Non obstructive stone in kidney. Is it fatty tumor? Consider lithotripsy?
Patient: 57 female, good health, no history of kidney stones . I was diagnosed with 9mm non obstructive stone in right kidney by ultrasound. Urologist wants a CT bc he states ultrasounds aren t definitive and it cound be a fatty tumor . Also he will only consider lithotripsy as treatment if stone confirmed. Is it reasonble to request that the stone be surgically removed instead to insure nothing is left behind. Thank you. Doctor: Hi, many thanks for the query!You need to do- RFT, Urine (R/M), Random blood sugar level, USG KUB.If its a Ca-oxalate (most common variety) stone, it will not break by ESWL.9 mm stone may pass out with medicines.Till your reports come, take antispasmodics, diuretics withyour Urologist's opinion.Drink plenty of water so that at least 2 litres of urine is voided in 24 hrs.If diabetic, blood sugar levels must be in good control. Wish you a good health. Take care. Regards.