Urology · Aktobe

Urolithiasis (Kidney Stones): Treatment in Aktobe

Urolithiasis is the presence of stones in the kidneys and ureters. Urologist Amanzholova Sh.K. diagnoses and prescribes treatment for dissolving and passing stones in Aktobe.

Symptoms

How to Recognise the Condition

Pain Syndrome

  • Sudden flank pain (renal colic)
  • Pain radiating to groin and thigh
  • Pain worsened by movement

Urinary Disturbances

  • Blood in urine (reddish colour)
  • Frequent painful urges
  • Urinary retention or interrupted stream

General Symptoms

  • Nausea and vomiting during colic
  • Chills and fever when infection develops
  • Restlessness, inability to find a comfortable position
Diagnostics

How Diagnosis Is Made

  • Kidney and urinary tract ultrasound
  • Complete urinalysis and blood test
  • Blood biochemistry (uric acid, calcium)
  • CT or X-ray when indicated
Treatment

Treatment Methods

  • Medical dissolution of stones
  • Increased diuresis for spontaneous passage
  • Shock-wave therapy
  • Diet therapy and fluid intake correction
General Information

What Is Urolithiasis

Urolithiasis (nephrolithiasis, kidney stone disease) is a condition in which stones (calculi) form in the kidneys, ureters, or bladder. By prevalence, urolithiasis ranks third among urological diseases. Stones can be single or multiple, and differ in composition, size, and location.

Stones form when metabolic disturbances cause salts in the urine to crystallise and gradually accumulate. Importantly, urolithiasis is a chronic condition: without treating the underlying cause, stones reform.

Kidney Stones (Nephrolithiasis)

The most common location. Small stones can remain symptom-free for a long time; larger ones cause dull flank pain. When displaced into the ureter, acute renal colic occurs.

Ureteral Stones (Ureterolithiasis)

A stone lodged in the ureter obstructs urine drainage from the kidney. This causes intense cramping pain — renal colic. Requires urgent medical attention.

Uric Acid Stones (Urate Stones)

Form due to disturbed uric acid metabolism. Respond well to medical dissolution — with correct treatment, dissolve without surgery within several months.

Calcium Oxalate and Phosphate Stones

The hardest types of stones; not dissolved by medications. Treated with shock-wave lithotripsy or endoscopically. Recurrence prevention: diet and adequate fluid intake.

Causes

Why Kidney Stones Form

  • Insufficient fluid intake — the main cause
  • Disturbed metabolism of uric acid, calcium, or oxalates
  • Chronic urinary tract infections
  • Poor diet: excess salt, protein, purines
  • Sedentary lifestyle
  • Hereditary predisposition
  • Hot climate and excessive perspiration
  • Certain medications
Complications

Dangers of Untreated Urolithiasis

  • Hydronephrosis — kidney distension due to obstructed urine flow
  • Pyelonephritis — kidney inflammation
  • Acute renal failure
  • Chronic kidney tissue damage
  • Recurrent urinary tract infections
  • Loss of kidney function with prolonged obstruction

⚠️ Important: renal colic requires urgent medical care

Sudden severe flank pain radiating to the groin is a reason to see a doctor immediately. Taking painkillers relieves the pain but does not remove the cause. An untreated blocked ureter can lead to serious complications.

Amanzholova Sholpan Kenzhegalievna — Urologist-Andrologist Aktobe
Your Doctor

Amanzholova Sholpan Kenzhegalievna

Urologist-Andrologist-Gerontologist · Highest Medical Category · 43 years of experience

Over 5,000 patients. Sensitive approach, full confidentiality. Invivo Medical Center, Aktobe.

FAQ

Frequently Asked Questions

How can new stones be prevented?+
The key is to drink enough water (2–2.5 litres per day) and adjust your diet based on the stone composition. The doctor will tailor an individual diet and, if necessary, prescribe preventive medications.
Can all stones be dissolved without surgery?+
Stones up to 5–6 mm often pass spontaneously with the right treatment. Urate stones dissolve well with medication. Oxalate and phosphate stones are treated with shock-wave therapy or surgery.
What stone size requires urgent medical attention?+
Any renal colic is a reason to seek urgent medical attention. A stone larger than 6 mm rarely passes on its own and requires medical intervention.

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