Left Proximal Ureteric Calculus Treatment

Left proximal ureteric calculus refers to stones in the upper ureter. They can cause pain in the abdomen and flank area, along with urinary symptoms, and may even lead to serious complications such as obstruction, chronic kidney disease, and renal failure if left untreated. At Pristyn Care, we provide advanced treatments for left proximal ureteric calculus at affordable prices. Call us today to book your appointment with our expert urologists.

Left proximal ureteric calculus refers to stones in the upper ureter. They can ... Read More

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Introduction to Left Proximal Ureteric Calculus

Kidney stones are quite common and may affect anyone. Proximal ureteric calculus are kidney stones that have somehow reached the proximal portion of the ureter. Ureters are tubes that connect the kidneys to the bladder and help the urine exit the body.

A proximal ureteric calculus is located in the upper part of the ureter, which is also known as the proximal portion of the ureter. These stones can cause symptoms that resonate with those caused by kidney stones in general. Common symptoms include severe pain in the flank area or the abdomen, urinary symptoms such as blood in the urine, urgency to urinate, frequent urination, fever, nausea, and vomiting. These symptoms can be persistent or may come and go.

In most cases, left proximal ureteric calculus requires treatment, especially when they’re causing significant symptoms. They can be removed through non-surgical procedures such as ESWL if they’re small in size. In the rest of the cases, surgical methods may be necessary in severe cases.

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Diagnosing Left Proximal Ureteric Calculus

If a person suspects they may have ureteric calculus, they must immediately consult with a doctor for appropriate management of the condition. The doctor will conduct a thorough assessment of the condition before laying out the most appropriate treatment plan. The diagnostic process for left proximal ureteric calculus typically consists of the following aspects:

An assessment of the patient’s medical history & symptoms: During your initial consultation with the doctor, they will ask you questions about your symptoms, medical history, etc. They may ask you about your urinary symptoms, the severity of the pain you’re experiencing, and so on to better understand your condition.

A physical examination: In a physical examination, the doctor will check if you have any pain or inflammation by physically assessing the abdomen, lower back, and flank area. They may also perform other relevant assessments to diagnose the condition effectively.

Imaging tests: Imaging tests are suggested to get a visualization of the urinary tract to detect the stone’s location and determine its size. Some standard imaging tests performed before left proximal ureteric calculus treatment include:

Ultrasound: An ultrasound may be performed to look for the presence of a stone in the proximal ureter. But, an ultrasound is not considered very effective in detecting stones that are small in size.

Computed Tomography (CT) Scan: A CT scan helps get detailed visuals of the urinary tract and helps doctors get the accurate location of the stone in the proximal ureter. In addition, this test can also help figure out the size of the stone, along with its composition.
Urine Analysis: A urine analysis or a urine test helps look for signs of infection or other in the urine. This can help rule out stone-related infections and other underlying issues that may affect the efficacy of the treatment.

The doctor may suggest some or a combination of these tests to diagnose the condition accurately. You may be asked to carry your diagnostic reports on the day of the surgeries and keep them safe and secure for future reference.

Treatment of Left Proximal Ureteric Calculus

The treatment of left proximal ureteric calculus is based on the findings of the diagnostic tests. The treatment can include conservative or non-conservative methods or a combination of both. Let us discuss all the treatment methods in detail:

Medications: When the size of the stones is small and there are no complexities, the doctor may prescribe some medicines. Typically, the doctors suggest alpha-blockers which help relax the muscles in the ureters and allow the stones to pass easily. In addition, some pain-relieving medications may also be prescribed to help manage the pain and discomfort caused by the stones.
Extracorporeal Shock Wave Lithotripsy (ESWL): This is a non-invasive procedure to treat left proximal ureteric calculus, which is performed on an outpatient basis and doesn’t require a prolonged hospital stay. This procedure is suggested for the treatment of small to medium-sized stones. The procedure involves the use of shockwaves to break the stones and allow them to pass more smoothly through the system.
Ureteroscopy with laser lithotripsy: This is a minimally invasive surgical procedure for the removal of left proximal ureteral calculus. It involves the use of a thin, flexible tube with a camera at the end to perform the surgery. The instrument is called a ureteroscope. The ureteroscope is inserted through the urethra and bladder to access the ureter. The camera allows the doctors to visualize the stone and remove it precisely. If the stones are big, a doctor may use a laser to break up the stone.
Percutaneous Nephrolithotomy or PCNL: PCNL is another minimally-invasive procedure for removing left proximal ureteric calculus. This procedure involves removing the stones through an incision in the flank area. A nephroscope is used to locate the stones and break them into smaller pieces, which are easy to extract. Some stone fragments are allowed to pass through the system naturally. PCNL is considered a highly reliable surgery for large and complex left proximal ureteric calculus.
Open Surgery: Open surgery is recommended in severe cases of left proximal ureteric calculus when other treatments fail to offer effective outcomes. It is more invasive compared to other treatments. The patient is sedated with anesthesia, and then an incision is made on the back or side to access the kidney or ureter. Another incision is made on the ureter where the stone is located, and the stone is removed. After removing the stones, the surgeon closes the incisions with sutures.

