Kidney Doctor told me no more lithotripsies

My kidneys are gravel pits. The stones are calcium phosphate. I'm on a low sodium, low phosphate, 1200 mg of calcium from food (no supplements) daily.

I've had 12 lithotripsies in the past 12 years or so. Due to the ph level in my kidneys, my Nephrologist said no more lithotripsies - they are damaging.

What is next?

CTScan for another problem this week showed a couple of 5 mm stones and lots of 2mm stones. How do they get removed if they can't be blown up?

I probably need to go to my Urologist - have not seen him in 15 months. I typically go to Nephrologist every 3 years.

Another problem I've had is emptying my bladder. It is very difficult - takes several minutes most of the time. I have to think hard about it and keep restarting the stream. Not sure what that is all about - I guess time for Urologist.

Neurogenic *sp* bladder runs in the family. Now that's a problem! I have "thick" bladder walls which can make things difficult. I make sure my diet has enough free calcium to bind the calcium oxalate and keep that particular stone from forming, 300 mg Calcium at least. Tums or Milk. Get enough of the The big Four: Milk, Citric Acid drinks, lots of water, and avoid animal proteins. Been so long since I have raped my kidneys with a HydroUreter or infections I forgot.
Good luck!http://kidney.niddk.nih.gov/Kudiseases/pubs/kidneystonediet/index.aspx