Ureteric Treatment

The urinary system, with kidneys as the major organ, is responsible for elimination of toxic waste from the body and thus also maintaining the chemicals-water balance. Sometimes, more often in men than in women, the excess salts and minerals like calcium, sodium, phosphate, etc. become solidified and formed into stone-like, hard, crystaline structures. Such stone disease is one of the most prevalent urological disorders. The conditions of stones in the ureters or urinary tract are known as Ureterolithiasis.

Causes Of Stone:

  • Gender: Male are more susceptible than women.
  • Age: Common after the age of 40.
  • Region: Asians and Caucasians are more susceptible.
  • Weather: People living in hot and dry areas are more susceptible.
  • Hereditary.
  • Hereditary metabolic abnormalities.
  • Neurogenic bladder.
  • Pregnancy.
  • Urinary tract infection.
  • Inflammatory bowel syndrome.
  • Low intake of fluids.
  • Over exertion.
  • Gout/ Cystinuria/ Hyperparathyroidism/ Renal tubular acidosis.
  • Hypercalciuria/ hyperoxaluria/ cystinuria.
  • Diabetes.
  • High Blood Pressure.
  • Hyperuricemia: High uric acid levels.
  • High deposits of calcium/ phosphate/ oxalate.
  • High amounts of uric acid, magnesium/ ammonium/ amino acid/ cystine.
  • Ostomy surgery.
  • Intestinal bypass.
  • Side effect of HIV treatment durg.
  • Side effect of diuretics, antacids with high calcium.
  • High consumption of animal protein, salt, proteins, vitamin D, oxalate
  • Low consumption of dietary calcium.

Types Of Urinary Stone:

  • Substance:
  • Calcium stones.
  • Uric acid stones.
    Structure:
  • Small & smooth.
  • Ragged, broken, pointed.
  • Large golf ball size.

Ureter Stone Symptoms:

  • Problematic urination.
  • Reduced volumes of urine.
  • Penile/ testicular aches.
  • Occurrence of blood in the urine.
  • Urgency of urination.
  • Frequent fevers.
  • Occasional chills.
  • Nausea.
  • Vomiting.
  • A fluctuating pain in the lower back, groin, or abdomen area.

Ureteral Stone Diagnosis:

  • X-ray.
  • Urine Analysis.
  • Blood test.
  • Imaging tests:
  • Helical CT scans.
  • Ultrasound test for pregnant women.

Ureteral Stone Treatment :

  • Kidney stone size based treatment:
  • Recommended high intake of fluids help the stones pass within 48 hours, out of the body.
  • Medication.
  • Anti-inflammatory drugs.
  • Vitamin and supplements.
  • Medium sized stones: (9mm to 10mm)
  • Percutaneous Nephrolithotripsy [PCNL]
  • Ureterorenoscopic Lithotripsy
  • D J stenting
  • Anatrophic nephrolithotomy
  • Calcium channel blockers.
  • Alpha blockers.
  • Lithotripsy- Shock waves.
  • Ureteroscopy.

Prevention & Precaution is Better than Cure:

  • Regular check-up and tests.
  • Healthy balanced meals.
  • High intake of water.
  • Certain dietary changes:
  • Foods to avoid: oxalate-rich foods like spinach, peanuts, rhubarb, wheat germ.
  • Avoid tofu, tea, coffee, beans, berries, oranges, sweet potato.
  • Avoid fatty foods.
  • High intake of fibrous foods.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.