Doctor insights on:
Stone Removal Ureteroscopy And 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
Lithotripsy is done by a urologist. It involves a kidney stone being manually "broken up" so that the smaller pieces may be directly removed. A camera is passed into the bladder to make sure the pieces are removed. There is another kind of lithotripsy that uses ultrasound to break up the stone (extracorporeal shock wave lithotripsy), but this ...Read more
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 moreSee 1 more doctor answer
Had laser lithotripsy 9 days ago 4 stone removal. Ureteral stent for 8 more days told no sex or sexual activity til removed. Why & what do they mean?
Here are some...: The recommendation provided after the reported procedures is commonly given in attempting and assuming to ease voiding symptoms from local irritation to usually already inflamed bladder neck and prostate urethra. Is that really necessary for professional reasons, which could be in doubt or for political correctness, which probably plays major role in such advice? So, Ask Doc for mutual agreement.. ...Read more
Ureteroscopic Kidney stone removal 10 days ago. 39.8 temp and rapid heartbeat, plus urine dark red again. Double J stent fitted. What could be causing?
Infection: You likely have an infection in your kidney and around the stent you should be seen today by your urologist, or if they are not available, at the emergency department. ...Read more
22days post ureteroscopic kidney stone removal&stent placement still passing stones not on CT? Scans show nonobstructing stones how can this be?
It is good to pass the stones- obstructing or non- obstructing is only a matter of size of the stone and diameter of the ureter (which is the tube from kidney to the bladder)
small size stones may not be seen on ct.
Check with your doctor- if kidney stones is a recurrent issue, may benefit if you see a nephrologist who can do some special tests and advise preventive measures. ...Read more
Bilateral lithotripsy for stones 6 days ago and stent removal. 2 days ago began having severe cramps and diarrhea. Potential cause?
Here are some...: Possible side effects from antibiotics should be considered although severe pain from occasional ureteral obstruction by clot or stone fragment may occur, but would not be associated with diarrhea. Nonetheless, go to be evaluated to differentiate what it may be by following instructions described in http://formefirst. Com/eNewsletter06.html. Best wishers to recovery... ...Read more
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 moreSee 1 more doctor answer
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
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
I had lithotripsy 1 week ago - still not passing stone fragments and the pain in my kidney is getting worse, not better. Should I seek help?
I had a lithotripsy on my left kidney to remove 2 - 8cm stones on oct 11th. I have continued to have a discomfort pain (like a brused feeling. Why?
LITHOTRIPSY: Lithotripsy simply fractures the stones after which they need to pass. It can take more than 1 treatment for this much stone. The pieces can also stack up in the ureter and cause pain. The skin often bruises with treatment and the tissue of the kidney can also bruise. Many reasons for pain after litho. ...Read more
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
See answer: Some kidneys stones (e.g. calcium oxalate monohydrate) are quite dense and don't fragment well with lithotripsy (ESWL). If stone "stuck" in the ureter, ureteroscopy with laser lithotripsy +/- stent placement would usually be the next step with a high success rate. If the stone still in the kidney flexible ureteroscopy/laser lithotripsy still a reasonable option. Repeat ESWL less likely to succeed. ...Read more
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