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Doctor insights on: Stone Removal Ureteroscopy And Lithotripsy

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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. Benjamin Whittam
20 Doctors shared insights

Ureteroscopic Stone Removal (Definition)

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


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Are you asleep for ureteroscopic stone removal?

Are you asleep for ureteroscopic stone removal?

Ureteroscopy: Yes. All ureteroscopic stone surgery is done with the patient under anesthesia. This is done for 2 reasons: painful procedure and patient must be completely still. ...Read more

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Ureteroscopic stone removal - is there a stone size range limit?

Ureteroscopic stone removal - is there a stone size range limit?

No: There is no limit. In fact, ureteroscopy can treat any size stone, but if the stone is larger than 2cm, then you may end up with multiple procedures to get all the stones out. ...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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I recently had laser lithotripsy for a 8 mm stone removal. I still have a Stent in place as well. How long do I have to wait before having sex or mast?

I recently had laser lithotripsy for a 8 mm stone removal. I still have a Stent in place as well. How long do I have to wait before having sex or mast?

Anytime: You may resume "sex or mast" anytime you want to. There is no contra-indication to doing so while having a stent (although you may not feel up to it so to speak. ...Read more

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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?

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

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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?

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

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22days post ureteroscopic kidney stone removal&stent placement still passing stones not on CT? Scans show nonobstructing stones how can this be?

22days post ureteroscopic kidney stone removal&stent placement still passing stones not on CT? Scans show nonobstructing stones how can this be?

Possible: 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

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Bilateral lithotripsy for stones 6 days ago and stent removal. 2 days ago began having severe cramps and diarrhea. Potential cause?

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

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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?

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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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?

Yes: By now you should have passed those fragments and you should have felt better. See your urologist or if unavaile you should go to ER. ...Read more

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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

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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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How much is extracorporeal shock wave lithotripsy for gall stones?

How much is extracorporeal shock wave lithotripsy for gall stones?

Who Cares?: Lithotripsy, though useful for large kidney stones, is pretty much useless for gallstones. The only effective way to treat gallstone disease and prevent recurrence of their symptoms is to have the gallbladder surgically removed as it is the source of gallstone formation. ...Read more

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Is lithotripsy effective to pulverize small stone of 3 mm in kidney?

Yes: As long as the stone can be seen well enough to be targeted. This is the treatment of choice. ...Read more

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My lithotripsy didn't break up my 7mm stone. It is now 6mm and stuck. What now?

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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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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I had lithotripsy 2 days ago for 2 stones and feel bladder pressure; drinking 48oz h2o a day. I felt this before the litho. Just 1 stone was blasted.

I had lithotripsy 2 days ago for 2 stones and feel bladder pressure; drinking 48oz h2o a day. I felt this before the litho. Just 1 stone was blasted.

Get checked: Kidney stones can be very persistent despite therapy. I would get a ct scan of the abdomen to see where your pain lies and how many stones are still apparent. Good luck. ...Read more

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I have 4mm kidney stone but can't decide between ureteroscopic or trying to pass it myself for a bit. Its close to my bladder but hasn't moved since fri.?

I have 4mm kidney stone but can't decide between ureteroscopic or trying to pass it myself for a bit. Its close to my bladder but hasn't moved since fri.?

Ureteral stone: The size of the stone does not correlate well to the intensity of the pain. The nearly unbearable pain of "ureteral colic" is from spasm of the muscular ureter. Although 50% probability to pass on its own within a few days, a 6mm stone sometimes will get stuck and fail to progress. Usually after 5 days, I recommend having the stone extracted with a ureteroscope as an outpatient. ...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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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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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 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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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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Can IVP be used as guide for lithotripsy. I have mid-uretal 5mm Radiolucent stone that has moved 3.5cm in 6 wks. Mild hyronephrosis.

Yes: IVP is one of the best ways of finding stones. Generally the size, shape, and location of kidney stones. Some (15%) of stones do NOT show on regular x rays and then, IVP shows them up as gaps in the dye and can be the only way to see these uncommon stones. ...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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Dad Had lithotripsy to treat kidney stone 10D ago. 3d ago could not express thought coherently for brief moment. Been fine since. Any thing unusual?

Dad Had lithotripsy to treat kidney stone 10D ago. 3d ago could not express thought coherently for brief moment. Been fine since. Any thing unusual?

TIA: What you described is suggestive of a transient ischemic attack. It would be prudent to consult a neurologist for an evaluation. You may visit this site for information on this topic: https://www. Mayoclinic. Org/diseases-conditions/transient-ischemic-attack/symptoms-causes/syc-20355679

Wish you and your father good health! ...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

Dr. James Lin
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