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Urology/kidney stone surgery

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Question
Hi! my husband had the laser surgery to remove a 7mm  kidney stone, and a week later he went back to have the stent removed but since then which is been almost 3 weeks ago he still sometimes urinates with blood and sometimes clots of it and feels a weir sensation on the side. Is this normal since he is a cardiac patient and take medication for the heart, blood pressure. Should he go to the emergency right away or just call his doctor. Why is this happening?

Answer
Jesse:

Hard to say what the problem is.  There could be spasms or an infection causing the problem.  Also, if he is a heart patient, there is a good chance he's on blood thinners which would explain the extra bleeding.  As the blood clots pass, they can cause temporary blockages and discomfort.  He should contact his physician about this.

He should also ask his physician about 24 hour urine testing for kidney stone prevention analysis and therapy.  It's possible to identify kidney stone promoting chemicals in the urine and adjust diet or take medications to minimize the risk of future stones.  It sounds like he would want to take advantage of such a program. However, it takes a strong committment by the patient to stick with such a program.  Also, it's a bit complicated to analyze so many doctors don't bother.  But you can ask about it and possibly get a referral to the local expert.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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