For left kidney stones, is it better to take medication or undergo lithotripsy?
This morning, I suddenly felt pain in the left abdomen. After examination, it was found to be a left kidney stone. I'm currently undecided whether medication or direct lithotripsy would be better.
Doctor's answer (1)
For the treatment of left kidney stones, the choice between medication and lithotripsy mainly depends on the size, location, composition of the stone, and the patient's overall health condition.
For stones smaller than 5mm in diameter, conservative management is typically recommended, including increased fluid intake, use of pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain, and possibly the use of alpha-blockers to facilitate stone passage.
When medical treatment is ineffective or the stones are larger, lithotripsy may be considered. This includes extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrolithotomy (PCNL). ESWL uses high-energy shock waves focused on the stones inside the body to break large stones into smaller particles for easier expulsion. PCNL involves accessing the kidney through a small puncture in the skin, using a nephroscope to locate and remove the stones.
Regardless of the treatment method selected, it should be performed under the guidance of a physician. After lithotripsy, it is important to rest, drink plenty of water to promote the passage of stone fragments and prevent infection.
