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Crush old stones that stick like "rust" patches in the kidney pelvis

(Dan Tri) - Only when she had a dull pain in her lower back did Ms. HTH (1964, Thai Nguyen) discover a nearly 4cm kidney stone that had been silently growing for many years. The solid, tightly attached stone mass like rusty patches was completely crushed at Thu Cuc TCI International General Hospital.

Báo Dân tríBáo Dân trí04/07/2025

  Remove all gravel debris like rusty flakes stuck in the renal pelvis.

Ms. HTH (61 years old, Dong Hy, Thai Nguyen ) was discharged from the hospital in a healthy state, with a relieved spirit after having a hard kidney stone removed, stuck in her right kidney for many years.

The stone measuring up to 34×36mm, when removed from the body after two laser lithotripsy procedures at Thu Cuc TCI International General Hospital, surprised even the doctors because its shape on the X-ray was like a “limestone”, but its “rusty” texture was typical of a long-standing accumulation.

The person who directly performed the lithotripsy was Meritorious Doctor, Doctor CKII Pham Huy Huyen - Deputy Director of Thu Cuc TCI International General Hospital in charge of Urology and Nephrology, said: "When the stone was crushed and removed, the large stone had a rough shape, the surface was dark, solid and rust-colored. This is a typical sign of the type of stone that formed many years ago but was not detected and treated promptly."

Tán sạch sỏi lâu năm bám chặt như các mảng “rỉ sét” trong bể thận - 1

Image of kidney stones of HTH patient being crushed and directly sucked out (Photo: TCI).

Late detection due to asymptomatic stones

It is worth mentioning that Ms. H. did not know that she had kidney stones. Before going to the doctor, she did not have any obvious symptoms and her health was normal. Only in the past month, she felt a dull pain in her right lower back, not continuously, but enough to make her worried. Coming to Thu Cuc TCI for a check-up for peace of mind, she did not expect that the diagnostic results on the X-ray showed a large stone nearly 4cm firmly attached to the middle of the kidney.

“When the doctor showed me the X-ray images, I was stunned. I didn’t think I had such a big stone in my body. At first, I thought it was because of old age, overwork, or the weather that I had recently had symptoms,” Ms. H. recounted.

According to Dr. Huyen, Ms. H.'s kidney stones may have silently formed and accumulated little by little over decades. In many cases, the stones are located in a position that does not block the flow of urine, and the body may not send out warning signals. However, if not detected and treated, the stones will continue to grow, invade and compress the urinary tract, retain urine in the kidney, causing the kidney to gradually expand like a water balloon. At a certain point, the consequences will be infection, pus retention, and even permanent kidney failure.

After a comprehensive assessment of the patient's condition, Dr. Huyen decided to choose the method of percutaneous laser lithotripsy - a modern technique that allows for the effective treatment of large stones and coral stones, minimally invasive, and maximum preservation of kidney function.

On May 15, the first lithotripsy went smoothly, half of the stone was removed. However, due to the large initial size and solidity of the stone, it was necessary to handle it skillfully to completely remove the stone while still preserving the kidney parenchyma. On May 18, Ms. H. continued to undergo a second intervention to remove the remaining stone fragments.

Tán sạch sỏi lâu năm bám chặt như các mảng “rỉ sét” trong bể thận - 2

Stones disappear after percutaneous nephrolithotomy with laser (Photo: TCI).

Three days later, the test results confirmed that the stones had been completely removed. Ms. H. was discharged from the hospital in a stable condition, no longer in pain, eating and sleeping well, and in good spirits.

“I feel so relieved. I didn’t think I could recover so quickly after the doctor gave me the anesthesia,” she emotionally shared.

Small tunnel safely treats large kidney stones for the elderly

Not only does it help to remove rust-like gravel particles that have been deep in the renal pelvis for many years, the laser-guided percutaneous nephrolithotomy also brings great benefits to elderly patients with weak constitutions like Mrs. H.

“The key point of this method is to create a small tunnel on the skin, go straight to the stone location, then use laser energy to break the stone into small pieces and quickly suck it out. No open surgery, not much invasion, not much blood loss, the patient recovers quickly and has few complications after the procedure,” said Dr. Huyen.

This is also a big plus of this modern technique, helping patients avoid major open surgery which is risky, especially for the elderly. Hospital stay is short, leaving little scarring, and kidney function is preserved almost intact - something that traditional open surgery cannot do.

Tán sạch sỏi lâu năm bám chặt như các mảng “rỉ sét” trong bể thận - 3

Percutaneous nephrolithotomy with laser is minimally invasive and preserves the kidney (Photo: TCI).

Asymptomatic kidney stones - don't wait until it's too late

Mrs. H's case is not rare, but a common reality for many people with kidney stones today. The stones develop silently, with few symptoms, and only when signs appear do they have progressed significantly.

Dr. Pham Huy Huyen added: “What worries us is that many patients like Ms. H. come to the clinic and are diagnosed late. The stones are already large, affecting kidney function. If detected early, from a small size of 5-7mm, treatment is much simpler, sometimes just taking medicine or performing extracorporeal lithotripsy without surgery or hospitalization.”

Doctor Huyen recommends that people with a history of kidney stones, people who drink little water, and people who exercise little should have regular check-ups every 6-12 months. Pay special attention to signs such as prolonged back and hip pain, painful urination, cloudy urine, and difficulty urinating. Even mild symptoms should not be ignored.

Currently, at Thu Cuc TCI International General Hospital, modern high-tech lithotripsy techniques, minimizing invasion, preserving kidney function are being comprehensively applied and discounted up to 30%, saving costs.

For more information, visit https://benhvienthucuc.vn/tan-soi-cong-nghe-cao-danh-bay-soi-tiet-nieu/

Contact: 1900 55 88 92.

Source: https://dantri.com.vn/suc-khoe/tan-sach-soi-lau-nam-bam-chat-nhu-cac-mang-ri-set-trong-be-than-20250703235240834.htm


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