How are kidney stones treated?

Written in association with: Mr Nkwam Michael Nkwam
Published:
Edited by: Conor Lynch

We recently spoke to leading consultant urologist, Mr Nkwam Michael Nkwam, who, here in this article below, details what kidney stones are, outlines the causes and symptoms, and tells us how they are normally diagnosed.

What are kidney stones?

Kidney stones are hard deposits that form in the kidneys. They are made up of minerals and salts and they can vary in shape and size.

 

What are the causes of kidney stones?

The formation of kidney stones may be influenced by factors such as dehydration, recurrent UTIs, dietary choices, and family history. Men are also two to three times more likely to get kidney stones.

 

What are the main symptoms?

The main symptoms include severe pain when urinating, abdominal pain, discoloured urine, blood in the urine, changes with the urgency and frequency of urinating, and fever and chills. If these symptoms occur all at once, it is considered a medical emergency.

 

How are kidney stones diagnosed?

The diagnosis typically involves a medical history, a physical examination, and tests. The main tests include a CT scan or an ultrasound scan.

 

How are kidney stones treated?

Treatment for kidney stones depends on the size of the stones, the severity of symptoms, and the type of stones. Ibuprofen can be very effective when it comes to treating pain caused by kidney stones.

 

Medications may also be prescribed to dissolve the kidney stones in certain cases. Extracorporeal shockwave lithotripsy is a non-invasive technique that uses shockwaves to break up the stones, which makes it easier to pass them.

 

Another option is a ureteroscopy. This surgical procedure involves a thin telescope being inserted through the waterpipe and into the bladder to reach the stone. Laser fibres can then fragment and remove the stones from the kidneys.

 

Endoscopic open surgery may also be necessary. Dietary and lifestyle changes will be recommended where appropriate, too.

 

To book a consultation Mr Nkwam Michael Nkwam today, simply visit his Top Doctors profile.

By Mr Nkwam Michael Nkwam
Urology

Mr Nkwam Michael Nkwam is a highly respected consultant urological surgeon based in London. He is renowned for his expertise in benign prostate hyperplasia (enlargement), prostate cancer diagnostics and Holmium laser (HoLEP). He additionally specialises in kidney stones, haematuria (blood in the urine) and vasectomy.

After obtaining a bachelor’s degree with honours, Mr Nkwam qualified in medicine from St. George’s, University of London in 2007. He completed his further surgical training in the West Midlands and was awarded membership of the Royal College of Surgeons of England in 2010. Mr Nkwam undertook specialist higher surgical training in urology in the East Midlands training programme and was appointed as a Fellow of the Royal College of Surgeons’ Urology section in 2017. Following this, he completed a twelve-month fellowship based at Luton and Dunstable University Hospital NHS Trust specialising in Holmium laser enucleation of the prostate (HoLEP) and endourology. Having gained invaluable insight into this form of treatment, he successfully performed the first HoLEP procedure at King’s College Hospital, London in 2020. With wide ranging expertise and experience in endourology, general urology and urological oncology, Mr Nkwam is regarded as a leading surgeon in his field. He sees private patients at HCA UK at The Shard, Chelsfield Park Hospital, the Shirley Oaks Hospital and the London Circumcision Centre.

Additional to his clinical responsibilities, Mr Nkwam provides essential training for GPs on a range of important areas of urology, including updates in the management of kidney stones, benign prostate hyperplasia and men’s health, amongst others. His numerous academic papers are published in revered peer-reviewed journals and he has presented his work at various key national and international conferences in his field.

Throughout his esteemed career, the excellence of Mr Nkwam’s work has been recognised with numerous awards, including ‘Best Poster in Session’ prizes, awarded by the European Association of Urologists in 2017 and the British Association of Urological Surgeons in 2018. That same year, Mr Nkwam was also the Ian McCallum Research Prize winner. He is a member of a number of key professional bodies, including British Urology Researchers in Surgical Training (BURST) and the British Association of Urological Surgeons (BAUS).

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