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Doctor insights on: Kidney Stone Lithotripsy Doesn T Work

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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). ...Read more

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


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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...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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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? ...Read more

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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. ...Read more

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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. ...Read more

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Is lithotripsy safe for my 5 year old child? She has 7mm kidney stone on the right kidney.

Is lithotripsy safe for my 5 year old child? She has 7mm kidney stone on the right kidney.

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

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Can kidney stone lithotripsy cause seizures?

Can kidney stone lithotripsy cause seizures?

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

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5 mm. Kidney stone that has been sitting at the top of the ureter for 9 days. Urologist recommends Lithotripsy. Reasonable or useless to tough it out?

5 mm. Kidney stone that has been sitting at the top of the ureter for 9 days. Urologist recommends Lithotripsy. Reasonable or useless to tough it out?

Should pass without: Need for intervention. Also depends upon symptoms. You have had multiple stones in past & presumably passed most or all. Worth active intervention to remove ureteroscopically or have stent placed if UR in pain. This is very small stone & certainly too small for extra-corporal shock wave lithotripsy (ESWL). Hope you have had metabolic work-up for stones! ...Read more

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Can a kidney stone with stent and lithotripsy (2months later) cause 4th stage kidney disease?

Can a kidney stone with stent and lithotripsy (2months later) cause 4th stage kidney disease?

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

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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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12 mm kidney stone lipotripsy didn't work want to do a pcnl anyway of passing the stone when is it to big for my kidney. Grew from a 8 mm two years ago?

No.: Unfortunately stones more than 5mm cannot usually pass on their own, so intervention is often needed. If lithotripsy did not work, then percutaneous therapy may be needed. ...Read more

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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. ...Read more

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Extracorporeal shock wave lithotripsy--is that for kidney stones?

Extracorporeal shock wave lithotripsy--is that for kidney stones?

LITHO!: Eswl is one of the most common options for treating kidney stones. ...Read more

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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. ...Read more

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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. ...Read more

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Is it unusual to have a wound in the back after doing a lithotripsy to break kidney stones?

No: If by "a wound" you mean ulcerated skin, no it is not. A small bruise or reddened area is usually all that occurs. Discuss with the treating urologist. ...Read more

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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

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2nd time kidney stones w/in 10mos. 1x: 3mm-stuck in l distal ureter & 6mm-l kidney. 2x: 5mm & 2mm-l kidney & 5mm-r kidney. Do I get lithotripsy again?

Possibly: Lithotripsy's results depend on the size and location of the stones along the urinary tract. However, equally importantly, you need to be investigated to figure out why you are having recurrent stones, and take appropriate measures like increased water intake (and, possibly other medications) that should reduce your risk of future stones. ...Read more

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I have had lithotripsy for a size 6 and 9 kidney stones in march now my right kidney feels like it may have a stone is that possible? What can keep me from getting them?

I have had lithotripsy for a size 6 and 9 kidney stones in march now my right kidney feels like it may have a stone is that possible? What can keep me from getting them?

Stone: It's certainly possible to develope new stones in 6-9 months. You should have fragments from previously treated stone analyzed for composition. You could also collect a 24 hour urine sample for stone risk analysis. Talk to your urologist. ...Read more

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Scientists have discovered any other alternatives to get rid of kidney stones other than surgery or lithotripsy?

Yes, if Uric Acid: 5-10% of kidney stones are made of uric acid crystals, which can be "redissolved" back into the urine. A dual energy renal stone protocol ct can determine if kidney stones are made of uric acid.

See a urologist for see if this is an option for you. ...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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I believe that I have scar tissue in my penis from kidney stones and lithotripsy. Should I get this taken care of?

I believe that I have scar tissue in my penis from kidney stones and lithotripsy. Should I get this taken care of?

I am confused: Your question is a bit vague. Kidney stones and eswl do not cause scar in the penis. If you are referring to peyronie's, thi sis not cause by that. Urethral stricture (scarring) is totally different and if you had any instrumentation you are at risk and it may need to be fixed. ...Read more

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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?

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

Kidney Stone (Definition)

Solutes precipitate and combine to form stones formed of calcium oxalate usually around a nidus of uric acid. Other solutes that form stones are ca and mg phosphates, cystine, and uric acid staghorn calculi form in the presence of chronic urinary tract infections. Stones can be painful, may require ...Read more


Dr. Harinder Gill
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