Kidney stones are one of the most common causes of acute pain leading to emergency visits, and one of the most treatable urologic problems with clear treatment options. Dr. Yaman Al Tall, consultant urologist, handles evaluation and treatment of kidney stones — from monitoring and fluid intake, to shock wave or endoscopic fragmentation, up to removing large stones through the skin when needed — with personal follow-up from him at every step.
Severe flank pain with a fever or chills? This is a sign of a possible obstruction with a kidney infection, which is an emergency requiring immediate emergency care rather than waiting for a regular appointment. Pain alone without fever still deserves a prompt evaluation to determine the stone’s size and location.
Kidney stones are solid deposits formed from salts and minerals present in the urine, usually due to highly concentrated urine from low water intake. The most common type is calcium oxalate stones, along with other types such as uric acid stones and phosphate stones, each with slightly different contributing causes.
A stone may remain inside the kidney without causing any pain for a long time, but the acute pain known as “renal colic” usually occurs when the stone moves toward the ureter and causes a partial or complete obstruction of the urinary channel.
Precisely determining the stone’s size and location determines the actually right way to remove it, not just temporarily easing the pain.
A non-contrast CT scan is the most precise standard for determining the stone’s size, location, and likely composition.
No need to wait between multiple clinics during a pain episode — evaluation and the treatment decision happen in one pathway.
Dr. Yaman explains exactly why stones are forming in your specific case, to reduce the likelihood of recurrence.
Shock waves from outside the body break the stone into small fragments that pass with the urine, usually with no incision and no full anesthesia. Suitable for small to medium-sized stones.
A thin scope reaches the stone directly inside the ureter or kidney, to fragment it with a laser or remove it in the same session. A precise option for stones in the ureter or slightly larger stones.
Direct access to the kidney through a small incision in the back, to remove large stones (roughly larger than 2 cm) not suited to less invasive techniques.
Especially when presenting during an acute pain episode, to determine priority and the need for urgent intervention.
To detect any accompanying infection, and evaluate overall kidney function.
The most precise standard for determining the stone’s size, location, and likely composition.
Monitoring, shock wave fragmentation, endoscopy, or percutaneous removal — based on the exact size and location of the stone.
Specific guidance based on the likely stone type, not just general advice.
No multiple referrals, no waiting between specialties — the entire pathway is under the care of one physician.
Small stones may sometimes cause no symptoms at all, but these signs deserve a prompt evaluation:
The most impactful and most modifiable factor — concentrated urine increases the chance of salts crystallizing and forming stones.
Excess sweating in hot weather increases fluid loss, requiring greater compensation with water.
High intake of sodium and animal protein raises the risk of forming certain types of stones.
Linked to an increased risk of stone formation independently of other factors.
A family history of stones raises the individual’s likelihood of recurrence.
We don’t promise your stones will never come back — that depends partly on everyday lifestyle factors after treatment. But here’s what we genuinely commit to: choosing the least invasive technique suited to your stone’s exact size and location, without pushing you toward a bigger procedure than you need, along with a clear prevention plan that reduces the likelihood of recurrence.
Reach Dr. Yaman Al Tall’s team on WhatsApp — immediate priority for acute pain cases, and complete privacy.
Message Us on WhatsApp NowYes, small stones (usually under 5 to 6 mm) may pass spontaneously with urine when drinking enough water, sometimes with the help of a medication that relaxes the ureter muscles. Larger stones, or ones causing an obstruction, need active intervention.
Shock wave lithotripsy (ESWL) is entirely non-surgical and performed from outside the body, suitable for small to medium-sized stones. Ureteroscopy (URS) involves inserting a thin tube through the urethra to reach the stone directly and fragment or remove it, and is more precise for stones in the ureter or slightly larger stones.
Usually when there’s a large stone (roughly larger than 2 cm) or a complex-shaped stone inside the kidney that isn’t suited to less invasive fragmentation techniques.
The possibility exists, especially if the underlying causes such as low water intake or diet aren’t addressed. That’s why analyzing the stone type and providing personalized preventive guidance is an important part of the treatment plan, not just removing the current stone.
Yes, hot weather increases the body’s fluid loss through sweating, which concentrates the urine and raises the likelihood of stone formation if not offset by drinking enough water.
Yes, flank pain accompanied by fever or chills may indicate an obstruction with a kidney infection, which is an emergency requiring immediate emergency care rather than waiting for a regular appointment.