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Dr. Chip
Dr. Chip, General Practice
Category: Urology
Satisfied Customers: 32709
Experience:  Years of experience with general surgery and urgent care
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Is lithotripsy usually recommended for kidney stones ~ 4mm

Customer Question

Is lithotripsy usually recommended for kidney stones ~ 4mm in size? And would it be best clinical practice to have a CT scan vs X-Ray done to determine if a smaller sized kidney stone is present?
JA: Is the condition chronic, or acute?
Customer: chronic
JA: Anything else in your medical history you think the doctor should know?
Customer: no
Submitted: 11 months ago.
Category: Urology
Expert:  Dr. Chip replied 11 months ago.

Hello and welcome. I'm Dr Chip

Usually stones that size pass on their own without the need for lithotripsy

A CT scan with contrast is better than plain x-rays to fully evaluate the position of the stone and its size

But if your stone hasn't moved in quite some time lithotripsy would be my recommendation.

Please let me know if you need any more information.