There are two stones, one 14mm in the kidney and another 20mm in the urinary bladder. The person is also a heart patient. What should be the best course of action for treatment or management?
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.