Preparing For Left Proximal Ureteric Calculus Treatment

Irrespective of the type of treatment the patient is scheduled for, it is important to be prepared. It may involve being physically and mentally prepared for the procedure, which is essential to remain calm when you’re in the treatment room. Preparing for treatment may involve making some lifestyle changes, eating the right foods, and making some arrangements back home. Here are some standard guidelines to follow for preparing for a left proximal ureteric calculus treatment:

Make sure you get all the suggested diagnostic tests done before going for your treatment. Also, you must carry all the diagnostic test reports and other essential documents on the day of the treatment procedure.

If the doctor has prescribed any medications, make sure you consume those medicines without fail. These medications may include pain relievers and alpha-blockers. Also, if your doctor has asked you to discontinue any medications, ensure you do that as well.

The doctor may ask you to observe a fast for a few hours before the procedure. Make sure you do not eat anything during the suggested time.

The doctor may suggest you make some lifestyle modifications, such as increasing your fluid intake and avoiding certain foods such as high-sodium or high-oxalate foods. You’ll most likely be asked to eat a balanced diet in the days leading up to the surgery. In addition, you may be asked to avoid smoking or alcohol starting a few days or weeks before the procedure.

Make sure you bring someone along for the treatment. An attendant can take care of several things during your treatment and ensure you remain stress-free during the procedure.

If you have any questions regarding the treatment, make sure you get them answered. You will be able to remain calm and collected during the treatment process if you’re clear about the entire treatment plan.

All in all, it is important that you follow all the instructions provided by your doctor to have a seamless treatment experience and seek help and guidance whenever you see the need.

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Recovery After Left Proximal Ureteric Calculus Treatment

Recovery after left proximal ureteric calculus treatment varies based on the specific treatment approach the doctor uses. Some general guidelines for recovery are as follows, based on the type of procedure performed:

Recover after conservative treatment
If you’ve received conservative treatments, such as medications for treatment, you must continue taking the medications for as long as the doctor has suggested. Make sure you do not start any new medications without consulting your doctor. Additionally, if the doctor has suggested any lifestyle modifications, make sure you follow them.
Recovery After ESWL
After the ESWL procedure, you can return home the same day after spending a few hours in observation. The doctor may suggest some medications to relieve any pain or discomfort after the procedure. You’ll be asked to increase your fluid intake after the surgery to allow the fragmented stone particles to flush out of the system. Additionally, you’ll be asked to attend all the follow-up appointments without fail.
Recovery After URSL
The duration of hospital stay after a URSL procedure is quite short. Typically, patients are allowed to head back home on the day of the procedure after spending a few hours under observation. The doctors will stress on remaining hydrated by consuming ample fluids to help any remaining stone fragments exit the body. You’ll be asked to refrain from strenuous activities and allow the body to rest and heal. You’ll also have to be asked to attend all follow-up appointments.
Recovery After PCNL
Typically, a hospital stay of a night or more may be required after PCNL. After returning home, you’ll have to take some pain-relieving medicines to relieve any post-operative pain or discomfort. If a urinary catheter or DJ stent was placed during the procedure, you must take care of it and get it removed as and when advised by the doctor. During your recovery after PCNL, you must drink ample fluids, eat a balanced diet, and attend follow-up appointments to monitor your health.
Recovery After Open Surgery
A prolonged hospitalization of 5 to 6 days is required after open surgery for left proximal ureter stones. Since an open surgery is more invasive and involves a large incision, the patients must take care of the incision to avoid infections or other complications. Pain and discomfort are common after open surgery, but the doctor will prescribe medications to manage the discomfort. Patients must take care of the urine catheter and stent after their discharge and get them removed as suggested by the doctor. Also, increasing fluid intake and eating a healthy diet are key after open surgery for fast healing and recovery.

In addition, patients must follow any other instructions given by the doctor diligently. Patients must immediately contact the doctor for treatment if there are complications.

Benefits of Timely Treatment of Left Proximal Ureteric Calculus

Seeking timely treatment for left proximal ureteric calculus has several benefits, including:

Treatment helps relieve the pain caused by the obstruction caused by the stones. Patients can see a significant reduction in pain and discomfort post their treatment.

