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Old 07-27-2012
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Kidney Nephrolithiasis question

If a stone is between 2-3 cm in size, causing pain but no hydronephrosis...what is the best way to manage it?

Surgery? Or
Lithotripsy?
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Old 07-27-2012
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I would say neither - it has a good chance of passing on its own with only supportive therapy (e.g. fluids and analgesia). And if there's no hydronephrosis/obstruction, then I'd definitely choose to try medical therapy (e.g. tamsulosin) before surgical intervention.
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Old 07-27-2012
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upto 5 mm -- pass spontaneously

5mm - 2cm ----- lithotripsy

>2 cm ---- surgery
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Old 07-27-2012
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Haha - I misread the question! I was thinking mm, not CM. Yeah, there's no way 2 cm is going to pass on its own...
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Originally Posted by Mondoshawan View Post
I would say neither - it has a good chance of passing on its own with only supportive therapy (e.g. fluids and analgesia). And if there's no hydronephrosis/obstruction, then I'd definitely choose to try medical therapy (e.g. tamsulosin) before surgical intervention.
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Old 07-27-2012
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Surgery is the way to go with a stone of this size.

Not sure but read online lithotripsy isn't good enuff for stones bigger than 2cm and often the pt needs surgery even after litho... Pls correct/ affirm my reasoning...
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