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Home >  Kidney Stones Treatment > size charts

Kidney Stone Size Chart In MM And Treatment

The size of the kidney stone is an important factor that determines the severity of the symptoms and the complications it may cause. Therefore, during diagnosis, doctors leave no ‘stone’ unturned when it comes to determining the size of the kidney stone. We’ll discuss the different sizes of stones, the difference the stone’s size can make, and the treatment of stones based on their size.

The size of the kidney stone is an important factor that determines the ...severity of the symptoms and the complications it may cause. Therefore, during diagnosis, doctors leave no ‘stone’ unturned when it comes to determining the size of the kidney stone. We’ll discuss the different sizes of stones, the difference the stone’s size can make, and the treatment of stones based on their size. Read More

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    Dr. Naveenchandra Ravindra Acharya - Kidney Stones Treatment Specialist in Pristyn Care ZOI Hospital, Ameerpet, Hyderabad, over 29 Years Experience

    Dr. Naveenchandra Ravind...

    MBBS, MS-General Surgery, M.CH- Urology
    29 Yrs.Exp.

    4.5/5

    29 Years Experience

    location iconPristyn Care ZOI Hospital, Ameerpet, Hyderabad
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    Dr. Yogesh Taneja - Kidney Stones Treatment Specialist in Pristyn Care Sheetla Hospital, Sector 8, Gurgaon, over 19 Years Experience

    Dr. Yogesh Taneja

    MBBS, MS-General Surgery, DNB-Urology
    19 Yrs.Exp.

    4.5/5

    19 Years Experience

    location iconPristyn Care Sheetla Hospital, Sector 8, Gurgaon
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    080-6542-3711
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    Dr. Praveen Kumar Krosuri - Kidney Stones Treatment Specialist in Pristyn Care ZOI Hospital, Ameerpet, Hyderabad, over 15 Years Experience

    Dr. Praveen Kumar Krosur...

    MBBS, DNB-General Surgery, DNB-Urology
    15 Yrs.Exp.

    4.5/5

    15 Years Experience

    location iconPristyn Care ZOI Hospital, Ameerpet, Hyderabad
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    Dr. Mamidala Srinivas - Kidney Stones Treatment Specialist in Pristyn Care ZOI Hospital, Ameerpet, Hyderabad, over 12 Years Experience

    Dr. Mamidala Srinivas

    MBBS, MS-General Surgery, M.Ch-Urology
    12 Yrs.Exp.

    4.5/5

    12 Years Experience

    location iconPristyn Care ZOI Hospital, Ameerpet, Hyderabad
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Kidney Stone Size Chart In MM & Treatment

Kidney Stone Size Chart in MM Chances of Passing NaturallyTreatment 
Less than 2 mm Kidney Stone80%Home remedies
2 – 4 mm Kidney Stone80%Home remedies, medication 
4- 10 mm Kidney Stone60%Home remedies, medication, medical procedures (ESWL or Ureteroscopy)
Larger than 10 mm Kidney Stone20% Surgery (URSL, RIRS, PCNL)
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Kidney Stones of Different Sizes That Can Pass Naturally

Here are the different sizes of kidney stones that have a chance to pass naturally.

Kidney Stone Size Chances of passing naturally (in %)
<2 mm Kidney StoneAlmost 85% 
2 -4 mm Kidney StoneAlmost 80%
4 mm Kidney StoneAlmost 80%
4 – 7 mm Kidney StoneAlmost 60%
Larger than 7 mm Kidney StoneAlmost 30%
1 -2 cm Kidney StoneCannot be passed naturally
2 cm or above Kidney StoneCannot be passed naturally

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Treatment for small-sized stones (up to 4 mm)

4 mm stone in kidney generally pass through the system on their own. On top of that, they cause mild to no symptoms. Increasing your fluid intake, limiting your caffeine intake, consuming high-fiber foods, limiting salt intake, and avoiding processed foods can help with the treatment of stones less than 4 mm in size. 

Treatment for medium-sized stones (4 to 10 mm)

Medium-sized 4 mm stone in kidney to 10 mm can be treated through home remedies and conservative methods such as medication (alpha-blockers and painkillers). However, in complex cases, when the stones don’t respond to conservative treatment, the doctors may suggest some medical procedures or minimally-invasive surgeries. These may include:

  1. ESWL or Extracorporeal Shock Wave Lithotripsy:This is a non-invasive procedure for kidney stone removal. In this method, the surgeon uses high-energy sound waves to break the stones into smaller pieces to allow them to flush out of the system on their own. This procedure only takes 30 to 45 minutes, and the patient is allowed to go back home on the same day.
  2. URSL or Ureteroscopic Lithotripsy: This procedure involves extracting the kidney stones with the help of a ureteroscope i.e., a long fiber-optic scope. This scope is inserted into the ureteral passage through the urethra, and an x-ray is simultaneously performed to determine the location of the stones. On locating the stones, the doctor uses a stone basket to collect the stones and remove them from the system. If the stones are too big in size, the surgeon may use a laser to break them into small pieces, which are allowed to flush out of the system naturally. A stent is inserted to widen the passage of the ureter, allowing stones to pass easily.

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Treatment for large-sized stones (larger than 10 mm)

Treatment for large-sized kidney stones (10 mm stone in kidney or more) typically includes surgery. Some common surgeries include: 

  1. RIRS or Retrograde Intrarenal Surgery: This ureteroscopic technique of extracting kidney stones involves reaching the kidneys through the urethra. It is a minimally invasive procedure i.e., it involves no cuts or stitches. An optic endoscope reaches the kidneys, which locates the stones. Then, a laser is used to reduce the stones to dust. This procedure is generally suggested for the treatment of large and complex kidney stones.
  2. PCNL or Percutaneous Nephrolithotomy: This surgical procedure for kidney stones treatment is suggested when other techniques fail to offer any results. In this method, a small hole is made in the flank area for the removal of the stones. The stones are then removed with the help of microforceps or are reduced to dust with the help of a laser. When the stones are removed, doctors use contrast to confirm that no pieces are left in the system.

Symptoms Of Kidney Stones Of Different Sizes

The symptoms of kidney stones of different sizes are more or less the same. However, the intensity of these symptoms can differ. 

  • Mild to sharp pain in the side and back, below the ribs.
  • Pain comes in waves and fluctuates in intensity.
  • Pain that radiates to the lower abdomen and groin.
  • Pain or burning sensation while urinating.

Pristyn Care - Treatment For Kidney Stones Of All Sizes

Pristyn Care aces the surgical scene in the country and provides top-notch surgical care for kidney stones of different sizes. Our doctors are adept in providing treatment for small, medium, and large kidney stones, and chalk out a specialized treatment plan for all patients. They perform a thorough diagnosis to determine the location and size of the kidney stone before suggesting treatment. We have partnered with the best hospitals in the country, which offer state-of-the-art infrastructure and world-class facilities to ensure top-notch patient care. Here are some factors that make Pristyn Care one of the best healthcare facilities for kidney stones treatment in India: 

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  • Personalized and compassionate care for patients 

Takeaway

During the diagnostic procedure, your doctor will pay attention to the size of the stone, and now you know why. Knowing the exact size of the stone helps doctors chalk out the most appropriate treatment plan, and ensure that the stone is completely removed during the process. It also helps determine whether or not invasive treatments are required. To avail of quality treatment for kidney stone removal, reach out to Pristyn Care, and book your consultation with our expert urologists. 

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FAQ

Do Kidney Stones Vary In Size?

Yes. Kidney stones can vary significantly in terms of their size. They can be as small as the size of a grain of sand grain and as big as the size of a golf ball. Several factors can cause the size of kidney stones to increase, including consuming too much salt, having a high body mass index (BMI), and weight gain. The size of the stone contributes significantly to the symptoms you’ll experience, along with the treatment you’ll receive, which will further be discussed. 

What Difference Does The Size Of Kidney Stones Make?

After the formation of a kidney stone, the treatment is decided based on, most importantly, its size. The tube that moves urine from your kidney to your bladder is called the ureter. The average ureter has an internal diameter of just 3mm to 4mm. Stones that are smaller in size can pass easily through the ureter, with little to no discomfort. 

The size of the stone can play a major role in determining the symptoms you’ll experience, and how severe they’ll be. Small stones generally exhibit less severe symptoms compared to larger stones. Additionally,  doctors can not plan the treatment unless they’re clear about the size of the stone. 

What size of kidney stone requires surgery?

Kidney stones 8 mm or larger usually require surgery or a medical procedure, as they rarely pass naturally through urine.

Can kidney stones pass naturally according to size?

Yes. Stones smaller than 6 mm have a higher chance of passing naturally through urine with fluids and medication.

Can kidney stones increase in size if untreated?

Yes. Kidney stones can grow over time, making treatment more complex and increasing the risk of kidney damage.

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MEDICALLY REVIEWED CONTENT

Dr. Sumit Sharma
🔍REVIEWED BY
Dr. Sumit Sharma
MBBS, MS-General Surgery & M.Ch-Urology
25 yrs experience
Pristyn Care Team
✍️WRITTEN BY
Pristyn Care Team
Healthcare Expert
Updated On · August 21, 2026

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