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Doctor insights on: Lithotripsy

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Dr. Ana Adelstein
142 doctors shared insights

Lithotripsy (Overview)

It is a medical procedure which uses shock waves to break up stones in kidney or ureter, sa these can pass out with the urine.


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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

Dr. Ana Adelstein
142 doctors shared insights

Lithotripsy (Overview)

It is a medical procedure which uses shock waves to break up stones in kidney or ureter, sa these can pass out with the urine.


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What are some advantages of lithotripsy?

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 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

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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

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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

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What is the definition or description of: lithotripsy?

Shock waves : It is a medical procedure which uses shock waves to break up stones in kidney or ureter, sa these can pass out with the urine. ...Read more

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Is there a shot or an i.V. Involved when doing a lithotripsy?

Yes: You receive intravenous sedation (and be glad that it's available!). ...Read more

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What medications are administered for lithotripsy (before/during/prescribed after)?

Meds: before; flomax (tamsulosin) (or equivalent meds), may be an anxiolytic or non steroidal anti inflammatory pain medication. After: flomax (tamsulosin) (or equivalent) and NSAID if needed. The only other new med(s) depend on the stone analysis ...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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Can you have lithotripsy while you are menopausal?

Can you have lithotripsy while you are menopausal?

Sure: There are no contraindications to lithotripsy with menopause. Menopause is a state that women will be in for many years. It can increase her risk of heart disease but physicians are looking for more detrimental disease processes such as diabetes, blood pressure, heart disease, strokes, vascular disease when assessing surgical risk. ...Read more

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Will lithotripsy procedure cause any damage to the kidney cells?

Will lithotripsy procedure cause any damage to the kidney cells?

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

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Where do I go to get an extracorporeal shock wave lithotripsy done?

Where do I go to get an extracorporeal shock wave lithotripsy done?

Urologist: This surgery to remove a kidney or ureteral stone is done by urologists and you should look one up quickly if you have a stone. The equipment is usually owned by hospitals but the controls are in the hands of the urologist. ...Read more

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What does extracorporeal shock wave lithotripsy feel like or are you out?

What does extracorporeal shock wave lithotripsy feel like or are you out?

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

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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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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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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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Which is worse a dandc or lithotripsy ? I'm scared bc I have a dandc thursday.I survived a lithotripsy .

Neither is Worse: Cancer is worse, car accidents are worse, strokes, heart attacks and dementia are worse. I assume doctors have done d;c for hundreds of years. With modern medical care they are very safe. So is lithotripsy. But all procedures carry some risk. Discuss your concerns with your doctor. U know what is probably the riskiest thing? Driving to the hospital on the public highway. ...Read more

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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

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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

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How long can a stent be left in after a lithotripsy?

How long can a stent be left in after a lithotripsy?

Depends.: Depending on the amount of stone debris you have in your kidney's urine collecting system (called the renal calyces and the renal pelvis) and the ureter. Your Urologist may take the stent out in a few days to a few weeks. The stents have to be changed periodically, so they don't become blocked. ...Read more

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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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Whats extracorporeal shock wave lithotripsy? Is it painful and do they put you to sleep?

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

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I just had lithotripsy for an 8 mm stone. Another stone at 5 mm remains. Should it be removed? If so, what is the wait time between lithotripsies?

Ask your MD: If you're taking tamsulosin, you should pass that fragment without surgery. 6 weeks before you should get another lithotripsy. Your urologist also may do a ureteroscopy this time for improved chances of clearing that fragment. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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4 days after lithotripsy for 1 8 mm stone (still have another) and haven't passed any fragments. Possible or could the stone been blasted so finely?

Dr. James Lin Dr. Lin
1 doctor agreed:

May be...: Dod you mean eswl or lithotripsy through urethra ot bladder up to ureter/kidney? The post-rx sand/fragment passage may behave somewhat different. The size of sand/fragment after eswl highly varies depending on stone hardness; the ones after transurethral tends to be coarser. But, not seeing sands / fragments 4 days after either may be not unusual; so, don't worry, but take a kub as post-rx f/u... ...Read more

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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

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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