Upper uretor calculi (stone)?


Question:
I have two upper uretor calculi (stone) and had gone through two session of shock wave. lithotripsy (ESWL) .
How do I know if it worked or not. I did'nt passed any fragment of stone through urination. I need to go for an X-Ray. yes but please let me know X-Ray of which region ? (Technical term) ?

Answers:
This site shows a variety of tests they could perform on you. If you click on the site, you can click on each test for further explanation.

Stones or obstruction of the ureter may be seen on:

Kidney ultrasound
IVP (intravenous pyelogram )
Abdominal x-rays
Retrograde pyelogram
Abdominal CT scan
Abdominal/kidney MRI
Well, the first clue that the procedure worked would be a relief of the symptoms you were having. If the stones were pulverized sufficiently, you would not have passed fragments large enough to recognize more than likely. The fragments would have been more the size of small grains of sand, and those would pass fairly easily. The x-ray would be done of the lower back, on the side which was affected- normally the doctor requests a KUB xray. That's just jargon for kidney, ureter, bladder, and it's just a regular x-ray. The other test they can do that involves x-rays is an IVP, intravenous pyleogram. That uses a radioactive isotope tracer given to you via an intravenous line, and then x-rays are used to follow it through the urinary system. It's not really an x-ray in the strictest sence, it's a radiologic scan done in the nuclear medicine section of the department. I'm not sure which you would be having, as both are used to check on the condition of the kidneys and check for obstructions. If you have had relief of the pain and other symptoms you had though, chances are pretty good the lithotripsy was successful. Kidney stones are one of those things that tend to be pretty loud about their presence, so it's not usually something you would make a mistake on. When you left the hospital after the lithotripsy, they should have given you a urine screen to try to capture some of the bits that passed. If you actually pass a stone, you know it. But the tiny bits can pass without notice.
they call it ( KUB ) x-ray
it stands for kidney, ureter & bladder
They usually do an abdominal cat scan, where you drink about 5 big glasses of kool aid type of stuff with dye in it and then they do the cat scan of your kidneys and bladder to look for stones. Surely you are seeing a urologist or nephrologist...so they will know the right thing to do. Did they not do this to diagnose the calculi in the first place? IVP (intravenous pyelogram) or KUB (flat abdominal x-ray) might work too.

Usually after lithotripsy they have you collect all your urine and run it through a sort of coffee filter and save any stone fragments. If they didn't have you do this, then maybe you need to find a new urologist or nephrologist.
You need to have a renal scan. Ask your doctor to do one. That will help determine if the kidneys are working properally.
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