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Doctor insights on: Bruised Kidney Symptoms After Lithotripsy

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Dr. Brian Golden Dr. Golden
Urology
17 years in practice
Keck School of Medicine of University of Southern California
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What happens if a kidney stone is resistant to lithotripsy?

What happens if a kidney stone is resistant to lithotripsy?

Use Laser: Some types of stones do not fracture well with shockwave lithotripsy. If the stone needs to be treated then either ureteroscopy (scope from bladder up ureter) with laser can be used or a scope through the back directly into the kidney can be used. The latter procedure is for larger stones, usually over 2cm, and is called percutaneous nephrolithotomy (pcnl).

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Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more


Dr. Ravi Chauhan Dr. Chauhan
Urology
18 years in practice
East Tennessee State University James H. Quillen College of Medicine
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How long does it usually take kidney stone fragments to pass after lithotripsy?

How long does it usually take kidney stone fragments to pass after lithotripsy?

Depends: Stones fragments may never completely pass on their own. Better chance of passing if an easily fragmented stone. Better chance if located within the upper portion of the kidney or within the ureter. Less chance if located in the lower portion of the kidney.

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Dr. James Krick Dr. Krick
Urology
32 years in practice
Ohio University College of Osteopathic Medicine
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Is kidney stone recurring in nature since I have had uteroscopic lithotripsy once?

Is kidney stone recurring in nature since I have had uteroscopic lithotripsy once?

Kidney stone: Your chances of making another stone are greater then someone who has never had a stone but it is by no means assured. See your urologist and review xrays to see if any other stones are already present in the kidneys. If not, ask for specific prevention measures to adopt. Start by drinking enough liquid to make 2 liters of urine per day. Dietary restrictions are based on stone composition.

Dr. Robert Varady Dr. Varady
Family Medicine
years in practice
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What to do if I have a kidney stone, and may have to get a lithotripsy. Does it hurt?

What to do if I have a kidney stone, and may have to get a lithotripsy. Does it hurt?

Should get rid of it: Lithotripsy is done in an outpatient setting. It is not terribly painful and infinitely less painful then the pain of a large stone.

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Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
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What do you recommend if I have a kidney stone, and may have to get a lithotripsy. Does it hurt?

What do you recommend if I have a kidney stone, and may have to get a lithotripsy. Does it hurt?

Not really painful: Extracorporal lithotripsy is not really painful. They sit you in a water tank and use ultrasound to break the stone and it can be a little uncomfortable but you are given sedation and some are given anesthesia.

Dr. Gabriel Purice Dr. Purice
Internal Medicine
11 years in practice
University of Medicine and Pharmacy 'Carol Davila'
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I had lithotripsy 1 week ago - still not passing stone fragments and the pain in my kidney is getting worse, not better. Should I seek help?

Yes: By now you should have passed those fragments and you should have felt better. See your urologist or if unavaile you should go to ER.

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Dr. Robert Bennett Dr. Bennett
Urology
26 years in practice
George Washington University Medical School
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I had a lithotripsy on my left kidney to remove 2 - 8cm stones on oct 11th. I have continued to have a discomfort pain (like a brused feeling. Why?

LITHOTRIPSY: Lithotripsy simply fractures the stones after which they need to pass. It can take more than 1 treatment for this much stone. The pieces can also stack up in the ureter and cause pain. The skin often bruises with treatment and the tissue of the kidney can also bruise. Many reasons for pain after litho.

Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
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What is the definition or description of: shockwave lithotripsy for kidney stones?

What is the definition or description of: shockwave lithotripsy for kidney stones?

Shock waves to break: Lithotripsy is a medical procedure which uses shock waves to break up the stone in kidneys or ureters.

Dr. James Krick Dr. Krick
Urology
32 years in practice
Ohio University College of Osteopathic Medicine
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Is lithotripsy effective to pulverize small stone of 3 mm in kidney?

Yes: As long as the stone can be seen well enough to be targeted. This is the treatment of choice.

Dr. Julie Abbott Dr. Abbott
Preventive Medicine
41 years in practice
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Second lithotripsy done 2-14. Toilet water sometimes clear to a tint of various shades. Is this normal? Does litho do damage to kidney cells?

Second lithotripsy done 2-14. Toilet water sometimes clear to a tint of various shades. Is this normal? Does litho do damage to kidney cells?

More likely. ...: .. that the pink-tinged water is evidence of microscopic bleeding from residual or recurrent kidney stones. It's been a year and a half since you had the lithotripsy. Any injury to the kidney is almost always acute, i.e. immediately after the procedure and transient. I suggest you see your nephrologist/urologist for follow-up tests to check on the status of your kidney stones and kidney functon.

