{"id":2436,"date":"2015-02-20T20:06:07","date_gmt":"2015-02-20T20:06:07","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/?page_id=2436"},"modified":"2016-08-11T05:51:47","modified_gmt":"2016-08-11T05:51:47","slug":"9-mm-stone","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/treatment\/renal\/9-mm-stone\/","title":{"rendered":"Treatment Options for a 9 mm Renal Stone: New York City Kidney Stone Specialists"},"content":{"rendered":"

Treatment Options for a 9 mm Renal Stone.<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

\n

If you have any questions, to\u00a0schedule a consultation<\/a>\u00a0or if you need a second opinion<\/a>, please\u00a0<\/a>contact us<\/a>\u00a0or call: 646-663-4421<\/a><\/strong><\/p>\n

\n

The Choice of Treatment for 8 mm to 10 mm Kidney Stone Depends on the Following Clinical Factors:<\/strong><\/h2>\n
    \n
  1. Location<\/strong> of the stone in the kidney<\/li>\n
  2. Presence of infection<\/strong><\/li>\n
  3. Symptoms<\/strong>: mild, tolerable discomfort or severe pain<\/li>\n
  4. Pregnancy status:<\/strong>\u00a0 ESWL lithotripsy is not an option for pregnant women.<\/li>\n
  5. Existence of other medical problems<\/strong> such as renal insufficiency, solitary kidney or immuno-compromise.<\/li>\n<\/ol>\n

    Renal Stones in the Lower Pole of the Kidney<\/strong><\/h2>\n

    \"KidneyIn general, lower pole kidney stones are more challenging to break.\u00a0 We usually use information about stones size, location and the kidney as well as stone density and stone\u00a0hardness, as measured by Hounsfield units, to decide on an optimal approach. \u00a0For kidney stones less than 1 cm (1\/2 inch) both ESWL and holmium laser lithotripsy are\u00a0effective.<\/p>\n

    While stone density has no effect on success of holmium laser, dense stones are less likely to break with ESWL<\/strong>.\u00a0 As a result, larger, dense stones have a better chance of being fully fragmented by laser treatment as opposed to ESWL lithotripsy.<\/p>\n

    Renal Stone in a Caliceal Diverticulum<\/strong><\/h2>\n

    Calyceal diverticulum is essentially an enclosed space with limited communication to the rest of the renal collecting system.\u00a0 As a result even when stones in the caliceal diverticulum are\u00a0broken, the fragments have\u00a0difficulty getting out to\u00a0being pass with urine. \u00a0When fragments remain lodged in the caliceal diverticulum the grow and form and even larger stone. Treatment of kidney stones in calyceal diverticulum is a particularly challenging problem.<\/strong><\/p>\n

    The preferred treatment options for calyceal stones are laser lithotripsy and PCNL.\u00a0 The choice of procedure would usually be dependent on the exact anatomy of the kidney and the location of the stone in the calyceal diverticulum.<\/p>\n

    Treatment of a 1 cm Renal Stones at UPJ (ureteropelvic junction)<\/strong><\/h2>\n

    For kidney stones that are located at the junction of the kidney and the ureter, called the ureteropelvic junction, attempt to pass the stone greater than 5-6 mm would usually be unsuccessful.\u00a0 Certainly stones that 7 mm in greater should be dealt with surgically.<\/p>\n

    Ureteral stenting provides immediate relief of symptoms.\u00a0 Lithotripsy with ESWL is very successful in breaking stones at UPJ that are less than 1 cm.\u00a0 Most stones that 7 mm, 8 mm, and 9 mm or smaller can be fragmented in one session.\u00a0 Ureteroscopy procedure can be used to break ureteral and UPJ stones using holmium laser. \u00a0Holmium laser is very effective\u00a0even for larger stones up to 2 cm.<\/strong><\/p>\n

    Ureteroscopy and ESWL Lithotripsy are\u00a0effective treatment options. The choice between his ESWL and laser options depends on patient’s characteristics, stone size as well as stone density (Hounsfield units).<\/p>\n

    \n

    If you have any questions, to\u00a0schedule a consultation<\/a>\u00a0or if you need a second opinion<\/a>, please\u00a0<\/a>contact us<\/a>\u00a0or call: 646-663-4421<\/a><\/strong><\/p>\n

    Dr. Alex Shteynshlyuger<\/a>\u00a0<\/a>\u00a0is a board certified urologist in NYC who\u00a0specializes in treating\u00a0men and women with kidney stones and ureteral stones.<\/b><\/p>\n

    Find out our\u00a0office hours or directions to our office<\/a>.<\/strong><\/strong><\/p>\n

    \n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    Treatment Options for a 9 mm Renal Stone. by Alex Shteynshlyuger MD If you have any questions, to\u00a0schedule a consultation\u00a0or if you need a second opinion, please\u00a0contact us\u00a0or call: 646-663-4421 The Choice of Treatment for 8 mm to 10 mm Kidney Stone Depends on the Following Clinical Factors: Location of the stone in the kidney […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3457,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-2436","page","type-page","status-publish","hentry"],"yoast_head":"\nTreatment Options for a 9 mm Renal Stone: New York City Kidney Stone Specialists - NYC Kidney Stone Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/treatment\/renal\/9-mm-stone\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/treatment\/renal\/9-mm-stone\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/treatment\/renal\/9-mm-stone\/\",\"name\":\"Treatment Options for a 9 mm Renal Stone: New York City Kidney Stone Specialists - 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