However, according to MSc.BS. CKI Tran Quoc Phong, Head of Urology Unit, An Binh Hospital, not all stones need surgery treatment.
Some cases of small stones, located in the renal pelvis, that do not cause obstruction, infection, pain or increase in size can be monitored periodically with ultrasound and diagnostic imaging methods. However, patients need to follow the re-examination schedule and go to a medical facility immediately when signs such as pain, fever, bloody urine, or oliguria appear.
According to Dr. Phong, the decision to intervene is not only based on the size of the stones but also depends on the location, shape, hardness of the stones, degree of water retention, infection, kidney function and patient health condition.
Usually, stones under 10 mm and without symptoms can be monitored. For stones from 10-20 mm, doctors will consider methods such as external stoning, soft endoscopic stoning or percutaneous stoning. Large stones over 20 mm are often prioritized for percutaneous stoning due to their higher ability to clean stones.
Doctors also note that even if the stones are small, if they cause infection, obstruction, prolonged pain or impair kidney function, early intervention is still needed. In particular, urinary tract infections accompanied by obstruction due to stones are an emergency condition that needs to be treated promptly.
Currently, patients have many treatment options such as proactive monitoring, medical treatment for some types of uric acid stones, out-of-body stoning, endoscopic laser stoning or percutaneous stoning. Open surgery is currently only applied in some special cases.
To prevent keloid recurrence, people should drink enough water to create about 2-2.5 liters of urine per day, limit salt intake, reduce animal protein, control weight and maintain a balanced diet. For people with keloid recurrence many times or with risk factors, it is necessary to have a specialized assessment to find the cause and have appropriate preventive measures.
