Who Needs Treatment of Kidney Stones?

Many people have small, symptom-free kidney stones that remain unnoticed throughout their lives. These stones are often discovered incidentally during an ultrasound or CT scan performed for an unrelated medical reason. In many such cases, treatment may not be required immediately, but regular monitoring by a kidney stone specialist is important to ensure the stones do not increase in size or start causing problems.

With over 45 years of experience in treating kidney stone disease, Dr. Pawan K. Gupta believes that the decision to treat a kidney stone should always be based on the patient’s symptoms, stone size, location, risk of obstruction, infection and overall kidney function – not simply on the presence of a stone.

For better understanding, kidney stones can broadly be classified into three groups based on how they present:

• Symptomatic kidney stones: Stones that cause pain, blood in the urine, urinary blockage, recurrent infections, or other symptoms and usually require medical evaluation and, in many cases, active treatment.
• Asymptomatic kidney stones: Stones that do not cause symptoms and are often detected during routine health check-ups or imaging performed for another condition. These may only require regular follow-up if they remain stable.
• Unnoticed kidney stones: Very small stones that remain silent and are not

At R P Stone Clinic, Panipat, Dr. Pawan K. Gupta, one of India’s most experienced kidney stone specialists, carefully assesses every patient and recommends the most appropriate treatment based on the size, location, symptoms, risk of complications and overall kidney health. This personalized approach ensures that patients receive treatment only when it is truly needed while avoiding unnecessary procedures whenever possible.

Who Needs Surgical Removal of Kidney Stone Treatment?

Surgical removal  is generally recommended when a stone is symptomatic and unlikely to pass spontaneously affecting the kidney or causing complications.

Common situations include:

Severe pain: Pain that is intense, recurrent or not relieved by medicines usually indicates that removal may be required.

Persistent urinary obstruction: A stone blocking urine flow can increase pressure inside the kidney. Untreated obstruction may eventually cause:

• Kidney swelling
• Loss of kidney function
• Permanent kidney damage

Recurrent urinary tract infection: Kidney stones may become a source of repeated infections. Treatment becomes important when there is:

• Recurrent UTI
• Fever
• Chills
• Infection behind an obstructed kidney

Blood in urine: Although kidney stones can cause mild bleeding, persistent or recurrent blood in the urine should never be ignored and should be evaluated by a urologist. If the stone does not pass spontaneously, appropriate treatment to remove it may be necessary.

Stone continues to grow: Even stones that are not causing symptoms may require removal if they continue increasing in size because larger stones become more difficult to treat later.

Reduced kidney function: Removal is recommended if the stone is affecting kidney function, especially in patients with:

• Diabetes
• Hypertension
• Chronic kidney disease
• One functioning kidney

Stones in both kidneys: Patients with stones in both kidneys often require early removal to preserve kidney function.

Recurrent stone formation:

People who repeatedly develop kidney stones benefit from:

• Complete metabolic evaluation
• Stone analysis
• Preventive treatment
• Lifestyle counselling
• Appropriate stone removal

Modern Kidney Stone Treatment Options Available at R P Stone Clinic

Depending on the patient’s condition, one or more of the following treatments may be recommended.

• RIRS (Retrograde Intrarenal Surgery): RIRS is one of the most advanced minimally invasive procedures for kidney stone treatment. The procedure is performed through the natural urinary passage using a flexible ureteroscope without making any incision or hole in the body. Dr. Pawan K. Gupta is pioneer of RIRS surgery in India, performing this advanced procedure since 1998.
• URS (Ureteroscopy): URS is commonly performed for stones lodged in the lower ureter. A thin endoscope is passed through the urinary passage to locate and remove or fragment the stone using laser energy. The fragments formed then are manually removed.
• PCNL (Percutaneous Nephrolithotomy): PCNL is generally recommended for very large kidney stones, complex stones, staghorn calculi or stones unsuitable for other procedures.

Why Early Kidney Stone Treatment Is Important?

Ignoring a kidney stone may lead to:

• Kidney swelling
• Recurrent infections
• Kidney damage
• Emergency hospitalisation
• More complicated treatment later

Timely diagnosis often allows treatment before these complications develop.

Why Choose R P Stone Clinic for Kidney Stone Treatment in Panipat?

Patients from Panipat, Haryana, & North India trust R P Stone Clinic because of its experience and advanced procedures.

If you have been diagnosed with a kidney stone or are experiencing symptoms such as severe pain, blood in urine, repeated infections or difficulty passing urine, a timely medical check-up is important. Dr. Pawan K. Gupta, with more than 45 years of experience in kidney stone management and as pioneer of RIRS surgery in India, offers personalized treatment using advanced technology at R P Stone Clinic in Panipat, Haryana. Contact the clinic today to receive the right advice and the most suitable treatment for your condition.