{"id":264,"date":"2014-07-29T05:51:28","date_gmt":"2014-07-29T05:51:28","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/?page_id=264"},"modified":"2026-09-19T02:05:37","modified_gmt":"2026-09-19T02:05:37","slug":"recommended-follow-up","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/recommended-follow-up\/","title":{"rendered":"Recommended Follow Up for Patients with Kidney Stones"},"content":{"rendered":"

Recommended Follow-Up for Patients with Kidney Stones<\/strong><\/h1>\n

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

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New York Urology Specialists are focused on keeping you stone-free. <\/span>The following <\/span>advice from <\/span><\/a>our experienced <\/span><\/a>urologist, Dr. Alex Shteynshlyuger,<\/span><\/a> will help you achieve life without kidney stones.<\/span><\/span> Managing diet, fluid intake, medication use, and nutrient intake can help prevent the formation and recurrence of kidney stones.<\/p>\n

“In general more fluid is better than less fluid.<\/strong> “<\/p><\/blockquote>\n

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Future Risk of Kidney Stone Formation<\/h2>\n

Patients with kidney stones have a significant chance of forming another stone in the future.  Up to 50% of men and women with their first kidney stone will develop another renal stone within 10 years.  For those men and women who have had more than one stone before, the chances are even higher.<\/p>\n

\"KidneyFor patients with their first kidney stone, we recommend annual follow-up with an ultrasound.  For patients with more frequent kidney stones the frequency of ultrasound is adjusted depending on the patient\u2019s propensity for stone formation.<\/p>\n

Due to frequent kidney stone recurrence in some patients, we favor limiting CT scans and using renal US (ultrasound) instead whenever possible.  While there are situations when a CT scan is preferable, usually kidney (renal) ultrasound provides sufficient information.<\/p>\n

Kidney Ultrasound after Lithotripsy (ESWL).<\/h2>\n

Patients who had ESWL lithotripsy<\/a> or ureteroscopy should have an ultrasound of the kidneys 2-3 months after the procedure to ensure that all stones have been broken and that no new stones have formed.<\/span><\/p>\n

Kidney Ultrasound after Ureteroscopy.<\/h2>\n

Usually, a kidney ultrasound 4-6 weeks after ureteroscopy helps to verify that all stones are broken and no residual stones remain.  There is a small chance of ureteral narrowing or stricture after ureteroscopy and ultrasound helps to detect possible problems early.<\/p>\n

Metabolic Evaluation<\/h2>\n

All patients who have been diagnosed with a kidney or ureteral stone should have metabolic evaluation, which includes serum calcium levels, serum parathyroid hormone (PTH) levels, and serum uric acid level.  In addition, all children and adults who have had more than one episode of kidney stones, and adults whose lifestyle (frequent travel) or profession (pilots, etc.) is such that recurrence of kidney stones can present a significant challenge, should have a 24-hour urine collection performed.<\/p>\n

Usually, 24-hour urine collection<\/a> is repeated within a few weeks to obtain better and more reliable information.  Examples of people who may want to have a 24-hour urine collection in order to minimize the risk of stone formation are men and women who travel frequently on transcontinental flights or travel to areas where modern medical care is not readily available. Pilots are not allowed to work if they have kidney stones.<\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-4421<\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n

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Did you know?<\/strong><\/span> Dr. Shteynshlyuger<\/a> <\/strong>has performed over 1,000 kidney and bladder surgeries,<\/strong> including ureteroscopy, cystoscopy, ESWL lithotripsy, and PCNL<\/b>.  He performs 150-200 surgeries a year.<\/p>\n

Where to Get Treatment for Kidney Stones \/ Lithotripsy for Kidney Stones \/ Kidney Stone Removal in NYC?<\/h2>\n

At New York Urology Specialists, we offer same-day treatment of kidney stones for men and women<\/strong>.  Same-day virtual video appointments<\/strong> and in-person<\/strong> appointments are available.<\/p>\n

Call\/text today: 1-646-663-4421<\/a> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

We perform kidney stone lithotripsy, ureteroscopy with laser, PCNL, ureteral stent insertion, and stent removal.<\/strong>  <\/strong>We offer treatment for kidney stones, ureteral stones, bladder stones, urinary retention, frequent urination, painful urination, frequent UTIs, and pelvic pain.  We offer confidential<\/strong> appointments.<\/p>\n

Our appointment costs<\/a> are affordable with or without insurance<\/strong>.  We offer free insurance verification<\/strong>.<\/p>\n

We perform cystoscopy<\/a> and a kidney ultrasound in our office.  We offer ureteral stent removal in our office.   We treat urinary<\/strong> problems<\/strong>. We offer confidential<\/strong> appointments.<\/p>\n

Read Real Stories of Men and Women who Underwent Treatment for Kidney Stones at New York Urology Specialists.<\/a><\/h2>\n

Read RealStories<\/strong>:  Kidney stones in a 33-year-old woman.<\/p>\n

Read RealStories<\/strong>:  Left staghorn stone with hydronephrosis in a 62-year-old man. <\/p>\n

Read RealStories<\/strong>:  Right ureteral stone with severe pain in a 32-year-old woman.<\/p>\n

Read RealStories<\/strong>:  Bilateral kidney stones in a 53-year-old man.<\/p>\n

Cost of Kidney Stone Removal without Insurance<\/h2>\n

At New York Urology Specialists, we offer affordable treatment<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as cystoscopy, ureteral stent insertion and removal, ureteroscopy, laser lithotripsy, shockwave therapy (lithotripsy), bladder biopsy, urodynamic studies, kidney ultrasound, PCNL, and many more<\/strong>.  The procedures are performed in our office under local anesthesia or at an affiliated surgical center. Men and women from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles<\/strong>.<\/p>\n

Cost of Stone Treatment and Insurance<\/h2>\n

\"InexpensiveAt New York Urology Specialists, we offer affordable treatment for men and women<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

We accept many health insurance plans.<\/strong>  We would be happy to verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan’s coverage.  Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n

Why Choose New York Urology Specialists for Treatment of Kidney Stones?<\/h2>\n