Patients see a major relief in the urinary symptoms caused by the condition. They have a restored, uninterrupted urinary flow. Also, it helps reduce the risk of urine backup in the kidneys.

Treatment helps in preventing kidney failure and other major complications. This helps preserve long-term kidney health and function.

Treatment helps in improving the quality of life of the patients by relieving the discomforting symptoms.

Questions to Ask the Doctor Before Left Proximal Ureteric Calculus Treatment

Most patients have several questions regarding their condition and treatment. It is always advisable that they get all the queries addressed before the treatment, to keep their apprehensions at bay and have a stress-free treatment journey. Listed below are some questions you can ask the doctor before your proximal ureteric calculus treatment:

Which treatment is the best for me?
Why is this the best treatment for me?
What complications can occur after treatment?
How long will recovery take?
How serious is my condition?
When can I return home after treatment?
What are the alternative treatment options?
How much will treatment cost me?
When can I resume work after treatment?
Will I require follow-up sessions after treatment?
How can I prevent the condition from recurring?

Frequently Asked Questions

What are the causes of left proximal ureteral calculus?

Left proximal ureteric calculus can occur due to various reasons. Some common causes of this condition include:

Dehydration
High intake of oxalate-rich foods, animal protein, and sugar.
Urinary tract infections
Structural abnormalities
Certain medical conditions, such as gout, inflammatory bowel disease, etc.

What symptoms does left proximal ureteric calculus exhibit?

Left proximal ureteric calculus exhibits symptoms similar to all other types of kidney stones. Some common symptoms of this condition include:

Pain in the lower back or flank area
Pain on the sides of the abdomen
Frequent urination
Increased urge to urinate
Difficulty passing urine
Blood in the urine
Fever
Nausea and vomiting.

Patients who experience these symptoms should seek immediate medical intervention from a specialized doctor.

How dangerous is left proximal ureteral calculus?

Left proximal ureteral calculus isn’t always dangerous. However, sometimes, it can lead to complications that can be life-threatening. The danger associated with this condition depends on the size and location of the stones, underlying health conditions, and their management. Untreated or complex ureteral calculus can lead to obstruction, a stone infection, swelling in the kidneys, and even complete renal failure. Therefore, if you suspect you may have stones, you must immediately seek treatment.

Which is the best treatment for left proximal ureteric calculus?

The treatment for left proximal ureteral calculus is selected after a thorough assessment of the patient’s condition. The efficacy of treatments may vary depending on the patient’s condition, and therefore, different conditions work differently for individuals. There’s no ‘best’ treatment for this condition as such.

What complications can a left proximal ureteric calculus cause?

Untreated left proximal ureteric calculus can lead to different complications. Some complications of this condition include:

Infected stones
Chronic kidney disease (CKD)
Ureteral scarring
Stenosis
Urosepsis
Renal abscess
Infected stones, etc.

Therefore, it is important to seek timely treatment for left proximal ureteric calculus.

How much does left proximal ureteric calculus treatment cost in India?

The cost of left proximal ureteric calculus depends on the type of treatment you’re receiving. Here’s a cost estimate of the commonly performed procedures for left proximal ureteric calculus is as follows:

ESWL: Rs. 40,000 to Rs. 60,000
URSL: Rs. 65,000 to Rs. 80,000
PCNL: Rs. 80,000 to Rs. 1,00,000
Open Surgery: Rs. 1,00,000 to Rs, 2,00,000

But this is just a cost estimate. The actual treatment cost can differ based on a number of factors, including the patient’s location, choice of hospital, the severity of the condition, etc.

Is left proximal ureteric calculus treatment covered under insurance ?

Yes. Since treatment becomes necessary in severe cases of left proximal ureteric calculus, most insurance providers cover it in their health insurance and mediclaim plans. But, you should seek clarity from your respective insurance provider on the amount of coverage they provide and their terms and conditions. At Pristyn Care, we provide comprehensive insurance assistance and help patients receive maximum insurance claims without hassles.

Why should I choose Pristyn Care for left proximal ureteric calculus treatment?

Pristyn Care houses the best urologists in India who’re highly skilled and experienced in diagnosing and treating various urological conditions. We curate a comprehensive treatment experience for the patients, and ensure they face no hassles during the treatment journey. We provide cab facilities, complementary meals, insurance assistance, and multiple payment modes along with No Cost EMI option to pay. To book your appointment with our doctors, call us today.

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Medically Reviewed By

Deepanshu Gupta

15 Years Experience Overall

Last Updated : March 15, 2025

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I had 3-4 stones occuring again and again but finally went for operation with PristynCare. They found the root cause and treated me well with Stent insersion. Feeling great now and I hope wont occur again.

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