How to treat left upper ureteral stone with left hydronephrosis?
Disease description:
My friend has kidney stones. After a hospital examination, it was found that he has a stone in the upper segment of the left ureter accompanied by hydronephrosis of the left kidney. How should a stone in the upper segment of the left ureter with left kidney hydronephrosis be treated?
Doctor's answer (1)
Dr. Li Mingchuan
Left upper ureteral calculi with left hydronephrosis constitute a medical emergency requiring prompt treatment to relieve obstruction and preserve renal function. Treatment options mainly include medical therapy, extracorporeal shock wave lithotripsy (ESWL), or ureteroscopic stone removal. Medications such as antispasmodics and analgesics can help alleviate symptoms. The appropriate treatment method—such as ESWL to fragment the stone for spontaneous passage in urine, or ureteroscopic stone extraction to directly remove the stone—is selected based on the size and location of the calculus. Additionally, patients should maintain adequate fluid intake to promote stone expulsion and reduce hydronephrosis. Management should be conducted under the guidance of a qualified physician.
