{"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":"2016-03-14T19:27:55","modified_gmt":"2016-03-14T19:27:55","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

\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

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

Patients with kidney stones have a significant chance of forming another stone in the future.\u00a0 Up to 50% of men and women with their first kidney stone will develop another renal stone within 10 years.\u00a0 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.\u00a0 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. \u00a0While there are situations when CT scan is preferable, usually\u00a0kidney (renal) ultrasound provides sufficient information.<\/p>\n

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

Patients who had ESWL lithotripsy<\/a> or ureteroscopy should have ultrasound of the kidneys 2-3 months after the procedure to assure that all stones have been broken and that no new stones have formed.<\/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.\u00a0 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.\u00a0 In addition all children, and adults who had more than one episode of kidney stones and adults whose lifestyle (frequent travel) or profession (pilots, etc) are such that recurrence of kidney stone can present a significant challenge should have 24-hour urine collection performed.<\/p>\n

Usually\u00a024-hour urine collection<\/a> is repeated within a few weeks to obtain better and more reliable information. \u00a0Example of people who may want to have 24-hour urine collection in order to minimize the risk for stone formation are men and women with 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

\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

 <\/p>\n

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

Recommended Follow Up for Patients with Kidney Stones 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 Future Risk of Kidney Stone Formation Patients with kidney stones have a significant chance of forming another stone in the future.\u00a0 Up to 50% of […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-264","page","type-page","status-publish","hentry"],"yoast_head":"\nRecommended Follow Up for Patients with Kidney Stones - 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\/recommended-follow-up\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 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\/recommended-follow-up\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/kidney-stones\/recommended-follow-up\/\",\"name\":\"Recommended Follow Up for Patients with Kidney Stones - 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