I have a 13.49 mm stone in my right upper ureter, about 2 cm from the pelvic ureteric junction, and it's causing grade 1 hydronephrosis. I'm trying to figure out the best surgery option should I go for ureteroscopic laser lithotripsy or PCNL? What would you recommend based on the size and location of the stone?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

For your 13.49 mm stone in the upper ureter, near the pelvic ureteric junction, causing grade 1 hydronephrosis, ureteroscopic laser lithotripsy (URSL) is generally recommended over PCNL. URSL is a minimally invasive procedure that allows for targeted stone fragmentation and removal through the ureter. PCNL, while effective, is more invasive and carries a higher risk of complications.

Dr. Kamran Suggests...

Consult a Urologist

Find a Urologist

Answered 14/08/2025

More Urology Health Queries

View all

I'm really trying to find ways to last longer during sex. Right now, I'm only able to go for about 10 to 15 seconds. I'm kinda worried about it and just want to enhance my experience and enjoy my life more. Any advice on how I can improve my timing?

Visit your doctor for evaluation and appropriate management

Answered by 1 Apollo Doctors

I had a left upper ureteric obstruction with hydronephrosis and a dilated left upper ureter, and my left Pelvicalyceal system is also dilated. A stent procedure a few months ago didn't help are there other treatment options besides open surgery? Also, how can I keep this from happening again in the future?

do all requred lab report first to understand risk and progress.

Answered by 1 Apollo Doctors

Just got my ultrasound report showing borderline varicocele what grade does this usually fall under and do I need surgery for it

A borderline varicocele usually falls under a Grade 2 or 3 on the varicocele grading system. Whether or not surgery is needed depends on various factors, including the specific grade, presence of symptoms like pain, and impact on fertility.

Answered by 1 Apollo Doctors

Health Articles for you

View all

General Medical Consultation

Guide to Prostate Artery Embolisation

Explore our guide to Prostate Artery Embolisation, a minimally invasive treatment for enlarged prostate. Learn its procedure, benefits, risks, and recovery.

Urinary Tract Stone

Guide to Getting Rid Urinary Stones Easy

Tired of the pain from kidney and urinary stones? This guide breaks down the causes, symptoms, and easy, actionable ways to get rid of them and prevent them from coming back.

General Medical Consultation

Varicocele Symptoms, Causes, and Treatment Options

Understand varicocele with our comprehensive guide. Learn about its common symptoms, underlying causes, and the full range of treatment options available for effective management.

Prostate cancer

Guide to Prostate Cancer Screening And Psa Test

Learn everything about prostate cancer screening and PSA testing—what it measures, when to test, interpreting results, risks, and next steps for smarter decisions.

General Medical Consultation

Ketones in Urine: Causes, Symptoms, and What to Do

Find out what the presence of ketones in urine means. Learn about its causes, symptoms, possible health risks, and the right steps to manage or prevent high ketone levels effectively.

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.