The right treatment for the stone
The best approach depends on the stone's size, location, and makeup. We will confirm which one fits and get you comfortable as quickly as possible.
Small stones · pass naturally
Watchful waiting
Small stones, under about 5 mm, often pass on their own. With extra hydration and medication to ease the way, Dr. Sawkar monitors your progress so nothing is missed.
- No procedure needed
- Hydration and medication to help
- Monitored until it passes
Non-invasive · no incisions
Shockwave lithotripsy
Focused shockwaves break the stone into fragments from outside the body, with no incisions, using sedation for comfort. The pieces then pass naturally over the days and weeks that follow.
- No incisions or cutting
- Effective for stones up to about 2 cm
- Outpatient, home the same day
Any location · laser
Laser ureteroscopy
A slim scope is passed through the urethra and bladder to reach the stone, where a Holmium laser breaks or vaporizes it. No incisions, and highly effective anywhere in the urinary tract.
- No incisions
- Works on harder and larger stones
- Outpatient, home the same day
Long term · stay stone-free
Prevention
Once the stone is handled, the goal is preventing the next one. A metabolic review and a simple, personalized plan can meaningfully lower your odds of forming another.
- Metabolic and dietary review
- A plan built around your stone type
- Fewer recurrences over time