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Shockwave Lithotripsy (ESWL)

Shockwave Lithotripsy in Delhi

Shockwave Lithotripsy (ESWL)

Shockwave Lithotripsy in Delhi

Overview

Lithotripsy is a medical procedure which has replaced surgery in most kidney stone patients.

Description

Extracorporeal or shock wave lithotripsy (ESWL) is the most common type of lithotripsy. "Extracorporeal" means outside the body.

You will wear a medical gown and lie on an exam table on top of a soft, water-filled cushion. You will be given a mild sedative or pain medicine before the procedure starts. You will also be given antibiotics before the procedure start to prevent infection.

High-energy shock waves, also called sound waves, will pass through your body until they convert the kidney stones into small particles . You may feel a tapping sensation when this starts. The waves break the stones into tiny pieces.

The lithotripsy procedure generally takes 45 minutes to 1 hour.

A tube may be placed through your back and into your kidney. This tube will drain urine from your kidney until all the small fragments of stone pass out of your body. The tube may be put in place before or after your lithotripsy treatment.

The check ultrasound or x ray at the end of the procedure will confirm the total clearance from the urinary system.

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Types

There are three types of Lithotripsy :

  • Ultrasonic : In this procedure a probe breaks up a stone into smaller pieces
  • Extracorporeal Shock Wave : Stone is focused on c arm imaging equipment and High-frequency sound waves then breaks up the stones into small fragments.
  • Intracorporeal Shock Wave : An electronic probe is placed in the ureter attached to a fine tube and High-frequency sound waves then break up the stones into small fragments.

IN some cases where the stone size exceeds 28 mm, surgery may still be needed to remove them.

Benefits

Using lithotripsy can avoid more serious surgical interventions, post-treatment complications and associated side effects. However, the appropriate choice of treatment depends upon the size of the stone, the type and the frequency of re-occurrence.

Lithotripsy is effective between 70 to 90 percent of the cases

Misconceptions

Know the facts

Lithotripsy is not a treatment which makes patient stone free in one sitting ,for 6 to 8 mm size stone this is possible but for larger stones few sittings are required.

Multiple stones, location, composition and size upto 28 mm are successfully treated but recurrences are not prevented be it lithotripsy or surgery .For recurrences diet changes and medicines are needed.

Stones passing out will be converted into particles and not pieces ,so most assume wrongly that pieces will obstruct while passing out .

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Services available in Delhi/NCR only

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