Kidney Stone Size Chart - Diagnosis, Treatment & Recovery

Determining the size of a kidney stone is crucial in assessing symptom severity and potential complications. Hence, healthcare professionals meticulously evaluate the stone’s dimensions during diagnosis. In this discussion, we’ll delve into various stone sizes, their implications on symptoms, and how treatment approaches vary based on size.

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Symptoms of Kidney Stones of Different Sizes:

The symptoms associated with kidney stones of varying sizes are generally similar, albeit with differences in intensity:

  • Mild to sharp pain experienced in the side and back, beneath the ribs.
  • Pain occurs in waves, with fluctuations in intensity.
  • Radiating pain extending to the lower abdomen and groin.
  • Discomfort or burning sensation during urination.

Kidney Stone Size Chart – Chances of Passing & Treatment

Kidney Stone Size Chart in MM Chances of Passing NaturallyTreatment 
Less than 2 mm Kidney Stone80%Home remedies
2 – 4 mm Kidney Stone80%Home remedies, medication
4- 10 mm Kidney Stone60%Home remedies, medication, medical procedures (ESWL or Ureteroscopy)
Larger than 10 mm Kidney Stone20%Surgery (URSL, RIRS, PCNL)

Treatment for Small-sized Stones (Up to 4 mm):

Kidney stones measuring up to 4 mm typically pass through the system independently, often causing mild to no symptoms. Increasing fluid intake, reducing caffeine consumption, opting for high-fiber foods, limiting salt intake, and avoiding processed foods are effective measures for managing stones of this size.

Treatment for Medium-sized Stones (4 to 10 mm):

Stones ranging from 4 mm to 10 mm can be addressed with home remedies and conservative treatments like medication, such as alpha-blockers and pain relievers. However, in more complex cases where conservative measures fail, medical procedures or minimally invasive surgeries may be recommended. These may include:

1. Extracorporeal Shock Wave Lithotripsy (ESWL):
ESWL is a non-invasive technique used to break kidney stones into smaller pieces using high-energy sound waves. This fragmentation allows the stones to pass naturally from the body. The procedure typically lasts 30 to 45 minutes, and patients can return home the same day.

2. Ureteroscopic Lithotripsy (URSL):
URSL involves removing kidney stones with a ureteroscope, a long, thin fiber-optic scope. The scope is inserted through the urethra into the ureter, while an x-ray guides its placement. Once the stones are located, a stone basket is used to collect and extract them. If the stones are too large, a laser may be employed to break them into smaller fragments, facilitating their natural expulsion. Additionally, a stent may be inserted to widen the ureter, easing the passage of stones.

Treatment for Large-sized Stones (Larger than 10 mm):

Kidney stones exceeding 10 mm typically necessitate surgical intervention. Common surgical options include:

1. Retrograde Intrarenal Surgery (RIRS):
RIRS is a ureteroscopic procedure used to extract kidney stones by accessing the kidneys through the urethra. This minimally invasive approach involves no incisions or sutures. An optic endoscope is inserted to locate the stones, which are then fragmented into smaller particles using a laser. RIRS is often recommended for treating large and complex kidney stones.

2. Percutaneous Nephrolithotomy (PCNL):
PCNL is a surgical technique employed when other methods prove ineffective. During this procedure, a small incision is made in the flank area to access the stones. Microforceps are used to remove the stones or they are pulverized into smaller fragments with a laser. Contrast may be used post-procedure to ensure complete removal of stone fragments from the system.

Our Surgeon for Kidney Stone Treatment

Dr. Anshuman Kaushal

Dr. Anshuman Kaushal

MBBS, MS-General Surgery

20 Years Experience Overall

Dr. Praveen B

Dr. Praveen B

MBBS, DNB (GS), DNB (Uro)

16 Years Experience Overall

Dr. Ankit Kayal

Dr. Ankit Kayal

MBBS, MS, MCh (Uro)

16 Years Experience Overall

Dr. Suman Grandhi

Dr. Suman Grandhi

MBBS, MS, M.Ch-Urology

15 Years Experience Overall

Dr. Yuvaraj

Dr. Yuvaraj

MBBS, MS-General Surgery, M.Ch- Urology

15 Years Experience Overall

Recovery After Kidney Stone Surgery:

Recovery after kidney stone surgery involves several steps to ensure proper healing and minimize discomfort. Here’s what you can expect during the recovery process:

  1. Hospital Stay: Depending on the type of surgery you underwent, you may need to stay in the hospital for observation and post-operative care. Some procedures, such as percutaneous nephrolithotomy (PCNL), may require an overnight hospital stay, while others, like ureteroscopy, may allow for same-day discharge.
  2. Pain Management: Pain and discomfort are common after kidney stone surgery. Your doctor will prescribe pain medications to manage post-operative pain. Take these medications as directed to stay comfortable during your recovery.
  3. Fluid Intake: Staying well-hydrated is crucial after kidney stone surgery. Drinking plenty of fluids helps flush out any remaining stone fragments and prevents dehydration. Your doctor may recommend increasing your fluid intake, particularly water, to promote healing and prevent the formation of new stones.
  4. Activity Level: While rest is essential during the immediate post-operative period, your doctor may encourage you to gradually resume light activities as tolerated. Avoid strenuous activities, heavy lifting, and vigorous exercise until your doctor gives you the green light.
  5. Dietary Modifications: Your doctor may recommend dietary changes to reduce the risk of kidney stone recurrence. This may include limiting sodium intake, moderating consumption of foods high in oxalates (such as spinach and nuts), and maintaining a balanced diet rich in fruits, vegetables, and whole grains.
  6. Follow-up Appointments: It’s essential to attend all scheduled follow-up appointments with your doctor. During these visits, your doctor will monitor your recovery progress, assess any remaining stone fragments, and make any necessary adjustments to your treatment plan.
  7. Symptom Management: You may experience urinary symptoms such as urgency, frequency, or discomfort during urination after surgery. These symptoms typically improve as you continue to heal. If you experience persistent or worsening symptoms, notify your doctor.
  8. Complications: While rare, certain complications such as infection, bleeding, or obstruction may occur after kidney stone surgery. Contact your doctor immediately if you experience fever, chills, severe pain, or any other concerning symptoms.

Clinic for Kidney Stone Treatment

Indore Near Saket Square 10276

Indore Near Saket Square 10276

Navjeevan Tower,Old Palasia, Near Saket Square

Mumbai kurla10315

Mumbai kurla10315

6th, Business Point, No 602, DK Sandu Marg, Opposite Sai Baba Temple, Chembur Gaothan,

Hyderabad Toli Chowki 10328

Hyderabad Toli Chowki 10328

Plot No 8/1/400/62/1FF/1,Arfath Arcade, Old Mumbai Hwy, Toli Chowki, Above Go Colors,

Visakhapatnam MVP Colony 10251

Visakhapatnam MVP Colony 10251

Door No 1/56/15, HIG 67, Sector 1MVP Colony, Visakhapatnam, Andhra Pradesh

Vijayawada Governor Peta 10234

Vijayawada Governor Peta 10234

29/5/7, Cherukupalli vari St, near Surya Car WashVenkatswara Rao Street, Governor Peta, Vijayawada

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Dr. Anshuman Kaushal

Medically Verified By

Dr. Anshuman Kaushal

MBBS, MS-General Surgery

20 Years Experience Overall