Ureteral end stones 0 7mm mild hydronephrosis, how to treat it!

Immediately the gravel is discharged without delay. You can choose between extracorporeal shock wave lithotripsy or ureteroscopic lithotripsy.

If the stone is hard and stuck in the ureter, you can consider relying on extracorporeal lithotripsy to remove the stone.

Your stones are not too big, and you can do it by drinking plenty of water, exercising, and using a little medicine to pass stones**. It is necessary to have regular check-ups and pay attention to what you eat in your daily life. I wish you good health.

You can choose extracorporeal shock wave lithotripsy or barometric ballistic lithotripsy, the latter is not very painful, the latter is the most direct and effective way to rest for a day or two last night Pay attention to anti-inflammatory.

Generally, stones less than 6mm are more likely to be discharged, and your stones, and at the end of the ureter, can be tried conservative for 2 weeks: drink more water, exercise more (running, jumping), traditional Chinese medicine to pass stones, but the conservative time can not be too long, or the stone obstruction time is too long, adhesion with the surroundings, forming an inflammatory package, and long-term hydronephrosis will affect kidney function.

1.Non-surgical**: It is suitable for patients with stones smaller than LCM, stones with a tendency to move downward, no obvious impact on kidney function, and no urinary tract infection. Drink plenty of water, take medications, apply antispasmodics, jump activities, etc.

2.Ureteral stone set: The stone is pulled out with a stone basket under the cystoscopy. Suitable for small active middle and lower ureteral stones.

3.Ureteroscopic stone removal or lithotripsy: After the ureter is dilated, it is placed in the ureteroscope, and the stones are broken with liquid electricity or ultrasonic lithotripsy, and the stones can also be directly removed with stone forceps.

4.Extracorporeal flush wave lithotripsy: mainly suitable for upper ureteral stones.

5.Surgical ureterotomy and stone removal: suitable for patients who are ineffective in the above**, the stone is greater than LCM, and the surface is rough and cannot be discharged by itself, or patients with ureteral stricture and infection.

There are three ways to get ureteral stones.

First, spontaneous stone discharge, for smaller stones (diameter less than 5mm), you can promote stone discharge by drinking more water and exercising, generally after a period of time, most small stones can be spontaneously discharged, if the stone is too large, the width of the stone is greater than the inner diameter of the ureter, the use of drugs to discharge stones is not suitable, at this time the stone is not able to pass through the ureter, it is recommended to cooperate with elm stone tea can help you improve the discharge.

Second, extracorporeal shock wave lithotripsy, for stones of about 25px, because their diameter is much larger than the inner diameter of the ureter, they generally cannot be discharged from the body on their own, and it is often necessary to carry out extracorporeal shock wave lithotripsy, and the large stones are beaten into smaller stones, and they are discharged one by one by using the urine flow scouring effect. However, extracorporeal shock wave lithotripsy also has its contraindications, such as bleeding in patients with abnormal coagulation mechanisms, and extracorporeal lithotripsy in patients with arrhythmias may cause arrhythmias to worsen. In addition, repeated extracorporeal lithotripsy can lead to ureteral stricture or renal atrophy, so you must be cautious, so if you have more than 2 times of extracorporeal lithotripsy and the stone still cannot be broken, it is not suitable for extracorporeal lithotripsy;

Third, ureteroscopy, most ureteral stones can be removed from the body by ureteroscopy, especially for patients who do not respond to extracorporeal shock wave lithotripsy, most of them can be continued with ureteroscopy**. However, ureteroscopy is performed in the ureter, which may cause ureteral damage, so it should be performed with caution.

Fourth, percutaneous nephroscopy is only suitable for large stones (greater than 50px in diameter) in the ureteral junction or upper ureter, which are either ineffective or inefficient with other methods. Percutaneous nephroscopy is performed with an eye on the kidney, which has some renal damage. Therefore, the indication is not as broad as that of ureteroscopy.

Your condition depends on the volume of ureteral stones and should be performed with ureteroscopy**.

