Understanding the Science Behind Botox

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The procedure involves:

A carefully planned lower abdominal incision
Direct exposure of the urinary bladder
A controlled surgical opening in the bladder wall
Manual removal of one or multiple bladder stones
Thorough inspection of the bladder to ensure complete clearance
Closure of the bladder wall with absorbable sutures
Placement of a urinary catheter to allow proper healing and drainage

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Not all stones cause symptoms. Many small stones are “silent” and are only found on ultrasound or CT done for another reason. When a stone moves and blocks urine flow, typical symptoms include:

Sudden, severe pain in the side or back (flank), often radiating to the lower abdomen or groin; pain can come in waves (renal colic).
Pain or burning while passing urine.
Blood in the urine, making it pink, red, or brown, or only detectable on urine test.
Frequent urge to urinate or passing only small amounts of urine.
Nausea and vomiting during pain episodes.
Cloudy or foul‑smelling urine.
Fever and chills if infection is present (this is an emergency).

Seek urgent care if you have severe pain, high fever, chills, difficulty passing urine, or feel very unwell—these may indicate a blocked, infected kidney.

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Doctors combine clinical evaluation with tests to confirm the presence, type, size, and location of kidney stones.

Detailed medical history and physical examination – to understand pain pattern, prior stones, diet, fluid intake, family history, and associated illnesses.
Urinalysis – checks for blood, infection, crystals, and pH (acidity/alkalinity).
Blood tests – assess kidney function, electrolytes, calcium, uric acid, and signs of infection.

Imaging tests:

Non‑contrast CT KUB – highly accurate for detecting stones, their size and exact location; considered the gold standard in many guidelines.
Ultrasound – useful to detect many kidney stones and hydronephrosis; preferred in pregnancy and children to avoid radiation.
X‑ray KUB – useful for certain types of stones, often combined with other tests.

Whenever possible, passed stones are analyzed in the lab to determine their composition, which helps tailor long‑term prevention strategies.

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Very small kidney stones may pass on their own with pain control and high fluid intake. However, active intervention is usually recommended when:

Stone size is large (commonly above 7–8 mm or more).
Pain is severe, recurrent, or not controlled with medicines.
There is obstruction of urine flow and swelling of the kidney.
Infection is present together with obstruction (a medical emergency).
The patient has a single functioning kidney or pre‑existing kidney disease.
Stones are multiple, both‑sided, or of struvite/cystine type that rarely pass spontaneously.

For such situations, modern minimally invasive kidney stone surgeries like URS, RIRS, Mini‑Perc, PCNL, and ECIRS offer excellent stone‑clearance with small cuts, less pain, and quick recovery.

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Kidney and urinary stones can be treated using different procedures depending on the size, location, number of stones, and the patient’s overall condition. Below is a simple explanation of how each treatment works and how it helps in removing stones.

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Contact Us

Need expert care? We are available at the below hours. Schedule your visit today!

Consult Dr. Paras Singhal

Don’t let urological issues hold you back. Consult Dr. Paras Singhal for personalized, high-precision surgical solutions and start your healing journey

+91-7087734455, +91-9310016564

[email protected]

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Singhal Urology & Kidney Stone Clinic

Primacare Hospital

Consult Dr. Paras Singhal

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