I'm really worried about having two stones, one that's 14mm in the kidney and another 20 mm in the urinary bladder, especially since I also have heart issues. Could this cause any complications, and what should I do about it?
For the 14mm stone, medication such as Tamsulosin may be attempted in trying to let the stone pass, but the larger stone will definintely need surgical intervention. In such a condition, it may be best to treat both renal calculi with lithotripsy. Since the patient has a cardiac disease history, it is imperative to get clearance from the consulting cardiologist before proceeding.