Small kidney stones may cause no symptoms, but larger stones can cause excruciating pain in the area between the ribs and lower back area.

An ultrasound is required along with urine analysis to diagnose the kidney stone. Stones less than 5 mm in diameter have high chances of passing on their own with lifestyle changes and increased fluid intake. Stones that do not pass on their own are removed with lithotripsy or an endoscopic technique such as RIRS, PCNL etc.

Kidney stones can travel and get stuck in the ureter or the bladder as well. If they are stuck in the ureter and the patient’s urine flow is blocked then it is a medical emergency and the stone needs to be taken out immediately because this can cause the urine to flow back inside the kidney thereby making them swell which is known as hydronephrosis that can eventually damage the kidneys.

Stones are more common among middle-aged and older adults and men. Kidney stones vary in size from too small to be seen with the naked eye to more than 2 cm in size. 


  • Lack of Water consumption/Dehydration 
  • An increased amount of calcium, uric acid and oxalate in blood 
  • Hyperparathyroidism
  • Bariatric Surgery
  • Renal Tubular Acidosis
  • High non-vegetarian diet
  • Family History of stone formation etc. 


  • Stones smaller than 5mm rarely produce any symptoms.
  • Renal colic is the main symptom of the uterine stones that is a sharp shooting pain that comes and goes at regular intervals. The pain is deep and is present in the lower abdomen, back, under the ribs, groin and may extend to the genital areas as well. 
  • Nausea, vomiting 
  • Sweating 
  • Restlessness
  • Anxiety 
  • Blood in Urine 
  • Fever and chills may occur as well. 

1. Ureterorenoscopic Lithotripsy with holmium Laser

  • Best for Ureter Stones 
  • Minimally Invasive
  • No incision required
  • The probe passes through the urethra
  • The stone powder comes out with urine
  • Only 24-hour hospitalization is required

2. Percutaneous Nephrolithotomy (PCNL)

  • Best for kidney stones of more than 2 cm size 
  • An incision is required on the skin near the waist area 
  • Spinal or epidural anaesthesia required
  • Mini perc or stent may or may not be required
  • 2-3 days hospitalization required
  • If stents are placed then they are removed after 5 to 10 days. 

3. Cystoscopic laser lithotripsy

  • Best for Bladder Stones
  • No incision required
  • The probe passes through the urethra
  • Stone is taken out from the urethra 
  • A urinary catheter may be left in place for a few hours 
  • 24 to 48 hours hospitalization is required

4. Retrograde Intrarenal Surgery (RIRS) 

  • Minimally Invasive
  • The probe passes through Urethra 
  • Holmium Laser is involved in the procedure 
  • The laser breaks the big stone into tiny pieces which are then taken out
  • 24 to 48 hours hospitalization required
  • You must not drive for about 48 hours post-surgery.
  • No heavy lifting or any strenuous sports activity should be done for at least 2 weeks post-surgery.
  • It is normal to have a burning sensation while passing urine for a few days post-surgery. 
  • Some streaks of blood in the urine are normal for a few days, if you are concerned about it then we are just a call away. 
  • Take your oral antibiotics at home religiously and drink about 8 glasses of water per day to flush out any stone traces.
  • You will need to come to the clinic after a few days for stent removal if it was placed during the surgery. 
Book an Appointment with Dr. Vineet Malhotra, the best Urologist in Delhi, to get the kidney, ureter or bladder stone treatment. You can also call us at -