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 Wang Shuai
Urology
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Does kidney stones cause hematuria?

Kidney stones can cause hematuria. The main reason that kidney stones cause hematuria is due to the damage to the mucous membrane of the renal pelvis caused by the stones, and even the rupture of blood vessels, leading to hematuria. In this case, it is necessary to use imaging methods such as color Doppler ultrasound and CT to determine the exact location and size of the stones. If the stone is small, such as about five or six millimeters, symptomatic hemostasis treatment can be conducted, and if necessary, drinking more water, urinating frequently, exercising more, and taking oral stone-discharging granules or effervescents can help expel the stones from the body. If the stone is large, it is advisable to opt for surgical treatment as soon as possible.

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Written by Wang Jian
Urology
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Kidney stone symptoms

The symptoms of kidney stones depend on the size and shape of the stone, as well as its location in the kidney, whether there are infections, obstructions, and other factors. Smaller kidney stones, which are smooth, can be expelled with the urine without causing noticeable symptoms. Stones lodged in the lower part of the renal pelvis or in the calyces can be asymptomatic. If the kidney stones are larger, located in the calyces or the renal pelvis, they can compress the kidney and cause back pain or dull pain because the stones can lead to the dilation or obstruction of the renal pelvis or kidney. Patients may experience back pain, fever, and if there is an infection, localized fever may occur. Additionally, kidney stones can scratch the mucous membrane of the ureter or kidney, causing bleeding.

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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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How to check for kidney stones?

For kidney stone examination, it is necessary to conduct an ultrasonography of the urinary system. Patients can go to the urology department of their local hospital for a formal examination. The ultrasound of the urinary system primarily looks at the size of the kidney stones and whether there is any water accumulation in the kidneys. Based on the results of the examination, an appropriate treatment plan can be formulated. For example, smaller kidney stones can be treated with extracorporeal shock wave lithotripsy, while larger kidney stones may require minimally invasive surgery.

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Written by Zhou Qi
Nephrology
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Are kidney stones severe?

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.