Clinically, there is no such thing as the best treatment for kidney stone 1.2cm, but according to the condition of kidney stone 1.2cm, you can choose extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy or percutaneous nephrolithotripsy to remove the stone, and so on.
1. Extracorporeal Shock Wave Lithotripsy: Extracorporeal Shock Wave Lithotripsy is suitable for kidney stones with a diameter of ≤2 centimeters, which is to use high-energy shock waves to irradiate the stone under the guidance of ultrasound localization so that the stone will be broken up and discharged with urine.
However, if the stone is hard or has become embedded, the treatment may not be effective. In addition, patients with distal urinary tract obstruction, pregnancy, aortic aneurysm or renal aneurysm, and uncontrolled urinary tract infection are not suitable for this treatment.
2. Ureterolithotripsy: Ureterolithotripsy is a minimally invasive treatment for patients with kidney stones less than 2 centimeters in diameter, in which a ureterolithotripsy mirror is inserted through the urethra, and a laser is used along the vesicoureteral orifice to reach the renal pelvis for lithotripsy.
3. Percutaneous nephrolithotripsy: Percutaneous nephrolithotripsy is to establish a channel into the renal pelvis through skin puncture, and then put the nephrolithoscope and lithotripsy device in for lithotripsy, which is suitable for the hard and large kidney stones that are difficult to be crushed by extracorporeal shock wave. However, this type of treatment is traumatic and may cause complications such as bleeding, renal parenchyma damage, and infection.
Patients with 1.2 cm kidney stones are advised to go to the hospital as soon as possible to have their condition evaluated by a professional doctor and decide on the specific treatment.