<s>[INST] Dear Sir, I have pain in my pelvis area not regularly. It will be severe in two months once or some times later. I went for consulatation with lot of urologists. They found no stones and no issues. Recently I got the same pain sever and went to one more urologist. He predicted if no stones may be due to vericose and did US of testes. They diagnosed mild vericose near my left testes. The doctor saying do the operation immediatly otherwise it leads to severe problems. Another internal medicine doctor identified stones of sizes 5 mm and 6 mm in the center and bottom of right kidney. He gave some medicine Cystone, Epimag, it starts with ci..... The other urologist told that the stones to be broken immediately otherwise will cause serious effects. Please advise whether I can go for surgery for vericose immediately and for stones I can continue medicines to get it cleared or go for the procedure to break the stones. Thanks in advance [/INST] Hello and welcome to HCM.As an Urologist, i must assure you, that neither stones of 5-6mm size, nor a left mild varicocele, need urgent surgery.As you,ve had severe pain regularly, with no proper diagnosis on ultrasound scan, i suggest, you get a CT-scan-plain( 64 slice spiral), so the diagnosis is accurate.   Stones if present, will be seen very clearly.Drink 12 glasses fluids daily ( including tea/ coffee, lime juice, water,etc).You can send me a copy of scan and report to me, as a direct question, for an expert opinion.          Dr.Matthew J. Mangat. </s>