Week 5 of a kidney stone - wait a bit longer or get stent/laser?
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- Patient journey
Husband is on week 5 of a kidney stone (left-side)
CT scan in week 1 showed a 4mm stone in ureter (he was in the emergency room for 1 night)
CT scan in week 4 said stone is 6mm now but has migrated distally, approx 40mm proximal to the VUJ. Associated with mild hydronephrosis.
No infection but he has been unable to go to work for 5 weeks and is in pain and feels nauseous. Various prescription pain meds but nothing seems to help much.
We've read online that everyone that has had stent+ laser has said it was a horrible experience. So he's hoping it'll come out soon so he can avoid that + hospital.
1) Would you wait for it to come out seeing as it's so close to entering the bladder? (scared of the surgery and pain it will cause)
2) Has anyone experienced anything similar? (same size stone for the same amount of time? How long did yours take to come out?)
We're in Australia (Perth) so we have the option to go to emergency (public) and wait many hours and get it for free. Currently has a referral for a private urologist and waiting for them to get back to us - worried it might be a long wait and they'll just end up offering stent+ laser anyways.
Feels like this has been going on for so long it's hard to think straight.
Thanks for any help!!
Oh and this is his 3rd stone , he's had one roughly every 10 years (he's 39) but even though the others were worse pain-wise, they only lasted a few weeks. He had them tested once and was told he had a combination of all the different types of stones so "there's nothing he can do to prevent it". I doubt there's nothing so I've bought a strainer and determined for him to catch this one and get it tested again (& 24 hour urine test) - I've said I'm more than happy to reach into the toilet to retrieve it if it falls in lol.
Comments (6)
Get signed up for ureteroscopy with laser lithotripsy. I usually suggest to my patients that if a stone hasn’t passed after a month it’s time to go to the OR and get rid of the stone. It’s time to get life back. A stone that size can be removed in 20-30 minutes under anesthesia.
Thanks for your reply and advice, I appreciate it. From what I've read it seems like it takes several days/weeks for the stent/laser? 1st time - insert stent. 2nd time - laser. A few weeks later, 3rd time - to remove stent? He's really scared about the pain and if it'll cause more issues. Everyone describing it as being horrible and worse than the stones. Fully agree though it's time to get life back. But I definitely would be scared and I'm scared for him. Just worried it's close to co...
NAD. It’s definitely not worse than the stone. I just went through something similar and can’t imagine waiting 5 weeks to get the stereoscope. I only needed the stent for a week after the surgery. He really needs to talk to a doctor and just get done what needs to be done and go back to normal life. My whole ordeal end to end was less than 2 weeks from ER with nausea/vomiting, to inpatient admission for a weekend, then the uteroscopy with stent on a Monday and the stent taken out yesterday. I...
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