I need advice on what is worth it for treatment atp

Minor context when I say him im talking about my urologist and I'm 17 now nearly 18

So for some background I got my first stone at 8 years old went to the ER and it passed skip ahead a few years to late 2021 I'm told I need surgery to remove some too big to pass it ended up being scheduled for just under 4 years ago I don't remember the name of the procedure but I had a nephrostomy tube that he went through to blast them since then I've had surgeries of different kinds at maximum 6 months apart sometimes spending months with an internal stent that he would replace and blast more stones each month

I've had a stricture in my ureter from how many times he's been in my kidney through the penis and I probably have another one right now. The majority of my teen years have been spent dealing with stones and other health issues to the point that I'm not sure I ever really got to be a teenager

Now for this month I had a nephrostomy tube put in that he went through to blast stones but do to some complications he had to leave it in with a bag to collect urine the nephrostomy tube was removed a few days ago and he said that I should see an adult urologist after my next appointment with him because they can probably do more to help

I've been bringing up just removing the damn kidney for a year or two not but that's been fully off the table until very recently and auto transplants have been mentioned a few times so I want to know if anyone here has had anything like this and if they regret it