The treatment by a urologist is tailored according to the type of stone. Urine can be strained and stones collected for evaluation.
Drinking six to eight glasses of water a day increases urine flow. People who are dehydrated or have severe nausea and vomiting may need intravenous fluids.
Other treatment options include:
Pain relief may require narcotic medications. The presence of infection requires treatment with antibiotics.
Extracorporeal shock wave lithotripsy uses sound waves to break up large stones so they can more easily pass down the ureters into your bladder. This procedure can be uncomfortable and may require light anesthesia.
- Tunnel surgery (percutaneous nephrolithotomy)
A surgeon removes the stones through a small incision in your back. A person may need this procedure when:
1. the stone causes obstruction and infection or is damaging the kidneys
2. the stone has grown too large to pass
3. pain can’t be managed
When a stone is stuck in the ureter or bladder, your doctor may use an instrument called a ureteroscope to remove it.