Kidney stones are mainly tested by the following methods:

In addition to blood biochemistry, such as liver and kidney function, blood uric acid, clearance, etc., there are also imaging tests.

1. X-ray examination.

X-rays are the most important way to diagnose urinary tract stones. Including plain urinary tract radiograph, excretory urography, retrograde pyelogram, or percutaneous renal puncture imaging, etc.;

2. B-ultrasound examination.

The presence of stones and other concomitant lesions in the kidneys can be diagnosed to determine the presence of fluid accumulation in the kidneys. In particular, X-ray translucent stones can be found, and it can also provide some evidence for kidney damage caused by stones and the ** of some stones. However, B ultrasound also has certain limitations, it can not distinguish between calcification and stones in the kidney, can not intuitively understand the relationship between stones and the kidney, can not see the specific impact of stones on the kidney, and more importantly, B ultrasound can not provide sufficient evidence on how to ** stones;

3. CT examination.

This is currently the first choice for calculus diagnosis. CT can show kidney size, contour, kidney stones, hydronephrosis, renal parenchymal lesions, and residual renal parenchyma, and can also distinguish renal cysts or hydronephrosis; Can identify the cause of urinary tract obstructive lesions caused by lesions other than the urinary tract, such as retroperitoneal tumors, pelvic tumors, etc.; Contrast to understand the function of the kidneys;

4. Magnetic resonance.

Urologic tractography is useful in diagnosing urinary tract dilation. This is especially true for those who are allergic to renal impairment and contrast media, and X-ray examinations are contraindicated. Also suitable for pregnant women and children.

Based on the information you provide, analyze your current medical needs**. Kidney stones are more common in the renal pelvis and calyces Stones in the parenchyma are less common and can cause ureteral dilation and hydronephrosis if present. To put it in layman's terms, the sewers are blocked.

And your stone is at the junction of the renal pelvis and ureter, although the stone is not big, but the mouth is blocked, so there is a small amount of hydronephrosis, and it needs to be active**.

The symptoms of the disease vary depending on the location of the stone, size, range of motion, etc. Mild cases can be asymptomatic, and severe cases can cause anuria, renal failure, and toxic shock. Common symptoms are renal colic, lower back pain, and hematuria.

**Speaking of extracorporeal lithotripsy is preferred, drug stone expulsion is not recommended, because drug stone expulsion may cause stone incarceration and urinary tract obstruction. It is recommended to try extracorporeal lithotripsy first, and if the effect is not good, change the ** method. Such as percutaneous nephrolithotomy, lithotripsy or surgical incision.

The specific situation needs to be understood by visiting the urology department of a regular hospital.

From the "Master Group of Internal Medicine", I hope it will be helpful to you.

Drink more water, beat more, eat some Chinese medicine to remove stones, and do extracorporeal lithotripsy if it doesn't work after a week.

You can ultrasonic lithotripsy, drink plenty of water, and eat stone removal granules in one.

Consequences of severe ureteral stones. The vast majority of ureteral stones** occur in the kidneys, including kidney stones or stone fragments that fall after an extracorporeal shock wave. Because urine salt crystals are more likely to be excreted into the bladder with urine, primary ureteral stones are rare.

In the presence of predisposing factors such as ureteral strictures, diverticulums, and foreign bodies, urinary retention and infection can contribute to the development of ureteral stones.

Long-term obstruction can cause dilation of the ureters and renal pelvis, hydrops, and impaired renal function. Most patients usually have urinary frequency, urgency, dysuria, and terminal hematuria, and often have interruption in urination. Prostatic hyperplasia causes secondary stones, which may only be dysuria.

More than 90% of ureteral stones form in the kidneys and descend into the ureters, unless there is a ureteral obstructive lesion, and stones originating in the ureters are rare. Ureteral stones have the same condition as kidney stones, but after the stones enter the ureters, they gradually turn into jujube kernels.

The harm of ureteral stones is serious, and if you don't do it in time, it will seriously affect your health.