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Doctor insights on: Lithotripsy

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Dr. Dariush Saghafi
138 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. Dariush Saghafi
138 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