Suggest treatment for right upper mid caliceal stone
Patient: sirI  am 21yrs. old ,75kg. wt.,182cms long and  having a problem of right upper mid caliceal stone in kidney.As per CT uroscan picture it is locked in tight anterior middle calix.Attempts have been made to break it with ESWL 4 times it has not responded.Doctors are not advising going for PCNL, because it can be dangerous..So, what should i do now? Doctor: Hello and welcome to HCM.As an Urologist,i can understand your anxiety.Why did doctors not advise PCNL.Why dangerous? It's a routine procedure.The other treatment option is a flexible URS with laser lithotripsy.That's a routine procedure for all Urologists and done under spinal anesthesia.You're disharged in 24 hours. You can resume work in 2 days.If you've any doubts,send the reports to me,as a direct question.Dr.Matthew J. Mangat.