Dr. داود محمدشاهی
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Urology
Karaj
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Endourology specialists in Karaj
Find an appropriate doctor for evaluating kidney and ureteral stones, choosing a minimally invasive approach, and follow-up after a procedure.
Severe flank pain, fever and chills, nausea, or blood in the urine may require medical assessment.
When choosing a doctor in Karaj, review their specialty title and experience relevant to your concern.
Bring previous imaging and test results to your visit.
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Endourology visit guide
Seeing an endourology doctor in Karaj
Key symptoms, preparing for your visit, and making an informed choice of doctor for urinary stone problems.
Endourology focuses on evaluating and minimally invasive treatment of problems such as kidney and ureteral stones; treatment decisions are made after examination and review of medical records.
When should you take seeking care more seriously?
Some symptoms accompanying urinary or flank pain may require urgent assessment.
- Fever and chills with flank pain — This may indicate an infection with blockage; go to a medical center for urgent assessment.
- Severe, persistent pain — If pain does not improve with usual measures or is worsening, do not delay medical assessment.
- Persistent vomiting or reduced urination — Prompt assessment is needed to prevent dehydration or check for blockage; in an emergency, call 115.
Pathway for assessing common symptoms
These symptoms alone do not determine a diagnosis, and tests or imaging may be needed.
- Flank and groin pain — Wave-like or sudden pain can occur with urinary stones; severity and accompanying symptoms are important in deciding when to seek care.
- Blood in the urine or burning during urination — This may occur with a stone, inflammation, or other causes and should be assessed if it persists.
- Frequent urination and nausea — When these symptoms occur with flank pain, they may indicate a need for more detailed assessment.
Follow-up after stent placement and surgery
Symptoms after a procedure should be assessed according to the discharge instructions and follow-up timing set by the care team.
- Expected stent symptoms — Flank pain, burning, frequent urination, or a small amount of blood in the urine may occur; discuss their severity and progression with the care team.
- Timing of double-J stent removal — The stent must be followed up or removed according to the scheduled timing; do not change the timing without medical advice.
- Signs that require contacting the care team — Promptly inform the care team about fever, chills, worsening pain, inability to urinate, or significant bleeding.
Preparing for your first visit
Complete records help the doctor make a more accurate decision suited to your circumstances.
- Images and reports — Bring CT scans, ultrasound images, X-rays, and previous reports.
- Medication list and medical history — Record current medicines, allergies, underlying conditions, and any history of stones or surgery.
- Symptom details — Note when the pain, fever, and nausea began, any urinary changes, and measures already taken.
Criteria for choosing a doctor in Karaj
An informed choice is based on how well the doctor’s experience fits your concern and on the ability to arrange regular follow-up.
- Credentials and scope of practice — Review the specialty title and relevant experience with stone disease and endoscopic treatments.
- Reviewing records before deciding — Choose a doctor who discusses treatment options with you based on your examination and imaging.
- Access to follow-up — The ability to obtain an appointment and arrange follow-up after a procedure is important, especially if a stent is in place.
- Clear communication — Ask about why a method is chosen, possible complications, the need for a stent, and follow-up timing.
Frequently asked questions about seeking care
General information does not replace examination, interpretation of imaging, or discharge instructions.
How is endourology different from urology?
Endourology is an area of urology that focuses on endoscopic and minimally invasive methods, especially for urinary stone problems.
Are RIRS or PCNL suitable for all stones?
No; the stone’s location, size, and characteristics, kidney status, and the person’s overall condition all affect the choice of method.
Which doctor should I see for kidney stones?
A urologist performs the initial assessment, and if minimally invasive procedures are needed, referral to a physician with relevant experience can be helpful.