Kidney Stone Treatment
Kidney stone treatment is selected after reviewing the stone’s size, location, type and symptoms. Some small stones pass without a procedure; stones that block urine flow or cause severe pain may need urgent treatment. A urologist should review current symptoms and imaging before travel is considered.
Who may need it
People with suspected or confirmed stones should be assessed by a clinician, especially if pain is severe or urine flow is affected. Fever or chills, inability to urinate, severe pain or vomiting need urgent local medical assessment; do not delay that care to arrange travel.
Types to discuss
- Observation and symptom management when a clinician considers it appropriate
- Shock wave lithotripsy
- Ureteroscopy to find, remove or break up a stone
- Percutaneous nephrolithotomy for selected larger stones
Process and recovery
Assessment may include medical history, examination, urine or blood tests, and imaging. The urologist uses the findings—including stone size, location and type, and whether there is a blockage—to discuss whether monitoring or a procedure is appropriate. Ask whether a ureteral stent may be used, when it would be removed, and whether a removed stone will be analysed.
Clinical reference
Treatment for Kidney Stones · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Treatment decisions depend on stone size, location and type; some small stones may pass without treatment.
- Larger stones, blockage of the urinary tract or severe pain may require urgent treatment.
- Options to remove or break up stones include shock wave lithotripsy, ureteroscopy and percutaneous nephrolithotomy; ureteroscopy may be same-day, while percutaneous nephrolithotomy may require several days in hospital.
Diagnosis of Kidney Stones · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Assessment can include medical history, an examination, laboratory tests and imaging.
- Urine and blood tests can help identify minerals associated with stones; CT imaging can show stone size, location and possible blockage.
