Kidney stones: Is surgery necessary?

Posted by c111fidler @c111fidler, Oct 23, 2020

My doctor says I have to have surgery for my three kidney stones I have they all range from 2 to 3 cm in size people that I’ve talked to said that they could be blasted by ultrasound and then I would be able to pass them this doctor says that I need surgery what do you think

Interested in more discussions like this? Go to the Kidney Conditions Support Group.

Profile picture for Colleen Young, Connect Director @colleenyoung

Gregg, I moved your question about delaying treatment to see if the kidney stone will pass on its own to this existing discussion where @c111fidler asked a similar question:
- Kidney stones: Is surgery necessary? https://connect.mayoclinic.org/discussion/kidney-stones-5/

I was good with my decision to take the time to allow the kidney stone to pass without intervention. I shared more of my story in this discussion:
- Kidney stones: https://connect.mayoclinic.org/discussion/kidney-stones-1/

I was prescribed Flomax to help relax or dilate the ureter to encourage the stone to pass more easily. @redcat2109 @jakedduck1 @johnbishop @gingerw and others may have additional experiences to share.

Gregg, I'm glad to hear you are assymptomatic. How was it discovered that you have a kidney stone?

Jump to this post

From CT, ultrasound, and KUB images. I'm about to have another KUB image to see if there's been any change.

REPLY

@tgregg99
Your kidney stone should pass on it's own.
If you have an enlarged prostate that may be a problem depending on how enlarged it is. Flowmax may help as well as Lemon.
Although I've read orange juice is more beneficial than lemon.
If this is a chronic problem potassium citrate may be used to reduce future stones. I don't know how effective if at all it is in treating an existing stone.
I've had 8 calcium oxalate stones but haven't one since starting potassium citrate, occasional lemon juice and daily orange juice.
Good luck,
Jake

REPLY

My urologist told me my 2 cm stone is too large to pass on its own, but I'm going to have another discussion soon with him.

REPLY

tgregg99
Oops, sorry about that Gregg.
I must have been thinking of millimeters not centimeters.
Good luck,
Jake

REPLY
Profile picture for Colleen Young, Connect Director @colleenyoung

Laurie, I'm so glad you posted this. I just learned more about the multidisciplinary approach of the Kidney Stone clinic at Mayo Clinic AZ. Patients are seen by a urologist, nephrologist, and a dietician. In my opinion, the addition of the dietician is so critical. I had a kidney stone (much to my surprise) and after it was passed, most of my questions focused on diet and lifestyle. What caused me to have a kidney stone in the first place and what could I do to prevent them in the future. Most of the answers for me were linked to movement (I sit at a computer too much), hydration, and some modifications to my diet.

@roch, have you had kidney stones?

Jump to this post

I have had kidney stones since I was 15, and never knew it. The pain was intense, and when I finally went to the hospital the first year i was married they 'had no idea' what was wrong, gave me some pain pills, and sent me home. I was in my mid 50s before anyone even used the term "kidney disease" in front of me. I put it down to the fact that I was female (and therefore either too stupid to live or just looking for attention) and I was stunned to realize I actually had something that could be fixed. They did, and now my one remaining kidney and I are doing just fine. Ask questions. And since robotics is such a big deal these days, all they do is snip the dead kidney and leave it there. Really.

REPLY
Profile picture for tgregg99 @tgregg99

Large asymptomatic kidney stone 1.8 cm in lower pole

I've decided to delay removal treatment and to observe via periodic imaging. Anyone else doing the same? Ok with your decision? Doing ok? I appreciate any thoughts you can share. Thanks!

Jump to this post

I also have a very large kidney stone in my left lower pole. I am asymptomatic and also considering just sitting on it and keeping a watchful eye.
Just wondering how you’re doing and if you’ve had any change since you’ve been monitoring it.

REPLY
Profile picture for mimi1204 @mimi1204

I also have a very large kidney stone in my left lower pole. I am asymptomatic and also considering just sitting on it and keeping a watchful eye.
Just wondering how you’re doing and if you’ve had any change since you’ve been monitoring it.

Jump to this post

If the stones are in the bladder there is less urgency to remove them. 1 cm might pass through the urethra, but they often do get stuck and then you need to have a doctor put in a catheter or more complex probe to remove it or blast it with ultrasound. Other stones can remain a long time in the prostate ....or I think the kidneys. On Monday I just had many stones removed: no flesh cutting, just the catheter type probe with camera, cutter, holder for stones, etc. They break up the stones and cut out prostate tissue and let it drain out. I'm still weak and tired but my urologic problems should be fixed now.

REPLY
Please sign in or register to post a reply.