00:00A 9mm kidney stone is too large to pass naturally on its own in most cases.
00:04Stones larger than 5mm or 6mm rarely pass without medical help.
00:09Removal requires a urologist and typically involves your teroscopy with laser lithotripsy or shockwave lithotripsy SWL.
00:15Medical treatment options for a 9mm stone.
00:19Redeteroscopy with laser lithotripsy, most common.
00:22Anesthesia.
00:23You are given general or regional anesthesia in a hospital or outpatient surgical center.
00:29Insertion.
00:30A thin lighted scope ureteroscope is passed through your urethra and bladder up into your ureter or kidney where the
00:35stone is.
00:36Fragmentation.
00:37If the 9mm stone is too big to pull out a hole, a laser is used to break it into
00:41tiny sand-like pieces.
00:44Extraction.
00:45The surgeon uses a tiny basket-like device to scoop out the pieces.
00:49Pistent placement.
00:50A temporary plastic tube, double J stent, is often left inside the ureter for a few days to help urine
00:55drain while healing.
00:56Shockwave lithotripsy, SWL.
00:59Targeting.
00:59An external machine, lithotripsy, uses high-energy sound waves guided by x-rays or ultrasound to target the 9mm stone.
01:09Breaking.
01:09The sound wave shattered the stone into small fragments.
01:13Passing.
01:13You pass the resulting tiny fragments naturally in your urine over the next few weeks, which requires drinking plenty of
01:18water.
01:18Percutaneous nephrolithotomy.
01:21PCNL.
01:21Use less commonly for a 9mm stone unless it is in a complex location or other methods fail, requiring a
01:28small back incision to access the kidney directly.
01:30What to do right now?
01:32Seek immediate emergency care if you experience severe unmanageable pain, high fever, chills, persistent vomiting, or an inability to pass
01:41any urine.
01:42Consult a urologist to image the stone by a CT scan or ultrasound and schedule the appropriate medical procedure.
01:48Help me give you more relevant information.
01:51Do you know where the stone is currently located in the kidney or the ureter and what symptoms you are
01:55experiencing right now?
01:57And that's the full picture.
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