Dr. Melissa Ray Isbell, MD

I am a nephrologist and not a urologist. I am unable to give you a proper perspective on whether you should have a prostate operation or not. I would recommend discussing with a urologist who knows your unique medical information, who can help you make an informed decision regarding proceeding with the operation or not. Thank you.

Often, the nephrologist will do testing to determine the types of stones
you are passing and make suggestions to help avoid formation of further
stones. Some urologists will do this workup also but some defer the
evaluation of the type of stones formed and the treatment to the
nephrologist. I hope this information helps you.

1st off, I would try to get your doctor to do a 24 hr urine for creatinine clearance. You MIGHT have better than 14% kidney function if that number is based on the eGFR. If in fact your % function is 14% then you may have increased fatigue, mild nausea and generally don't feel great. Depending upon the cause of your decreased kidney function it may continue to worsen over the next 3-12 mos and you may need to start dialysis, depending upon your doctor's recommendation. Avoid all meds hard on your kidneys particularly over the counter meds such as ibuprofen/aleve/advil. Acetaminophen is ok.

Increased oral fluids may help. There is also a medicine, Tamsulosin, some urologists use to help the stones pass. All the time, follow a low salt diet and modify the things in your diet associated with the stones, based on your doctor's recommendation.

There are lots of reasons for protein in the urine. Underlying illnesses, hydration status, infection and aggressive exercise all can lead to protein in the urine (proteinuria). A repeat test which continues to show protein necessitates initial tests by a primary care physician to see if you are at risk for kidney disease.