Dr. John Nesbitt Dr. Nesbitt
Urology
37 years in practice
University of Louisville School of Medicine
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When will fragments pass from a kidney stone after lithotripsy surgery?

When will fragments pass from a kidney stone after lithotripsy surgery?

Varies: Stone fragments may begin passing immediately. In some cases, depending on the location of the stone within the kidney, the fragments may pass up to several months after the treatment.

Dr. Stephen Chinn Dr. Chinn
Urology
34 years in practice
University of Hawaii John A. Burns School of Medicine
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What is the best thing to do if I have a 0.7 CM kidney stone? An operation or lithotripsy?

What is the best thing to do if I have a 0.7 CM kidney stone? An operation or lithotripsy?

ESWL: Depends-if your stone is radiolucent (eg uric acid/cysteine) you could manage it medically and dissolve it. If radio-opaque/calcium in composition, while unlikely to "pass" intact, would be best managed with eswl as a minimally-invasive mono-therapy. (pcnl would be too invasive, except with significant anatomic variation (eg calyceal diverticulum/infundibular stenosis). Possible ureterorenoscopy?

Dr. Robert Bennett Dr. Bennett
Urology
26 years in practice
George Washington University Medical School
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After kidney stones are removed by lithotripsy --how long will your kidney hurt afterwards?

After kidney stones are removed by lithotripsy --how long will your kidney hurt afterwards?

LITHOTRIPSY: This is a treatment to break up the stones. The stones have to pass afterward and that is when the pain comes if they're not small enough to go right through.

Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
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How soon do you perform lithotripsy when a large kidney stone is detected? I have one meaning 17mmx12mmx5mm

How soon do you perform lithotripsy when a large kidney stone is detected? I have one meaning 17mmx12mmx5mm

Here's some...: There is no set timing advice for kidney stone of 17x12x5 'm, but depending on stone-related symptoms, past history of stone management, possible stone-related anatomical changes. So, ask urologist for details timely.

Dr. Richard Sarle Dr. Sarle
Urology
18 years in practice
University of Vermont College of Medicine
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Dr. Terence Chapman Dr. Chapman
Urology - Oncology
22 years in practice
Rush Medical College
16

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Shockwave lithotripsy for kidney stones - what kind of criteria does the patient have to meet?

Shockwave lithotripsy for kidney stones - what kind of criteria does the patient have to meet?

See answer: Most patients can undergo this procedure, which can often be done with IV sedation as opposed to general anesthesia. Patients must be off blood thinners (eg, aspirin, plavix, coumadin, (warfarin) pradaxa) and have no active infection. Success rates are best in stones less than 2 cm. Anatomic abnormalities (eg, ureteral stricture or horseshoe kidney) must be taken into account.

Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
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Will lithotripsy procedure cause any damage to the kidney cells?

Will lithotripsy procedure cause any damage to the kidney cells?

Yes, but...: Everything comes with a price; so is shockwae lithotripsy (eswl) or any act of medical care. Experience confirmed the degree of damage is limited and usually not clinically significant within the recommended 2500-3000 shocks. Despite the consequence of rx, practicing healthy lifestyle with no overindulgence and obsession will surely help all willing persons to live a long life.

Dr. Romanth Waghmarae Dr. Waghmarae
Pain Management
35 years in practice
Faculty of Health Sciences of the University of the Witwatersrand
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Does lithotripsy damage/destroy kidney cells? May need another lithotripsy.

Lithotripsy: Lithptripsy is quite safe however damage may be seen in the corticomedullary region in relation to the vasculat tissue hence bllod in the urine after this procedure can be noted.

Dr. David Dang Dr. Dang
Radiology
10 years in practice
UC San Diego School of Medicine
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Is there a way to help pass kidney stones, without lithotripsy or surgery?

See a Urologist: If the stones are small (usually 5 mm or less) they may pass on their own. Larger stones usually can't pass on their own and need lithotripsy or surgery to break them up. Consult a urologist for the proper treatments.

Dr. Eric Schwartz Dr. Schwartz
Urology
years in practice
20

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How long should a patient obstain from sex after a lithotripsy kidney stone removal?

How long should a patient obstain from sex after a lithotripsy kidney stone removal?

No need: Side effects from eswl have very little to do with intercourse. There is no reason to abstain from intercourse after eswl, unless it is very vigorous. This can potentially cause bleeding from an injured kidney, but in general, there is no contraindications.

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Dr. Katharine Cox
140 Doctors shared insights

Lithotripsy (Definition)

It is a medical procedure which uses shock waves to break up stones in kidney or ureter, sa these can pass ...Read more