What department should I go to for kidney stones?

Written by Wang Shuai
Urology
Updated on September 29, 2024
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Kidney stones are a urological condition requiring treatment at a hospital's urology department. Diagnosis involves imaging, such as ultrasound or CT scans, to determine the stone's exact size and location for appropriate treatment. If the stone is relatively small, with a diameter of six millimeters or less, referred to as a small stone, it generally does not require special treatment. Increased fluid intake, frequent urination, and exercise can help facilitate the expulsion of the stone. If the stone's diameter is between 0.7 and 1.5 centimeters, extracorporeal shock wave lithotripsy or ureteroscopy may be considered. For larger stones exceeding 1.5 centimeters, possibly accompanied by hydronephrosis, the recommended treatments are percutaneous nephrolithotomy or open surgery for stone removal.

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Written by Zeng Zhong
Urology
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Do kidney stones hurt?

Whether kidney stones cause pain depends on whether the stones are moving within the kidney. If the stones are relatively large, they generally do not move within the kidney, and the patient will not feel pain. However, when the stones cause hydronephrosis (accumulation of water in the kidney), the patient may occasionally feel a slight swelling and discomfort in the lower back. If the kidney stones are small, they are likely to move within the kidney, which can lead to severe lower back pain, clinically known as renal colic. This pain is quite severe, and it is necessary to go to the hospital for timely treatment.

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Written by Wu Ji
Nephrology
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How to treat polycystic kidney kidney stones

Patients with polycystic kidney disease who develop kidney stones should be treated the same as patients without polycystic kidney disease. It is encouraged for patients to drink more water. If the stones are symptomatic, treatments such as extracorporeal shock wave lithotripsy or percutaneous nephrolithotomy may be considered. The main principles of treatment include managing renal colic, promoting stone expulsion, dissolving stones, or surgical interventions, as well as preventing recurrence. During a renal colic episode, it is primarily recommended to administer antispasmodic analgesics. Commonly used medications include scopolamine butylbromide and atropine, or combinations of atropine with pethidine or morphine. Expulsion therapy mainly involves drinking plenty of water, proper physical activity, and the use of some antispasmodic drugs to help expel the stones. Surgical treatment is aimed at patients with anuria and post-renal acute renal failure, or in cases where the stone diameter is larger than one centimeter, or if the expulsion therapy is ineffective, especially if there are still episodes of renal colic. Systemic metabolic disorders are an important cause of kidney stone formation, thus even after stones are cleared, recurrence is possible. Therefore, to prevent recurrence, it is advisable to ensure a daily urine output of 2000 to 2500 milliliters, avoid drinking tea and coffee as much as possible, adjust dietary habits, and treat systemic metabolic abnormalities, such as hypercalcemia, hyperuricemia, and cystinuria, among others.

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Written by Chen Feng
Urology
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How can kidney stones be expelled from the body?

The method of expelling kidney stones from the body is related to the size of the stones. If the diameter of the kidney stone is less than 0.6 centimeters, it can generally pass smoothly through the ureter and urethra to the outside of the body. This can be facilitated by drinking plenty of water and performing physical activity to naturally expel the stones. If a stone gets stuck in a physiologically narrow part of the ureter during expulsion, conservative treatment methods can be used to dilate the ureter, allowing the stone to pass on its own. If the kidney stones are relatively large but do not cause obstruction within the kidney, they can be observed temporarily without treatment. If larger stones get stuck in the ureter or urethra and cannot be expelled on their own, surgery is generally required to remove the stones. After surgery, it is also important to drink plenty of water and urinate frequently.

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Written by Zeng Zhong
Urology
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What department should I go to for kidney stones?

Patients with kidney stones need to visit the urology department of their local hospital for standard examinations and treatments. Doctors will conduct an ultrasound and CT scan of the urinary system to determine the exact size of the stones. If the stones are relatively small, measuring less than 1.52 centimeters, they can be treated with extracorporeal shock wave lithotripsy. If the stones are larger, surgical treatment is necessary. Currently, the main method is a minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy. Patients generally need about 7-10 days post-operation before they can be discharged from the hospital.

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Written by Chen Feng
Urology
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Early symptoms of kidney stones in women

The initial symptoms of kidney stones in women vary depending on the size of the stone and whether the stone causes an obstruction. Generally, during the early stages of kidney stones, the stones are relatively small and do not cause obstruction in the kidney or bladder, and typically do not present any symptoms. However, if a small stone moves downward and accidentally gets stuck in a naturally narrow part of the ureter, it can cause symptoms such as pain and discomfort in the lower back, nausea, and vomiting. If the stone gets stuck at the junction of the ureter and the bladder, it irritates the bladder mucosa, leading to symptoms of frequent urination, urgent urination, and painful urination. However, small stones generally pass on their own. Analgesics can be used for symptomatic treatment. Additionally, medications that dilate the ureter, along with drinking plenty of water and physical activity such as jumping, generally help the stone to pass.