Urolithiasis, Nephrolithiasis

Urolithiasis (ICD 10-N20-N23) is a common urological disease, predominantly chronic, that requires special attention and mandatory treatment. It is accompanied by the formation of stones localized in various parts of the urinary system (kidneys, urinary tract, bladder). Given that the signs of kidney stones can be virtually unnoticeable for a long time, it is important to promptly identify the condition and begin appropriate treatment. If you experience even the slightest health complaints, we recommend contacting "K+31." The clinic's specialists will conduct a diagnosis, determine the cause of your symptoms, and provide the necessary treatment.

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Causes of urolithiasis

To date, the exact causes that provoke kidney stone disease have not yet been established. Numerous factors contribute to the formation of stones:

  • Congenital anomalies of the urinary system
  • Living or staying in an unfavorable climate zone (deficiency of sunlight and vitamin D, extreme heat leading to chronic dehydration)
  • Specific diet (excess of acidic and very spicy foods in the diet)
  • Sedentary lifestyle
  • Unfavorable working conditions (hazardous production, the need to regularly lift heavy objects)
  • Drinking highly hard water containing large amounts of calcium salts
  • Increased activity of the parathyroid glands
  • Chronic gastrointestinal diseases
  • Severe fractures or other injuries to the musculoskeletal system
  • Enzyme deficiency
  • Liver pathologies
  • Kidney diseases (impaired normal urine flow, prolapse, or inflammation of the kidney)
  • Endocrine disorders
  • Hereditary predisposition
Causes of urolithiasis
Kotov Sergey Vladislavovich
Kotov Sergey Vladislavovich
Deputy chief physician of K+31 for urology, chief urologist of K+31, urologist-andrologist, oncourologist, doctor of medical sciences, professor
Experience: 22 years
Doctor of Sciences, PhD, professor
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Sorokin Nikolay Ivanovich
Sorokin Nikolay Ivanovich
Head of the urology department, urologist, oncologist, oncosurgeon, doctor of medical sciences, professor
Experience: 24 years
Doctor of Sciences, PhD, professor
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Kamalov Armais Albertovich
Kamalov Armais Albertovich
Chief Consultant in Urology, Urologist
Experience: 42 years
Academician, professor, Doctor of Sciences, PhD
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Denshchikov Mikhail Borisovich
Denshchikov Mikhail Borisovich
Urologist
Experience: 26 years
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Survillo Igor Igorevich
Survillo Igor Igorevich
Urologist
Experience: 13 years
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Tereshchenko Suren Alexandrovich
Tereshchenko Suren Alexandrovich
Doctor urologist-andrologist
Experience: 28 years
Doctor of Sciences, PhD
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Medvedev Alexander Alexeyevich
Medvedev Alexander Alexeyevich
Urologist
Experience: 31 year
PhD
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Dzhabrailov Jabrail Abdulazizovich
Dzhabrailov Jabrail Abdulazizovich
Urologist, andrologist
Experience: 25 years
PhD
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Pshikhachev Ahmed Mukhamedovich
Pshikhachev Ahmed Mukhamedovich
Urologist, Oncologist
Experience: 23 years
Doctor of Sciences, PhD
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Gomberg Mikhail Alexandrovich
Gomberg Mikhail Alexandrovich
Dermatovenereologist
Experience: 43 years
Doctor of Sciences, PhD, professor
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Navruzbekov Gamzat Abdulkadirovich
Navruzbekov Gamzat Abdulkadirovich
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Valeev Danil Ravilovich
Valeev Danil Ravilovich
Urologist
Experience: 6 years
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Dzhalilov Dmitry Olegovich
Dzhalilov Dmitry Olegovich
Urologist
Experience: 17 years
PhD
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Alferov Anton Sergeevich
Alferov Anton Sergeevich
Leading urologist, andrologist
Experience: 16 years
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Gabaraev Alan Petrovich
Gabaraev Alan Petrovich
Urologist, andrologist
Experience: 13 years
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Meshkova (Borodaykina) Daria Yurievna
Meshkova (Borodaykina) Daria Yurievna
Urologist
Experience: 10 years
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Nemenov Alexander Alexandrovich
Nemenov Alexander Alexandrovich
Urologist, oncologist (oncourologist)
Experience: 7 years
PhD
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Experts generally indicate that the formation of stones is associated with abnormal urinary tract function. Stones are hard masses formed by the crystallization of salts found in urine.

Stones can vary in shape, size, and chemical composition. But even a small kidney stone can cause symptoms that require immediate medical attention. Prompt treatment can help prevent complications.

Symptoms of Urolithiasis

Urolithiasis is always accompanied by intense pain, primarily concentrated in the lumbar region. Depending on the location and size of the stone, the presence of obstruction, and individual characteristics, the pain may be constant or intermittent, sharp or dull.

If a person has large, immobile stones, the discomfort is constant. The pain is usually related to the patient's mobility. It may appear, intensify, or subside with active movement, riding, or physical activity. Most patients complain of being unable to lie down due to the pain. Walking may alleviate the lower back discomfort somewhat.

Other signs of kidney stones in women and men:

  • Malaise and weakness
  • Nausea accompanied by vomiting
  • Blood in the urine
  • Abdominal bloating and difficulty passing gas
  • Fever
  • Cloudy urine with the appearance of flakes or sediment

Kidney stone symptoms in both women and men can suddenly worsen. This indicates the development of a specific condition called renal colic. It is accompanied by severe pain in the lumbar region, radiating to the groin. In this case, the discomfort is caused by obstruction of the urinary tract. The attack is associated with the spontaneous movement of a kidney stone into the bladder.

