I have posted this question in the General Forum and not gotten an answer. Hopefully I'm posting it in the right spot now. Is a ureteral stone that is 10 cm too large to approach with lithotripsy?
Jan 12, '03
Depends on where the stone is and degree of opbstruction to kidney/ureter.
Husband has had lithotripsy to stone that size located in pelvis--needed stent placement first.
Here are some links:
General info re lithotripsy and how it works:
Guidelines re stone size:
Jan 16, '03
Thank you for the web links NRSKarenRN. I will follow those up...
I find that weblinks are a good way of enticing the newer nurse into learning...
Jan 16, '03
10 CENTIMETERS??!! Did you mean 10 millimeters? (Sure hope so......a stone approximately the size of a baby's head must be some kinda record......)
I had a couple of these things a few years ago, the one in my kidney was 7X5mm and the one in my bladder 9X5mm. Both of them were too large to pass on their own, so I had laser extraction and stent placement. The stents were probably the worst part of the whole surgery, since I felt their presence every time I had to peeuntil they were removed a week later. But it was worth it, because the bladder stone had tried to pass and that was the most exquisite agony I've ever experienced. On a 0-10 pain scale it ranked a 15, somewhere above transition labor pains and maybe slightly below being tortured with a blowtorch. OUCH.
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