Doctor insights on:
Can Lithotripsy Cause Problems
Possible, but rare.: Shock wave lithotripsy (swl) is a technology that uses focused sound waves to fragment kidney stones. These impulses have been shown to cause some disturbances of heart rhythm, usually provoking premature beats. These machines are now "gated", meaning that a simultaneous ekg delivers pulses at the safest moment of the cardiac cycle. Svt with eswl has been described in the literature, but is rare. ...Read more
Not typically: There is nothing inherent to this procedure which would lower a persons threshold for seizure. Individuals at risk for seizure should know that these procedures often require anesthesia and the use of those medications may change the effectiveness of anti-seizure medications. This can be discussed with the anesthesia team prior to scheduling a procedure. ...Read more
Kidney disease: You need to see the urologist who placed the stent to get further information as soon as possible. If your kidney function was normal before the procedure, you have acute kidney disease which needs to be evaluated. If the urologist finds nothing wrong, go to a nephrologist to see if you have some kidney disease not related to your kidney stone or stent placement. See these doctors quickly. ...Read more
Can a kidney stone issue cause referred pain in my neck & shoulder? I just had a stent & lithotripsy procedure last month. Followup appt. soon.
Kidney stone : Yes- although more commonly referred to the pelvic area. ...Read more
Could lithotripsy cause addison's disease or the Depo-Provera birth control shot?I have a positive ANA was told I have fibermyalgia ?Would a CT scan show it?
No and no: I have never heard of lithotripsy causing addison's disease. It is not something that would show up on a cat scan. The most common cause for addison's disease is autoimmune, so having a positive ANA may put you at a slightly higher risk, but addison's is very rare, and needs to be diagnosed by an endocrinologist, with laboratory testing. ...Read more
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. ...Read more
Quicker recovery: In the old days, we did open surgery for stones where we made an incision and removed the stone. You were typically in the hospital a few days and had to recover from the incision. With eswl, you are normally treated as an outpatient and able to return to work in a couple of days. ...Read moreSee 1 more doctor answer
Yes: You receive intravenous sedation (and be glad that it's available!). ...Read more
Pain from procedure: Shock waves are typically applied through an interface brought into direct contact with the skin of the flank region on the side of interest. When shock waves are delivered, they can be quite uncomfortable. Anesthesia is needed to keep the patient comfortable, but also to help the patient stay still so that the shock waves can remain focused on the stone to maximize the chances of fragmenting it ...Read more
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