Request a second opinion on your kidney stone

There is rarely only one correct way to treat a kidney stone. A second opinion can confirm the diagnosis, clarify the options, and help you choose between observation, shockwave, ureteroscopy, or percutaneous surgery.

When a second opinion can help

A second opinion is often useful when you have been given a stone diagnosis but are unsure which treatment route to take, when a large or complex stone has been identified, or when several procedures have been recommended. Dr Kooner routinely reviews CT imaging, stone protocol scans, and any previous operative reports.

What to send in advance

  • Recent imaging (CT KUB, ultrasound, or X-ray KUB) on disc or via secure link.
  • Any previous operative reports or hospital discharge summaries.
  • Recent pathology - kidney function, urine culture, and stone analysis if done.
  • A GP or specialist referral letter (required for Medicare rebate eligibility).
  • A brief written summary of what has been recommended so far.

How to arrange a review

Please contact Dr Kooner's rooms by phone or email to organise an appointment. Reviews can be in person at St Vincent's Private Darlinghurst, the Mater Hospital North Sydney, or Bowral.

Who benefits most from a second opinion?

Large or complex stones

Stones over 2 cm, stag-horn stones, and situations where PCNL, multiple ureteroscopies or combined approaches have been suggested.

Choice of stone surgery

When you have been offered ESWL but are unsure whether ureteroscopy would be more effective, or vice versa.

Recurrent stone formers

Multiple stones over several years, bilateral stones, or a strong family history - metabolic assessment may be as important as surgery.

Unresolved or retained stones

Residual fragments after previous surgery, recurrent stones on the same side, or chronically indwelling stents.

The second-opinion pathway

  1. Get in touch

    Phone or email the rooms and mention that you are seeking a second opinion. Let the staff know the stone location, size, and any time pressures (for example, an indwelling stent).

  2. Send your information

    Provide imaging, pathology, and a GP referral in advance so Dr Kooner can review the case before the appointment.

  3. Consultation & review

    In-person review of your imaging and history. Dr Kooner will explain the realistic options, expected success rates, and trade-offs for your specific stone.

  4. Written summary

    A letter is sent back to your GP and referring specialist summarising the opinion and any suggested next steps.

What to send - checklist

  • GP or specialist referral letter (required for Medicare rebate eligibility).
  • Most recent stone imaging - ideally a CT KUB (non-contrast, stone protocol).
  • Any previous hospital discharge summaries or operation reports.
  • Recent blood tests (kidney function, calcium) and urine culture if available.
  • Stone analysis results if a stone has previously been retrieved.
  • A list of current medications and relevant medical history.

If you are unsure what to send, the rooms can guide you when you call.

Speak with Dr Kooner's rooms

Arrange a consultation or request a second opinion on an acute stone, a recurrent stone problem, or a recommended procedure.