Most urinary stones pass on their own.
Stones that can pass:
The rate of passage of a 4 mm stone is 72%, 7 mm - 47%, and 10 mm - 27%.
When assessing the probability of a stone passing by itself, we take into account the following we can:
1. The size of the stone (the smaller the better) ๐
2. Its location (upper, middle, lower third of the ureter or at its mouth)
3. Previous stone passage experience (some people have a "wide" ureter and can pass stones, others have a narrow ureter and need to have small stones surgically removed.)
The size and location of the stone are mostly interchangeable, as "large" ureteral stones (>7 mm) are usually stuck in the upper parts of the ureter, small ones (4-5-6 mm) in the lower part. will remain.
Waiting for the passage of the stone, i.e. carrying out conservative stone removal therapy, is possible in the following cases:
1. There is a high probability that it will pass by itself. That is, stones smaller than 7 mm;
2. Absence of infection, fever;
3. The presence of a second working kidney;
4. Absence of severe pain syndrome;
Indications for surgical removal of urinary stones:
1. low probability of spontaneous passage of the stone;
2. repeated or unbearable pain syndrome;
3. a stone in the movement path of one kidney;
4. stones on both roads;
5. a a few stones on the road
6. Stone not falling within 4 weeks
Non-drug stone removal therapy:
1. Physical activity.
2. Physiotherapy (vibration platforms)
3. Sexual life*.
*The lithokinetic effect of sexual intercourse has been proven in both men and women.
