Conversation: The conversation between human and AI assistant.
[|Human|] My husband , 31 yr male, has following problem. He has history of kidney stones . at present, he is diagnosed with multiple calculi in right kidney, with largest 5mm in midpole. multiple calculi in left kidney, with largest 7 mm in lower pole. 8 mm sized left proximal ureteric calculus with ipsilateral hydroureteronephrosis. Is it advisable to go for DJ stent + ESWL procedure, OR are there any other methods by which these stones can be removed more easily? Also what would be the cost of DJ stent + ESWL procedure approximately?
[|AI|]  Thank you for using Chat Doctor the presence of an 8 mm stone on the left with HY Chat Doctor.  The longer the obstruction remains present, the higher the likelihood of damage to the left kidney. 8 mm is at the upper limit in size in regard to the ability of the stone to pass itself. If adequate time and nonsurgical methods (pain medication, increased fluid intake and use of selective alpha antagonist such as tamsulosin) has not resulted in the stone passing then the next step would be proceeding with cystoscopy and stent placement.  I am unaware of the cost of ESL. Take care and be well