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Doctor insights on: Shockwave Lithotripsy For Kidney Stones

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Dr. Gregory Moneta
64 doctors shared insights

Kidney Stones (Definition)

Seriously- renal stones are the result of postive and negatively charged particles in urine binding together and precipitating as solids- most frequently as calcium- oxalate. This happens most often when the urine is concentrated- ie when you are dehydrated. And trying to pass these stones from the kidney to the bladder is incredibly painful. ...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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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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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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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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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

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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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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


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