If the stone is too hard for extracorporeal lithotripsy to work, depending on the location and size of the stone, percutaneous nephrolithotripsy can be used to remove the stone, ureteroscopy to remove the stone, laparoscopy to remove the stone and other methods.
1. Percutaneous nephrolithotripsy lithotripsy is suitable for ≥2cm kidney stones, stones that are difficult to crush with extracorporeal shock waves, and symptomatic intracalvarineal stones. Contraindications include obesity, spinal deformity, coagulation mechanism disorders.
2. Ureteroscopic lithotripsy is suitable for ureteral stones in the middle and lower sections, stones in the upper section of the ureter that have failed extracorporeal shock wave lithotripsy treatment, and stones that have stayed for a long time, etc. Contraindications include severe narrowing or twisting of the ureter, and combination of systemic bleeding disorders.
3. Laparoscopic ureterotomy and lithotripsy is generally used for ureteral stones >2cm, or patients who have failed shock wave lithotripsy treatment, etc.; it is generally not the preferred option. Surgeries include both transabdominal and retroperitoneal. Contraindications include systemic bleeding disorders, severe urinary tract infections, etc.
There are many treatment methods for urinary stones, specific treatment measures, but also need to go to the regular hospital, under the guidance of the doctor.