Treatments/Kidney stones

Kidney stones,
handled quickly

From sudden, severe pain to a stone that simply will not pass, there is a clear path forward. Dr. Sawkar offers the full range of modern, minimally invasive options, and most patients go home the same day.

A contour-line rendering of a kidney with a stone in the collecting system
Same-day appointments available for acute kidney stone pain.

What a kidney stone feels like

A kidney stone is a hard deposit that forms in the kidney and causes trouble when it moves into the urinary tract. The pain can be intense and sudden. The good news is that nearly every stone can be treated, and many never need a procedure at all.

Sudden, severe pain in the back or side
Pain that comes in waves toward the groin
Blood in the urine
Nausea or vomiting
A frequent, urgent need to urinate
Pain or burning when you go

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

What to expect

01

Same-day evaluation

For acute pain, we get you in quickly, confirm the stone with imaging, and bring the pain under control.

02

The right treatment

We choose the approach that fits your stone's size, location, and type, most of them outpatient.

03

Staying stone-free

A prevention plan to lower the chance of the next one, with follow-up whenever telehealth is easier.

Kidney stones

In pain right now

Same-day and next-day appointments for acute stone pain. Medicare and most PPO plans accepted, with telehealth consultations available. For the fastest response, send the office a secure message; the reply comes back by text.

Chief of Urology, Providence St. Joseph Hospital · UroLift Center of Excellence · Orange County's highest-volume Aquablation surgeon

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