Ureteroscopy 6mm to ESWL
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Need your thoughts!!! I have a 6mm kidney stone in right renal pelvis. So it’s right before entering the ureter.
I’ve decided to move from doing the Ureteroscopy to ESWL. Is this the right decision? Hoping to do ESWL w NO ANESTHESIA and will take anxiety meds like Valium in the next 1-2 weeks.
My urologist said cause the stone is in the right renal pelvis it’s in a zone where ESWL can be successful.
Anyone ever done this for a 6mm stone? My pain is 3-4 of 10 at the moment.
Does the jump and bump method work when the stone is in the right renal pelvis?
Comments (3)
Let me make a wild guess, you are with Kaiser? My urologist requested surgery date in January and we still do not have a surgery date. I filed grievance that us still pending. I also filed accelerated grievance and idividual I spoke to went from disbelief and shock to calling me 2 days later to tell me my 30% swolen kidney due to stone almost completely blocking my urether is not urgent situation despite hydronephrosis stage 3. They are also very adamant that they are not denying me the proc...
Your urologist sounds confident about the location, which matters. I haven't done ESWL myself -- I've had two ureteroscopy surgeries that were... not great experiences -- but I know plenty of people who've gone the ESWL route for stones in that exact spot and had decent outcomes. The 6mm size is actually workable for it, and doing it without general anesthesia is doable if you can stay still through the procedure (that's the real challenge, not the pain necessarily). Valium should help with t...
Your urologist's assessment about ESWL being appropriate for a stone in the right renal pelvis is correct. Here is the clinical reasoning: Why renal pelvis stones are well-suited for ESWL: \- Stones in the renal pelvis have more surrounding fluid (urine in the collecting system) and space, which actually enhances shockwave effectiveness \- Fragments after ESWL have a natural drainage path down the ureter \- ESWL success rate for 6mm renal pelvis stones is generally 70-85%, which is reas...
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