URETARY STONE INVISIBLE ON Ultrasound?
Good evening, n nI was diagnosed with a urinary tract infection resulting in hydronephrosis. In early May I had undergone the URS (failed because the channel was too narrow) and installed a dj stent, at that time the results of USG, BNO, IVP showed no stones. However, in early June, during the control, based on USG, the doctor said that there was a stone as big as 5mm, so before the stent was affected, ESWL had to be treated first. I tried another ultrasound at the radiology lab, the radiologist said there were no stones. To be sure, I will undergo a CT SCAN. What I want to ask: n1. If the CT scan still shows no stones, is the data from peephole ultrasound valid enough as a basis for doing ESWL? N2. The results of the BNO, IVP, ultrasound radiologist said there were no stones. Is the peephole ultrasound done by dr.urologist different from the ultrasound radiologist? N3. If I immediately do an aff dj stent, and there is a rock, what should I do next? N nThank you for the help. N
Hello Mr. Budi, thank you for your question
One of the data on the detection of stones from the results of supporting examinations, either ultrasound or CT scan alone, can be used as the basis for doing ESWL. It is possible, "peephole ultrasound" is uteroscopy, which is a type of endoscopy for the upper urinary tract. Simply put, this examination uses flexible binoculars that can "peek" directly at the condition of the upper urinary tract. Unlike the renal ultrasound examination, which is a radiological examination using ultrasound waves that are attached (using a probe) around the waist to see the condition of the kidneys, such as kidney size, the presence or absence of stones and the location of the kidney and other abnormalities in the kidney, for example the presence or absence of cysts in the kidneys. so it is natural that there are differences in the results between the two examinations that you ask about. But for more details, you can also ask the doctor who treats you directly, sir, generally the dj stent will indeed be removed after 6-8 weeks of installation. Regarding what action should be done depending on your complaint and your condition when the dj stent was released. The presence of stones in your urinary tract will be evaluated by a doctor. Doctors can suggest conservative measures to surgery (from non-invasive ESWL to PURS / percutaneous URS). in addition, you need to pay attention to your lifestyle in order to prevent worsening of the kidney stone condition that you are experiencing. Consume 2-3 liters of water per day, avoid the habit of delaying the urge to urinate and exercise routine.
seian, hope it is useful