How to Treat Left Ureteral Stones Conservatively
Left ureteral stones are a common problem, affecting up to 1 in 1,000 people. They can cause a variety of symptoms, including pain, nausea, vomiting, and difficulty urinating. While most ureteral stones will pass on their own, some may require treatment to prevent complications.
Conservative treatment options for left ureteral stones include:
Medical expulsive therapy (MET): This involves taking medications to help relax the ureter and allow the stone to pass more easily. MET is typically used for small stones that are located in the lower ureter.
Extracorporeal shock wave lithotripsy (ESWL): This is a non-invasive procedure that uses sound waves to break up the stone into smaller pieces that can be passed more easily. ESWL is typically used for stones that are located in the upper or middle ureter.
Ureteroscopy: This is a procedure in which a thin, flexible tube is inserted into the ureter to visualize and remove the stone. Ureteroscopy is typically used for stones that are located in the lower or middle ureter.
The best treatment option for left ureteral stones depends on the size, location, and composition of the stone, as well as the patient's overall health.
Conservative Treatment for Left Ureteral Stones
How Do You Treat Left Ureteral Stones?
The treatment for left ureteral stones depends on the size, location, and composition of the stone, as well as the patient's overall health. Conservative treatment options for left ureteral stones include:
Ureteral Stenting
A ureteral stent is a small, flexible tube that is inserted into the ureter to keep it open and allow urine to flow past the stone. Stents are typically used for short-term relief of symptoms, such as pain or difficulty urinating. They can also be used to prevent complications, such as kidney damage or infection.
Medical Expulsive Therapy (MET)
MET is a type of medication that helps to relax the muscles of the ureter and allow the stone to pass more easily. MET is typically used for small stones that are located in the lower ureter.
Extracorporeal Shock Wave Lithotripsy (ESWL)
ESWL is a non-invasive procedure that uses sound waves to break up the stone into smaller pieces that can be passed more easily. ESWL is typically used for stones that are located in the upper or middle ureter.
Ureteroscopy
Ureteroscopy is a procedure in which a thin, flexible tube is inserted into the ureter to visualize and remove the stone. Ureteroscopy is typically used for stones that are located in the lower or middle ureter.
What Is the Success Rate of Ureteroscopy for Left Ureteral Stones?
The success rate of ureteroscopy for left ureteral stones is high, with up to 90% of stones being successfully removed. The success rate is highest for stones that are located in the lower ureter.
What Are the Risks of Ureteroscopy for Left Ureteral Stones?
The risks of ureteroscopy for left ureteral stones include:
Bleeding
Infection
Damage to the ureter
Kidney damage
Ureteral stricture (narrowing)
Perforation (hole) in the ureter
The risks of ureteroscopy are rare, but they are more common in patients with certain risk factors, such as obesity, diabetes, and kidney disease.
How Long Does It Take to Recover from Ureteroscopy for Left Ureteral Stones?
Most patients recover from ureteroscopy for left ureteral stones within 1-2 days. However, some patients may experience discomfort or pain for a few weeks after the procedure.
What Is the Prognosis for Left Ureteral Stones?
The prognosis for left ureteral stones is good. Most stones will pass on their own or can be successfully treated with conservative measures. However, some patients may develop complications, such as kidney damage or infection, if the stone is not treated promptly.
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