Which Treatment Technique Is Best for Removing a 23 mm Kidney Stone?

Dear Monika m maru ji,

A 23 mm (2.3 cm) kidney stone is considered a large stone. We understand that you may be worried about the treatment, but the good news is that several effective treatment options are available. The best technique depends on the stone's location, hardness, whether it is blocking urine flow, and your kidney function.

Which technique is best for removing a 23 mm kidney stone?

• PCNL (Percutaneous Nephrolithotomy): This is often the preferred treatment for kidney stones larger than 20 mm. The surgeon makes a small cut in the back and inserts a thin instrument into the kidney to break the stone into smaller pieces and remove them.
  
  
• RIRS (Retrograde Intrarenal Surgery): A thin, flexible instrument is passed through the urinary passage to reach the kidney. A laser breaks the stone into smaller pieces. Larger stones may require more than one session.
  
  
• Shock Wave Lithotripsy (SWL): Shock waves are used to break stones into smaller pieces. However, this method is generally less effective for stones measuring 23 mm and may require multiple sessions or additional treatment.

What should you do next?

• Consult a urologist to determine the most suitable treatment.
• Carry your CT scan, ultrasound, urine test, and blood test reports, if available.
• The doctor may recommend additional tests to check kidney function and identify any blockage or infection.
• Drink enough water unless your doctor has advised you to restrict fluids. Do not rely on water or home remedies alone to remove a stone of this size.

If you have fever or chills along with kidney stone symptoms, severe uncontrolled pain, persistent vomiting, or difficulty passing urine, seek urgent medical care. A blocked kidney with an infection can be a medical emergency.

Please share your age, whether the 23 mm stone is in the kidney or ureter, and your city and state. If you have a CT scan report, you can also share the stone's location so we can guide you on the next steps.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth