Kidney Stones Specialist

Urology Specialty Care of Miami -  - Urologist

Urology Specialty Care of Miami

Urologists located in Miami, FL

Kidney stones develop in about 9% of women and 19% of men. As they leave your kidneys and enter the narrow ureter, kidney stones cause their characteristic symptom: severe pain. Dr. Robert Puig and Dr. Yekutiel Sandman at Urology Specialty Care of Miami can treat your existing kidney stones and help you take steps to prevent the development of additional stones. To learn more about kidney stones, or to schedule an examination, call their office in Miami, Florida, or book an appointment online.

Kidney Stones Q & A

Urology Specialty Care of Miami

What Causes Kidney Stones?

Kidney stones form when substances that typically dissolve in your urine, such as calcium oxalate or calcium phosphate, become too concentrated and begin to crystallize. As the crystals bond together, they accumulate into a solid stone.

The stones are small at first but can grow gradually. Problems usually develop when a stone leaves your kidney. Depending on its size, it can block the ureter, the tube that carries urine from the kidney to the bladder, or cause significant pain as it travels through your urinary tract.

What are the Symptoms of Kidney Stones?

When a stone passes through the ureter, your pain may shift to different locations and you’ll experience symptoms such as:

  • Pain in the side and back (often severe)
  • Pain that radiates to your lower abdomen and groin
  • Pain when you urinate
  • Pink, red, or brown urine
  • Cloudy or foul-smelling urine
  • Nausea and vomiting
  • Urinating more than normal
  • Urinating small amounts

How are Kidney Stones Treated?

Small and even moderately-sized kidney stones may pass naturally through your urinary tract. Although this process is often painful, the stones typically pass without problems. When the stone is too large, or it blocks your urinary tract, immediate treatment is needed.

Dr. Puig and Dr. Sandman from Urology Specialty Care of Miami can remove your kidney stone using one of the following procedures:

  • Extracorporeal Shock Wave Lithotripsy (ESWL): Shock waves break the kidney stone into small pieces that easily pass through your urinary tract.
  • Percutaneous Nephrolithotomy: A thin tool called a nephroscope is used to locate and remove the kidney stone. This procedure is performed using minimally invasive surgery, which means that it only requires a small incision to accommodate the narrow nephroscope.
  • Ureteroscopy: If you have a small stone, Dr. Puig or Dr. Sandman uses a ureteroscope, a narrow tube equipped with lighting and a camera, inserted through your urethra and bladder to reach your ureter and look for the kidney stones. After the stones are found, special tools are used to remove them or break large stones into smaller pieces for removal.


After you have had one kidney stone, you’re more likely to develop additional similar stones in the future. Dr. Puig and Dr. Sandman can develop a treatment plan to help you prevent future stones.

If you have symptoms or would like to learn how to prevent kidney stones, call Urology Specialty Care of Miami or book an appointment online.