Are kidney stones severe?

Written by Zhou Qi
Nephrology
Updated on February 21, 2025
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The severity of kidney stones depends on the size of the stones and their location. For example, stones within the kidney parenchyma, if not large and not moving, generally do not cause much trouble.

However, if the stones block the area of the renal pelvis and calyces, or even move downward to block the ureter, causing the urine produced by the kidneys to not be excreted smoothly, it will cause the patient to experience renal colic. This type of pain is very intense, radiating to the back and causing abdominal pain, as well as pain in the perineal area. Patients often may also experience fever and other clinical symptoms. Prolonged obstruction of the urinary system can lead to renal failure, which is quite dangerous.

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Written by Zeng Zhong
Urology
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Do you need to be hospitalized for kidney stones?

Patients with kidney stones need to decide on a treatment plan based on the size of the stones, which determines whether hospitalization is necessary. For kidney stones smaller than 1.5 cm, extracorporeal shock wave lithotripsy can be utilized, allowing the patient to avoid hospitalization. After treatment, the patient can go home, where it is advised to engage in physical activity, drink plenty of water, and urinate frequently to facilitate the expulsion of the stones. A follow-up ultrasound of the urinary system should be conducted one week later at the hospital to monitor the status of the stone expulsion. If the stones are larger than 1.5 cm, surgical treatment is required, which necessitates hospitalization.

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Written by Zhang Peng
General Surgery
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How is kidney stone surgery performed?

How is kidney stone surgery performed? For kidney stone surgery, if the indications for surgical treatment are met, it is generally carried out in the following ways: The traditional method is open stone removal, which involves large traumas and high risks, adversely affecting the patient's postoperative recovery. Nowadays, there are some minimally invasive techniques, such as crushing the stones with a laser and then removing the stones through a corresponding tube, or directly removing the stones using a corresponding soft-endoscope. Therefore, the choice of surgery for kidney stones is generally based on related examinations to select an appropriate treatment method to alleviate the patient's condition.

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Written by Wang Jian
Urology
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Which department should I go to for kidney stones?

Kidney stones should be treated by a urologist. For kidney stones, a urology department will perform an ultrasound of the urinary system to examine them. The symptoms of kidney stones mainly depend on the size, shape, and location of the stones, as well as the presence of any obstructions or complications such as infections. Smaller kidney stones often do not cause any symptoms in patients unless the stone falls into the ureter, which can cause acute renal colic, severe lumbar and abdominal pain, and sometimes nausea, vomiting, frequent urination, urgency, and hematuria. If kidney stones are accompanied by a urinary obstruction or infection, patients may experience persistent high fever. If the kidneys have multiple columnar stones, it can lead to impaired renal function and cause renal insufficiency. Therefore, kidney stones should be taken seriously. If the stones are relatively large, consider surgical treatment or lithotripsy.

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Written by Zeng Zhong
Urology
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How big must a kidney stone be to require lithotripsy?

If the kidney stone is between 0.5 and 1.5 centimeters in size, extracorporeal shock wave lithotripsy is required. After the treatment, patients should drink more water, urinate frequently, and exercise more, such as running, jumping rope, and playing basketball, to facilitate the expulsion of the stones. Then, one week later, a follow-up visit to the hospital for an ultrasonic examination of the urinary system should be done to check the status of the stone expulsion. If the kidney stone is larger than 1.5 centimeters, minimally invasive surgery is required for stone disintegration, primarily using percutaneous nephrolithotomy with Holmium laser lithotripsy.

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Written by Guan Hai Fang
Urology
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Is it easy to treat kidney stones?

If kidney stones are treated using extracorporeal shock wave lithotripsy, the procedure depends on the size and location of the stones, among other factors. Whether the stones can be effectively expelled after the procedure also varies from person to person, but generally, it tends to be successful. Kidney stones are caused by the accumulation of crystalline substances in the kidneys, and there are many reasons for the formation of kidney stones, including diet, genetics, environment, occupation, and other factors. The specific cause can only be confirmed after the stone is removed for pathological analysis. Generally, when the stones are relatively small, such as less than 0.5 centimeters, it is advisable to drink more water and undergo some important auxiliary treatments. Under the guidance of a physician, medication can be used as needed. For stones measuring 0.5 to 2 centimeters, extracorporeal shock wave lithotripsy is required to break the stones and then expel them. If the stone exceeds 2 centimeters, surgical treatment is generally necessary.