ask his dr to give him vicodin(hydrocodone) to take the pain away and he'll be better than new in 2 weeks
best regards
sheri in montana
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Avatar universal
MEDICAL PROFESSIONAL
Hi,

I understand you concern. Shockwave lithotripsy is the primary intervention of choice for renal and ureteral stones. “Shock wave lithotripsy (SWL) has made a revolution in the treatment of urolithiasis. It is a safe procedure with a lower morbidity than open surgery or percutaneous nephrolithotomy (PCN.”)(1)

Also, it is important to note that the characteristic and size of renal and ureteral stones are important in choosing lithotripsy as the  management of choice. “… consider ESWL in most patients with renal calculi as first-line treatment, except in patients with renal calculi bigger than 30 mm in diameter.(2)” Thus, the analysis of stone characteristics of renal stones by “UHCT(Unenhanced Helical Computed CT) is helpful in selecting appropriate patients undergoing ESWL for favorable outcomes and reduces the overall costs of the treatment of renal stones.(3)”


1. Source:Ozgur ,A. and Iker ,NY. Extracorporeal Shock Wave Lithotripsy of Renal Pelvis Stones with PCK Stonelith Lithotripter .International Urology and Nephrology.2005
Url: http://www.springerlink.com/content/tt5ujk43335kqvmu/

2.Source: Rassweiller JJ,et al..Treatment of Renal Stones by Extracorporeal Shockwave Lithotripsy.European Urology.2001;39(2).
url: http://content.karger.com/ProdukteDB/produkte.asp?Doi=52435

3.Source: http://cat.inist.fr/?aModele=afficheN&cpsidt=17187897

Discuss your concerns with your urologist.

How large are the renal and ureteral stones?As stated above, shockwave lithotripsy appears to be the intervention of choice.But your husband needs to be assessed thoroughly prior to any intervention. Your urologist will be the best person to answer your question since there are guidelines for managing renal stones.

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