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Doctor insights on: Extracorporeal Shockwave Lithotripsy

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Dr. Jan Lei Iwata
142 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


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Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Stone size determine: Shockwave lithotripsy minimally invasive, but not very effective for stones larger than 1 cm in diameter, and can not be used for branching "staghorn" stones. Can be used for larger stones if infectious in origin because they break up more easier. Percutaneous is more invasive, but usually a "one shot" procedure to clean out all the stone material.Swl requires minimal to no skill, pcnl needs skill. ...Read more

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Extracorporeal shock wave lithotripsy (eswl) - how long for recovery?

Extracorporeal shock wave lithotripsy (eswl) - how long for recovery?

Vary...: Do you mean get over eswl-related discomfort or total post-eswl stone/fragment passage? For post-eswl discomfort, it may highly vary, days to weeks, depending on what you're and how your body/kidney responds to eswl. For stone/fragment passage, it may take 1 week to months, depending on the load ; density of stones and the eswl effectiveness to disintegrate them; it may take 1 week to months, or.. ...Read more

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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

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What is extracorporeal shockwave myocardial revascularisation" (esmr)?

What is extracorporeal shockwave myocardial revascularisation" (esmr)?

ESMR: http://www.mayoclinicproceedings.org/article/S0025-6196(13)01113-0/abstract This procedure is NOT proven but has evidence suggesting it MAY help END-STAGE coronary artery disease patients symptom state. ...Read more

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Is lithotripsy better or percutaneous nephrolithotomy better?

Is  lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material. Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

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Will extracorporeal shock wave therapy cure my plantar fasciitis?

Will extracorporeal shock wave therapy cure my plantar fasciitis?

Possible: Shockwave therapy has been shown to be effective at relieving pain from plantar fasciitis in about 2/3 of patients. It works by stimulating the inflammatory cascade thus causing he body to heal itself. I also believe that stretching, good shoes, and custom orthotics are important in preventing the plantar fasciitis from returning. ...Read more

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What is percutaneous nephrolithotomy?

What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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Extracorporeal piezoelectric shock wave lithotripsy. Fancy words. What do they mean?

Extracorporeal piezoelectric shock wave lithotripsy. Fancy words. What do they mean?

Shock source: Extracorporeal - from "outside" of the body. Piezoelectric - a type of spark gap generator. Shock wave - "force" wave that travels through the body. Lithotripsy - to "break-up" stones. ...Read more

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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. ...Read more

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Staghorn kidney stone removal?

Staghorn kidney stone removal?

Nephrolithotomy: While smaller kidneys stones can often be passed, staghorn stones often form in the calyces or conduit between the kidney and the ureters. These are considered complicated stones and often will require percutaneous (through the skin) nephrolithotomy by a urologist. ...Read more

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Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?

Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?

Lithotripsy limited: To breaking up the stone and it must still pass. The stone can grow and get worse if that is all that is done. Removal has less overall risk, despite stents... ...Read more

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What kind of complications might happen from an extracorporeal shock wave lithotripsy?

What kind of complications might happen from an extracorporeal shock wave lithotripsy?

Same but more: Extracorporeal shock wave lithotripsy (eswl) is used to break up stones which are stuck somewhere, whether it be the kidney or the bile duct or elsewhere. Risks include bleeding, damage to the surrounding tissue/organ, and when coupled with other procedures, generally mean a more difficult procedure. ...Read more

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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. ...Read more

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Could 7mm kidney stone pass with meds and tons of water/lemonade w/o laser treatment/lithotripsy?

Could 7mm kidney stone pass with meds and tons of water/lemonade w/o laser treatment/lithotripsy?

Probably not.: Most stones 5mm or smaller will pass. A 7mm stone could pass, but may well not pass on its own. If you have flank pain, you may have an obstructed ureter and need to have the stone removed so you don't develop kidney damage or urinary tract infection. ...Read more

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How is a percutaneous nephrolithotomy done?

How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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What is lithotripsy surgery?

What is lithotripsy surgery?

Treatment of stones.: Lithotripsy is the process by which stones in the urinary tract are broken into small fragments. 'lithotripsy surgery' are procedures where small instruments are used to deliver mechanical, electro-hydraulic, or laser disruption of stones. Access is gained through the bladder (cystoscopy, ureteroscopy), a small flank incision (pcnl), or sometimes by laparoscopy. ...Read more

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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. ...Read more

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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