Doctor insights on:
Is Extracorporeal Shock Wave Lithotripsy Safe While Pregnant
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
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Anesthesia is usual: During extracorporeal shock wave lithotripsy, most patients are under general anesthesia, or given intravenous analgesics by an anesthesiologist or nurse anesthetist. If the patient is not under general anesthesia (some systems don't require it) they may feel a "slap" in the area of the shock wave, but it is generally reduced by analgesics, and some drugs eliminate recall of the event. Dr. Mike. ...Read more
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
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 moreSee 1 more doctor answer
Kidney stones: Eswl uses high-energy shock waves produced by an electrical discharge, which are transmitted through water and directly focused onto a renal or ureteral stone with the aid of fluoroscopy. The change in tissue density between the soft tissues of the kidney and the hard stone results in a release of energy at the stone surface, which fragments the stone. The patient is sedated or anesthetized. ...Read more
I'm a us veteran in chicago looking for a hospital to have extracorporeal shock wave lithotripsy performed.
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 moreSee 1 more doctor answer
I underwent lithotripsy last dec. For kidney stones..Now i was supposed to have my period last week but i didn't i had negative home pregnancy test?
See answer: There are many reasons why a woman may have a delayed menstrual period other than pregnancy. Common causes include anything which causes physical, mental, or emotional stress, weight issues, medications, over-exercising, and even a change in one's regular routine. If no period, would recommend a second pregnancy test 1 week after the first negative test along with a call to your ob-gyn md. ...Read more
Weight limit: I believe new machines can take up to 225kg patients for ESWL. ...Read more
Lithotripsy: Is generally safe, decision to go for it depends on several factors, your child's doctor(s) would know better, check this link for more info, good luck http://www.uptodate.com/contents/kidney-stones-in-children-beyond-the-basics?source=outline_link&view=text&anchor=H9#H9 ...Read more
Is vascular lithotripsy on a femoral lesion an effective and safe means of plaque ablation? Any better than atherectomy or endarterectomy?
No: There is no role for lithotripsy in the treatment of peripheral arterial disease. Lithotripsy is a procedure primarily designed to break up kidney stones. If the procedure were used on arteries, the fragments might break off and further damage arteries downstream. The treatment for atherosclerotic related arterial disease includes medical management, the minimally invasive procedures you mentioned, and open procedures. Experienced vascular surgeons can offer all three methods. ...Read moreSee 1 more doctor answer
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
Yes: As long as the stone can be seen well enough to be targeted. This is the treatment of choice. ...Read more
Probably not: If it persists, ess your doctor.Get a more detailed answer ›
A condition in which a person cannot circulate enough blood (carrying oxygen and nutrients) to the vital organs in the body. If shock persists, various parts of the body will stop working, and the person will die. Causes of shock include injuries, excessive bleeding, heart failure, infections, chemical imbalances, ...Read more
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