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Kidney stone care in Cobb County and the northwest metro

A stone starts as mineral crystals in the urine that stick together and grow. Small ones often pass without help; others get stuck on the way out. Depending on where a stone sits and how big it is, it may cause no pain or a great deal.

Common symptoms

  • Flank or back pain under the ribs, sometimes moving toward the groin
  • Pain that builds, eases, then builds again
  • Urine that looks pink, red or brown
  • Pain or burning when urinating
  • Nausea or vomiting
  • Fever and chills, which can mean infection

Why stones form

Low fluid intake, salty or high-protein eating, too little citrate in the urine, metabolic conditions such as diabetes, obesity and gout, overactive parathyroid glands, and past bowel surgery can all contribute. People who have formed one stone often form another, so our urologists look for the reason, not just the stone.

Treatment at the Marietta surgery center

Scans and urine and blood tests happen during the office visit. Stones that need a procedure are usually treated one of two ways: shock wave lithotripsy breaks them up from outside the body, or ureteroscopy uses a thin scope and a laser from the inside. Both are performed under anesthesia at the Marietta Clinic & Surgery Center. Our urologists will explain which approach fits your stone and the risks of each.

Clinic first, when it's appropriate

Calling a urology office first often gets a stone scanned and tested sooner than an ER wait would. Canton, Dallas and Jasper all offer in-office testing, and any procedure is scheduled in Marietta.

Educational information, not medical advice. Every treatment has risks, benefits and alternatives to discuss with your clinician.

When should you see a urologist about kidney stones?

Call when stone pain lasts more than a few days, keeps coming back, or a scan shows a stone that hasn't moved. Go to the ER for pain with fever or chills, vomiting that stops you keeping fluids down, or no urine.

How do our urologists evaluate kidney stones?

We review your CT or ultrasound, check your urine and kidney function, and ask about earlier stones and family history. Any stone you catch by straining your urine can be analyzed to see what it is made of.

What is recovery usually like?

Small stones often pass at home with fluids and medicine. Shock wave lithotripsy and ureteroscopy are outpatient procedures at our Marietta surgery center. A stent may stay in for a short time after ureteroscopy and can cause urgency or blood-tinged urine until it is removed.

More questions we hear

Do all kidney stones need surgery?

No. Many small stones pass on their own with plenty of fluids, pain relief and a medicine that relaxes the ureter.

What is the difference between lithotripsy and ureteroscopy?

Shock wave lithotripsy breaks a stone from outside the body. Ureteroscopy uses a thin scope passed up the urinary tract to reach and break the stone, with no cuts.

Why might I need a stent?

A stent is a thin, flexible tube from the kidney to the bladder that helps urine drain after stone surgery. It comes out after a short period, and our team gives you the removal date before you leave.

How much water should I drink?

Enough to keep your urine pale through the day. That one habit helps nearly every stone former.

Can stones come back?

They can. After treatment we focus on prevention, which may include diet changes and a 24-hour urine test.

When is stone pain an emergency?

Go to the ER for fever or chills with stone pain, vomiting that keeps you from holding fluids down, or no urine output. Pain that medicine controls at home can wait for a prompt office visit.

Which articles go deeper on kidney stones?

These short reads answer questions patients often bring to us.

All 9 articles on kidney stones

Clinicians whose Advanced Urology profiles list this area: Andy Ostrowski, MD, Daniel Roberson, PA-C, Amanda Boulos, PA-C, Shane Bell, PA-C, Anna Flint Todd, PA-C, Ionela Turcin, PA-C, Britany Howard, FNP.

How can I prevent kidney stones?

Most stones are preventable once the cause is understood. Over a lifetime, kidney stones affect roughly 15% of white men and about 6% of women. After a first episode, a blood panel covering kidney function, calcium and uric acid, along with a metabolic stone profile from a day of collected urine, guides diet changes and medicine.

Videos from Advanced Urology

Kidney Stones and Ureteroscopy - Everything you need to know What the video covers: A video of about seven and a half minutes on kidney stones and ureteroscopy, based on its title. Watch on YouTube
Kidney Stones? 3 Ways to Remove Them What the video covers: In under two minutes, Dr. Casey McCullough compares three procedures for a stuck stone, among them lithotripsy and ureteroscopy, and notes that stone size, position, hardness and overall health steer the decision. Watch on YouTube
Kidney Stone Treatments by Urologist Dr. Greenstein Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Noticing symptoms? Our plain-language guide, Kidney stones causing pain? Deciding between the ER and our office, explains what to do next.

Let's sort this out together. Our offices in Marietta, Canton, Dallas and Jasper share one phone line and one caring team.

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