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What Happens During Shockwave Lithotripsy

If you've been diagnosed with kidney stones, your healthcare provider may recommend Extracorporeal Shockwave Lithotripsy (ESWL) as a treatment option.

This non-invasive procedure uses shock waves to break down kidney stones into smaller pieces, making them easier to pass through your urinary tract.

If you're scheduled for an ESWL procedure, it's natural to feel some apprehension about what to expect during the process.

In this blog post, we'll guide you through the steps of an ESWL procedure and help you understand what happens during shockwave lithotripsy.

Preparing for the Procedure

Before your ESWL procedure, your healthcare provider will provide you with instructions on how to prepare. You may be asked to fast for a few hours before the procedure to ensure your stomach is empty.

It's essential to inform your healthcare provider about any medications you're taking, as some may need to be adjusted before the procedure.

Additionally, you may be advised to arrange for someone to drive you home after the ESWL treatment, as you may feel groggy or uncomfortable.

The ESWL Procedure Steps

During the ESWL procedure, you will be positioned on a treatment table, usually lying on your back or stomach. The healthcare provider will use an ultrasound or X-ray to locate the kidney stone accurately.

Once the stone is located, a device called a lithotripter will deliver shock waves to the targeted area.

These shock waves will break down the kidney stone into smaller fragments, which can then be passed out of your body through urine.

  • The lithotripter emits shock waves that pass through your skin and body tissues to reach the kidney stone.
  • The shock waves break the kidney stone into smaller pieces, reducing its size and making it easier to pass.
  • The procedure is usually performed under local anesthesia or sedation to minimize discomfort.

What Happens During Shockwave Lithotripsy

As the shock waves are delivered to the kidney stone, you may feel a tapping or thumping sensation. Some patients describe this sensation as uncomfortable but not necessarily painful.

It's essential to communicate with your healthcare provider during the procedure if you experience any discomfort. The duration of the ESWL procedure can vary depending on the size and location of the kidney stone.

Expectations During Shockwave Lithotripsy

After the ESWL procedure, you may experience some side effects, such as blood in your urine or mild discomfort in your back or abdomen. These side effects are usually temporary and should resolve within a few days.

Your healthcare provider may recommend drinking plenty of water to help flush out the smaller kidney stone fragments. It's essential to follow your provider's post-procedure instructions carefully to ensure a smooth recovery.

Kidney Stone Lithotripsy Procedure Recovery

Following the ESWL procedure, your healthcare provider will monitor your recovery and may schedule a follow-up appointment to check your progress.

It's essential to report any persistent pain, fever, or difficulty urinating to your healthcare provider, as these could be signs of complications.

Most patients can resume their regular activities within a few days of the ESWL procedure, but it's crucial to listen to your body and rest as needed.

Conclusion

Extracorporeal Shockwave Lithotripsy is a safe and effective treatment option for kidney stones, offering a non-invasive way to break down stones and facilitate their passage.

By understanding what to expect during an ESWL procedure, you can approach the treatment with confidence and better prepare for the process. If you have any concerns or questions about ESWL, don't hesitate to discuss them with your healthcare provider.

Remember, your health and well-being are the top priorities, and your provider is there to support you every step of the way.

 

Frequently Asked Questions

What steps are involved in the ESWL procedure for kidney stone removal?

The steps involved in ESWL for kidney stone removal include positioning on a table, receiving sedation, targeting the stone with shockwaves, and monitoring for stone fragments.

How is ESWL performed and what type of equipment is used?

ESWL is performed using a lithotripter machine that delivers shock waves to break up kidney stones. The patient lies on a table while the procedure is done.

How does the patient position themselves during the procedure?

The patient will typically lie on a cushioned table, either on their back or side, depending on the location of the kidney stone.

Will anesthesia or sedation be used during the ESWL procedure?

Most likely, yes. Anesthesia or sedation is typically used during ESWL to minimize discomfort and help you relax throughout the procedure.

How long does an ESWL procedure typically take?

An ESWL procedure typically takes around 45 minutes to an hour, depending on the size and location of the kidney stones being treated.

Is ESWL an outpatient procedure or is hospitalization required?

ESWL is typically an outpatient procedure, meaning you can go home the same day. Hospitalization is usually not required for this non-invasive kidney stone treatment.

What sensations or discomfort should patients expect during the procedure?

Patients may experience mild discomfort during extracorporeal shockwave lithotripsy, such as slight pain or bruising. Sedation is often used to minimize any discomfort.

How do doctors determine the location and size of the kidney stones before the procedure?

Doctors use imaging tests like X-rays or CT scans to locate and measure the size of kidney stones before an Extracorporeal Shockwave Lithotripsy procedure.

What types of imaging are used to guide the ESWL treatment?

Imaging techniques such as X-rays and ultrasounds are used to guide the ESWL treatment and ensure accurate targeting of kidney stones.

How is the success of the ESWL procedure monitored during and after treatment?

The success of ESWL is monitored with imaging tests like X-rays or ultrasounds during and after treatment to track the progress of kidney stone fragmentation.