Conversation: The conversation between human and AI assistant.
[|Human|] Hi MY husband detected with kidney stone  confirm with KUB USG its about .628cm noted in upper third of rt. Ureter with ectasia of proximal third.  He has been operated earlirr twice and has a family history with all his cousins getting what yo be done n what precaution to be taken as he has more in both of his kidneys.
[|AI|]  Hi and thanks for the query, The size of the kidney stone is a key element in deciding on the treatment option to be offered. Generally, stones greater than 6 mm (6.00 cm) should be removed surgically. Above this size, spontaneous expulsion through the urinary system is very unlikely. Other factors like recurrence, intense pain and kidney failure deserve that the kidney stones under these circumstances be preferably managed surgically. Other news techniques to destroy the stone non surgically like Lithography do exist. Endoscopic surgery when offered is very simple and non-invasive with high success rates. I strongly suggest you consult a urologist for proper review and treatment. Thanks and best regards, Bain LE, MD.