Top
20
Doctor insights on: Cannot Urinate After Lithotripsy

Share
1

1
Why do they knock you out for a lithotripsy?

Why do they knock you out for a lithotripsy?

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

Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


2

2
I just had a cystoscopy and lithotripsy done how long will i be in pain and how long will there be blood in my urine?

I just had a cystoscopy and lithotripsy done how long will i be in pain and how long will there be blood in my urine?

Vary...: If you have no stent left inside ureter, you will feel better with clearing urine within 1-3 days. But sporadic blood in urine may recur for 1-2 weeks until the bruised bladder lining heals up. If you get stent inside, the pain and intermittent blood will last until its removal, but medication may ease the discomfort. Ask your attending for detail and specifics. Best... ...Read more

3

3
I have a lot of white small tissue pieces in my urine after 22 days ureteroscopy with laser lithotripsy and also was suspicious TCC, what I will do?

Quite normal: Passing fragments and trash for 4-8 weeks after lithotripsy is normal. Your Urologist can run cytology and/or FISH TEST later to help determine if TCC is suspicious or present. He will answer your ??? as you progress. ...Read more

4

4
I had lithotripsy yesterday for 1 out of 2 kidney stones. After several urinations including this morning, i've yet to pass any fragments. Normal?

I had lithotripsy yesterday for 1 out of 2 kidney stones. After several urinations including this morning, i've yet to pass any fragments. Normal?

Could be: You can get fragments that are very small passing that you can only see by using a coffee filter, etc. You would prefer this over passing larger fragments. Just stay hydrated and dilute your urine. ...Read more

5

5
Is it ok just to urinate just a little stream of urine after lithotripsy performed today even though I drank 80 oz of water and have an urge to go?

Yes and no: After lithotripsy, sometimes the broken down stone makes it's way to the bladder but resists further eplelling out from the bladder. And at other times the stone is broken but not in small enough pieces and therefore continues to cause obstruction. That can cause urgency but difficult to urinate. See your urologist/ nephrologist ASAP ...Read more

6

6
I did lithotripsy no burn pain or blood in urine and not seen the sand, is that normal?

I did lithotripsy no burn pain or blood in urine and not seen the sand, is that normal?

Could be normal: However, stone possible has not broken up. Unusual not to have some skin discomfort where lithotripsy balloon made contact. ...Read more

7

7
I had a cystoscopy & a lithotripsy done the same week for a 5mm stone. Should my penis shaf still hurt and burn sometimes when I urinate. Medications, ?

I had a cystoscopy & a lithotripsy done the same week for a 5mm stone. Should my penis shaf still hurt and burn sometimes when I urinate. Medications, ?

Yes: Lithotripsy pulverizes a stone but you still have to pass the sand like sediment. Instead of passing a 5mm stone, you are passing very tiny particles. This will cause pain and burning. You can also develop an infection after the procedure. Talk to your urologist if the problems continue. ...Read more

9

9
Anyone had lithotripsy done? What should I do?

Anyone had lithotripsy done? What should I do?

ESWL: Eswl treatment is performed under sedation on an outpatient basis. There will be some mild post-procedure discomfort and some blood in the urine. Passage of fragments may cause pain requiring narcotic analgesia. ...Read more

10

10
Why is it that they put you under for a lithotripsy?

Minimize distress: Lithotripsy requires intubations through delicate and sensitive areas. These can be painful and there is enhanced pain from the inflammation of the kidney/ureteral stone. Also the instrument has to be carefully aimed to just fragment the stone and minimize damage to the normal tissue and this is more easily achieved while the patient is under anesthesia. ...Read more

11

11
Can a lithotripsy cause an svt?

Can a lithotripsy cause an svt?

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

12

12
Can lithotripsy treatment have any complications?

Can lithotripsy treatment have any complications?

Yes, like any other.: Lithotripsy is a generally safe and well tolerated procedure. Tens of thousands of these procedures are performed in the U.S. Annually. If the patient has health problems, or the stone is large and dense, complication rates may increase. Bleeding, infection, failure to pass stone fragments, blockage of the kidney requiring additional procedures, and pain are some of the possible complications. ...Read more

See 1 more doctor answer
13

13
After lithotripsy, how long does it take stone to pass?

Depend...: Do you mean eswl - extracorporeal shock wave lithotripsy? If so, the duration to pass sands and fragments disintegrated stones vary greatly from days to months depending upon the load and size of fragments. In some cases, procedures through urethra and ureter are required to remove the stuck/impacted fragments inside ureter. So, ask doc timely for individual variation and expectation. ...Read more

14

14
What should a patient expect during a lithotripsy treatment?

What should a patient expect during a lithotripsy treatment?

Several things: You will usually be put to sleep and the treatment will happen. After treatment you will have some pain on the treated side. ...Read more

See 1 more doctor answer
15

15
How much is extracorporeal shock wave lithotripsy for gall stones?

How much is extracorporeal shock wave lithotripsy for gall stones?

Who Cares?: Lithotripsy, though useful for large kidney stones, is pretty much useless for gallstones. The only effective way to treat gallstone disease and prevent recurrence of their symptoms is to have the gallbladder surgically removed as it is the source of gallstone formation. ...Read more

16

16
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. ...Read more

18

18
My lithotripsy didn't break up my 7mm stone. It is now 6mm and stuck. What now?

See answer: Some kidneys stones (e.g. calcium oxalate monohydrate) are quite dense and don't fragment well with lithotripsy (ESWL). If stone "stuck" in the ureter, ureteroscopy with laser lithotripsy +/- stent placement would usually be the next step with a high success rate. If the stone still in the kidney flexible ureteroscopy/laser lithotripsy still a reasonable option. Repeat ESWL less likely to succeed. ...Read more

19

19
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. ...Read more

Dr. Thomas Fiala
138 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


Urination (Definition)

The act of passing your ...Read more