Exceedingly common kidney stones can have unpleasant or painful side effects. If the patient is unable to cope with the unpleasant effects of kidney stones, surgery may be required. Any size kidney stone has the potential, and typically does, to expand over time. According to evidence-based recommendations, any stone larger than four millimetres should be addressed. The most serious issue is that these stones could shift and enter the ureter, causing agonizing discomfort or a kidney blockage.

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