Kidney Stones: Symptoms in Men

The disease is much more common among men than among women. In men, the disease presents itself typically and is characterized by intense pain. There is also a pronounced burning sensation in the urethra, which intensifies when attempting to urinate. The pain can also radiate to the penis, scrotum, and groin.

Kidney Stones: Symptoms in Women

In women, the condition is less common. The clinical picture is typical. Many people mistakenly perceive renal colic for pain that occurs during menstruation. This complicates diagnosis and subsequent treatment. In women, a ureteral stone causes a strong urge to urinate, which does not subside even after going to the toilet.

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General information

Diagnosis

To ensure successful treatment of urolithiasis, you should seek help from a urologist at the first sign of pathology. The doctor will examine the patient and collect a medical history. The doctor will then refer you for the necessary tests and examinations:

  • Ultrasound of the kidneys, bladder, and, if necessary, abdominal organs (to rule out other diseases)
  • Blood and urine tests
  • Kidney tests
  • X-ray
  • Urine culture with antibiotic sensitivity testing
  • Excretory urography
  • Computed tomography or magnetic resonance imaging

The diagnostic methods used in a specific clinical case are determined by the doctor.

Методики лечения мочекаменной болезни

Urolithiasis: Treatment

All diagnostic information is taken into account when choosing a treatment method for urolithiasis. This includes the size, type, and location of the stone, the patient's condition, and other data.

For mild symptoms, when the stones are less than 5 mm in diameter, conservative therapy is used. In this case, it is safer, as the stones, in the form of sand, can leave the urinary system on their own. To speed up the process, the patient is prescribed antispasmodics, diuretic teas, and herbal remedies.

Large kidney stones in women, for which medical treatment is ineffective, are removed by fragmentation. A minimally invasive procedure called lithotripsy is performed. It involves minimal tissue trauma. During the surgery, the stones are crushed into sand by a shock wave. The resulting fragments are then eliminated naturally in the urine.

Different types of lithotripsy are used:

  • Ultrasonic. Used for low-density stones.
  • Pneumatic. Suitable for all types of stones.
  • Electrohydraulic. A special device creates an electric arc that has destructive force.
  • Percutaneous. A puncture is made through the skin, directly affecting the area where the stone is located.
  • Laser. Fragmentation is performed using a laser energy beam.

A fragmentation session lasts approximately 40 minutes. Multiple procedures are required to remove larger stones.

Этапы операций

Prevention

Iron stone disease is a chronic condition, so even after successful treatment, patients need to follow certain preventative measures. These include drinking enough fluids (plain water), avoiding alcohol, and reducing salt in the diet. It is advisable to avoid hypothermia and get enough exercise.

Once a year, as a preventative measure, a general urine test should be performed. A doctor should also prescribe a diet based on the type of stones detected.

Benefits of urolithiasis treatment at the K+31 medical center

The clinic employs highly experienced urologists who can help you remove kidney stones without surgery. Our specialists will select the optimal treatment method for each patient, including medications, lithotripsy, and more. If fragmentation is necessary, the procedure will be performed using modern equipment, guaranteeing safety and excellent results.

Schedule an appointment with a doctor directly through the website or call the phone numbers provided.

Benefits of urolithiasis treatment at the K+31 medical center

Make an appointment at a convenient time on the nearest date

Reviews

I would like to express my great gratitude to the doctor for the excellent surgery and follow-up. Anton Sergeyevich is a high-level professional, experienced, careful and sensitive doctor. Thank you!
05.03.2026
Alexeiev S.M.

About doctor:

Alferov Anton Sergeevich

I express my sincere gratitude to Alferov Anton Sergeevich, the attending physician, for the individual treatment of each patient! It's a professional with a big letter! There's no complaint left to me! Beautiful, understandable specialist explains every stage of treatment. Thank you and I recommend!
03.03.2026
Olga

About doctor:

Alferov Anton Sergeevich

A huge thank you to Alexander Alexeevich!!! He's so kind. He cares about his patients. He saw what others missed. He helped my husband. He helped me. This isn't the first time we've seen him.
06.02.2026
B. Natalia Ivanovna
I want to thank the doctor for the professional operation. Everything went smoothly, carefully, and without unnecessary stress. The doctor explained each step in detail and was always available during the recovery period. His very attentive and humane attitude is especially valuable.
26.01.2026
K. Alan Vladimirovich

About doctor:

Gabaraev Alan Petrovich

Akhmedkhan Mukhamedovich masterfully performed a renal cell carcinoma resection. A modest, wonderful man.
15.01.2026
B. Vitaly Vladimirovich
A huge thank you to Anton Sergeevich Alferov for his attention to his patients. He is a true professional.
14.01.2026
Olga

About doctor:

Alferov Anton Sergeevich

Wonderful doctor, I am very grateful to him.
21.12.2025
T. Alexandra Alexandrovna
I had a difficult case – a tumor that was very difficult to operate on, and if it failed, I would have lost the kidney. But Sergey Vladislavovich took on the case, and what's more, he set me up for success. And that's exactly what happened! My recovery was quick, and now I can live a normal life. A huge thank you to Sergey Vladislavovich and the entire medical staff for literally saving lives and giving them a second chance at a happy life.
05.12.2025
Igor Konstantinovich
My father suffered for a long time from prostate adenoma. Finally, we were fortunate enough to see Nikolai Ivanovich. The doctor explained the procedure and rehabilitation process. As a result, my father is now undergoing rehabilitation after laser enucleation of the prostate. If anyone has the same problem, I highly recommend Sorokin!
05.12.2025
Nina
I went to see Darya Yuryevna for an inflammation. The doctor examined me, took swabs, and told me what tests I needed to do. Based on the results, she prescribed a course of medication. After several months of treatment, the pain really did stop. I highly recommend her!
05.12.2025
Konstantin
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