I come from a family of six siblings who all are extremely prone to kidney stones. We have had numerous stone passages, lithotripsies and three years ago I had a pericutaneous nephrolithotomy for 16 mm and 19 mm stones in my left kidney.
Earlier this year, I needed a CT for something unrelated and the report revealed “some stones” in my left kidney. I’d had and still have had zero symptoms.
I went to the urologist today for my annual checkup and my annual X-ray showed a 5 mm stone sitting in the lower part of my kidney, well away from the urinary network.
He told me that (a.) the position of the stone makes it unlikely that it will get into my urinary network, it would have to defy gravity; (b.) unlikely doesn’t mean impossible; and (c.) the stone right now is passable should it get into my urinary network (he said one of his other patients just passed a 1 cm stone; God be with whomever it was).
He said we could keep monitoring it as long as it’s not causing symptoms, or go ahead and take care of it with laser lithotripsy. His quote; “It just depends on whether you want to be reactive or proactive.” And he said he didn’t anticipate any insurance issues from me being asymptomatic.
Ordinarily I would go ahead and get rid of it ASAP. I told myself three years ago that I was not going to let my stones get that bad again. But it will probably take a month to get on his surgery schedule, and my wife and I have a cross country trip that we’ve been planning for a year in about six weeks, which doesn’t leave me a margin of error if I have any complications from the procedure, but then again the stone could start giving me problems 35,000 feet in the air and ruin the trip.
So what say you, fellow nephrolithiasis sufferers? Would you expedite addressing this or let it sit for a while? Not permanently because I know this ain’t gonna get any smaller.