Extracorporeal Shockwave Lithotripsy: Procedure, Benefits, and Risks

Extracorporeal Shockwave Lithotripsy (ESWL) is a non-invasive kidney stone treatment that uses shockwave therapy to fragment stones in the kidney or ureter.

This urologic care procedure is highly effective in breaking down kidney stones into smaller pieces that can be easily passed out of the body through urine.

ESWL is a safe and efficient way to treat kidney stones without the need for surgery, making it a popular choice among patients.

Indications of Extracorporeal Shockwave Lithotripsy

ESWL is recommended for patients with kidney stones that are less than 2 centimeters in size and located in the kidney or upper ureter.

It is ideal for individuals who are not suitable candidates for surgery or prefer a non-invasive treatment option.

Symptoms that may indicate the need for ESWL include severe pain in the side and back, blood in the urine, frequent urination, and difficulty passing urine.

Steps involved in Extracorporeal Shockwave Lithotripsy Surgery

During ESWL surgery, the patient lies on a water-filled cushion, and the healthcare provider uses a machine to deliver shockwaves to the kidney stones.

These shockwaves break down the stones into smaller fragments, which are then passed out of the body through urine. The procedure usually takes about 45 minutes to an hour to complete, and patients can go home the same day.

Who will perform Extracorporeal Shockwave Lithotripsy Surgery?

ESWL surgery is typically performed by a urologist, a healthcare provider who specializes in treating conditions related to the urinary system. Urologists are trained to diagnose and treat kidney stones using various methods, including ESWL.

They have the expertise and experience to ensure that the procedure is performed safely and effectively.

Preparing for Extracorporeal Shockwave Lithotripsy Surgery

Before undergoing ESWL surgery, patients may be advised to avoid eating or drinking for a few hours to prepare for the procedure.

It is essential to inform the healthcare provider about any medications or supplements being taken, as they may need to be adjusted before the surgery. Patients should also arrange for someone to drive them home after the procedure.

Recovery after Extracorporeal Shockwave Lithotripsy surgery

After ESWL surgery, patients may experience some discomfort or bruising in the treatment area. It is essential to follow the healthcare provider's instructions for pain management and recovery.

Drinking plenty of water can help flush out the stone fragments from the body. Most patients can resume their normal activities within a few days after the procedure.

Before and After Extracorporeal Shockwave Lithotripsy surgery

  • Before the surgery, inform your healthcare provider about any allergies or medical conditions you have.
  • After the surgery, drink plenty of water to help pass the stone fragments out of your body.
  • Follow any post-treatment care instructions provided by your healthcare provider.
  • Contact your healthcare provider if you experience severe pain, fever, or difficulty passing urine after the surgery.

Taking care of your health before and after ESWL surgery is essential to ensure a smooth recovery and successful treatment of kidney stones.

By following the healthcare provider's recommendations and staying informed about the procedure, you can take control of your urologic care and promote your overall well-being.

 

Frequently Asked Questions

How does extracorporeal shockwave lithotripsy break kidney stones?

Extracorporeal shockwave lithotripsy uses shock waves to break kidney stones into smaller pieces so they can pass out of the body more easily.

Is extracorporeal shockwave lithotripsy a painful procedure?

Extracorporeal shockwave lithotripsy can be uncomfortable but is generally well-tolerated with pain medication.

What are the risks associated with extracorporeal shockwave lithotripsy?

Possible risks of extracorporeal shockwave lithotripsy include pain or discomfort during the procedure, bruising on the skin, blood in the urine, and in rare cases, kidney injury or stone fragments blocking the urinary tract.

How long does extracorporeal shockwave lithotripsy take to perform?

Extracorporeal shockwave lithotripsy usually takes about 30-45 minutes to perform.

How effective is extracorporeal shockwave lithotripsy for treating large stones?

Extracorporeal shockwave lithotripsy is less effective for treating large kidney stones compared to smaller stones. Your doctor may recommend other treatments like ureteroscopy or percutaneous nephrolithotomy for larger stones.

Are there any restrictions after extracorporeal shockwave lithotripsy?

After extracorporeal shockwave lithotripsy, you may need to avoid strenuous activities and drink plenty of water to help pass the stone fragments.

How soon can normal activities be resumed after extracorporeal shockwave lithotripsy?

You can typically resume normal activities immediately after undergoing extracorporeal shockwave lithotripsy. Just make sure to follow your healthcare provider's specific instructions.

Will extracorporeal shockwave lithotripsy require multiple sessions?

Extracorporeal shockwave lithotripsy may require multiple sessions to completely break down kidney stones, depending on the size and location of the stones.

Are there any alternatives to extracorporeal shockwave lithotripsy?

Yes, alternative treatments for kidney stones include ureteroscopy, percutaneous nephrolithotomy, and medications to help pass the stone.

How does extracorporeal shockwave lithotripsy impact the surrounding tissues?

Extracorporeal shockwave lithotripsy is designed to break down kidney stones into smaller pieces so they can be passed more easily. While the shockwaves can cause some discomfort, they are focused on the stone and generally do not harm the surrounding tissues significantly.