RETROGRADE INTRA-RENAL SURGERY
- 80% of urethral stones <5mm may pass out spontaneously
- But can take up to 40 days
- You will need to be on analgesia and alpha blockers
- You will need to normalize your bowel function
- Antiodema treatment
- An increased passing of urine. Costume 2-3L of fluids
- Physical activity
What's good to drink?
- Best: mineral water, fruit tea, herbal tea
- So So: Coffee, black tea, green tea, undiluted fruit drinks
- No good!: Sugar-sweetened soft drinks, ice tea, alcohol! Why? Oxalate is found in caffeinated beverages, such as coffee, cola, and especially, tea. It’s also found in many foods such as chocolate, spinach, and nuts.
- Mixed balanced diet is key
- Prefer Fresh fruits, vegetables, and salad - due to the high content of water, potassium, and magnesium there is an anti-stone effect also have an alkalizing effect which may increase urinary citrate excretion.
- Whole grain products (note wheat bran is to be avoided due to the high content of oxalate)
- Low-fat dairy products
- Plant fat
- Eat less salt. Chinese and Mexican food, tomato juice, regular canned foods, and processed foods are
usually high in salt. Look for low-salt or unsalted products.
- Have only 2 or 3 servings a day of foods with a lot of calcium, such as milk, cheese, yogurt, oysters, and tofu.
- Eat lemons or oranges, or drink lemonade. Citrate in these foods prevents stones from forming.
- Limit how much protein you eat. Choose lean meats.
- Eat a low-fat diet.
Do not take extra calcium or vitamin D, unless the health care provider who is treating your kidney stones recommends it.
- Watch out for antacids that contain extra calcium. Ask your health care provider which antacids are safe for you to take.
- Your body still needs the normal amount of calcium you get from your daily diet. Limiting calcium may actually increase the chance that stones will form.
Ask your healthcare provider before taking vitamin C or fish oil. They may be harmful to you.
If your health care provider says you have calcium oxalate stones, you may also need to limit foods that are high
in oxalate. These foods include:
- Fruits: rhubarb, currants, canned fruit salad, strawberries, and Concord grapes
- Vegetables: beets, leeks, summer squash, sweet potatoes, spinach, and tomato soup
- Drinks: tea and instant coffee
- Other foods: grits, tofu, nuts, and chocolate
URIC ACID STONES
- Alcohol - Especially BEER
- Baking or brewer's yeast
- Consommé- BROTH
- SKIN FROM FISH
- Legumes (dried beans and peas)
- Organ meats (liver, kidney, and sweetbreads)
Other suggestions for your diet include:
- Do not eat more than 3 ounces of meat at each meal.
- Avoid fatty foods such as salad dressings, ice cream, and fried foods.
- Eat enough carbohydrates.
- Eat more lemons and oranges, and drink lemonade because the citrate in these foods stops stones from
If you are losing weight, lose it slowly. Quick weight loss may cause uric acid stones to form.