Cases without medical treatment of stones

This is an automatically translated article.

The article is written by Master, Doctor Tran Thanh Hung - Department of General Surgery - Vinmec Ha Long International General Hospital.

1. Choosing a treatment method for kidney stones

The choice of treatment method for kidney stones depends on many factors: characteristics of stones (location, number, size...), complications (bacteriuria, degree of hydronephrosis, kidney function) ), urinary system status (urinary tract circulation under stones, stones in patients with urinary tract malformations), patient status (age, gender, anatomy, urinary system function, physical condition, unique kidney , pregnant women), in addition it depends on the invasiveness of the treatment method, the experience and qualifications of the surgeon as well as the existing equipment of the treatment facility, and finally the funding and The choice of the patient after having been consulted, provides all the necessary information about the disease and the proposed treatment. Stones in the urinary tract can be: kidney stones, ureteral stones, bladder stones, urethral stones
Progression of stones: After the stone is formed, if the stone is small, usually the stone passes through the urine. and was kicked out. But if a stone becomes lodged somewhere in the urinary tract, it will increase in size, obstructing the flow of urine, leading to stagnation and bulging above the blockage. Long-term will lead to complications:
Urine retention. Infection.

Generates more pebbles. It will eventually destroy the part of the kidney that produced it. Medical treatment of urinary tract stones is a method that is applied when the stones are small, before surgery or after surgery because of its effectiveness, low risk, can still work when done and especially non-invasive. encroachment (little effect on the body). However, in some cases, when accidentally detecting stones through ultrasound or examination, patients arbitrarily apply medical treatment with folk remedies, drugs advertised in the media or through word of mouth. without going to the doctor for advice due to not knowing the consequences behind, this is very harmful and dangerous. So you need to know when NOT to treat urolithiasis medically?

2. In which case there is no medical treatment for urolithiasis?

Do not treat when:
Stone size over 7mm: Stones smaller than 4-5mm can go out on their own in the urine stream, patients are advised to drink plenty of water to facilitate elimination. Ureteral stones less than 4mm in size, 90% will urinate on their own. (However, if the stone is larger than 6mm, the chance of passing stones is only about 20%). Stones are causing acute symptoms on the urinary tract, for example: renal colic, acute urinary retention ... Stones have complications of urinary tract infection: painful urination, frequent urination, fever all over the body...

Having a urinary tract obstruction: ureteral hydronephrosis due to stones or congenital pathology of the urinary tract. Stones have affected health and quality of life In some cases, there were underlying diseases that affected or reduced the effectiveness of treatment: Cardiovascular disease: hypertension, heart failure... Kidney disease: decreased (insufficiency) ) kidney function Lung disease in some cases Systemic disease does not allow medical treatment. In some cases, you have a stone that is at risk of causing obstruction, but you have to travel far from the actual treatment facility. If the condition is accompanied by urinary retention, it is not advisable to "try to treat" with medical therapy because then it will accelerate the destruction of the urinary tract. Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern equipment and technology, but also stands out for its examination and consulting services. and comprehensive, professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space.
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