Ureteroscopy: Non-invasive Treatment for Kidney Stones
Procedure Name Extracorporeal Shock Wave Lithotripsy (ESWL)
Surgery Type Minimally Invasive
Hospital Stay One-Day procedure
Duration of Surgery 45 mins to 1 hour
Type of Anaesthesia Local anesthesia
Full Recovery 1-5 days
Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive medical procedure that employs shock waves to disintegrate kidney stones, gallstones, and other kinds of bodily stones. The shock waves pass harmlessly through the skin and tissues until they reach the stones, and break them into smaller pieces that can be passed more easily through the urinary system. The procedure typically lasts between 45 minutes to an hour, and patients may need multiple sessions depending on the size and location of the stone.
Extracorporeal Shock Wave Lithotripsy (ESWL) is a minimally invasive medical procedure that employs shock waves to remove calculi (stones) from the body, including kidney and gallstones. There are usually no incisions made during the surgery and is performed in an outpatient setting.
The patient lies on a table during an ESWL surgery, and a lithotripter, a specialized medical device, is used to transmit shock waves to the area of the body where the stones are present. This helps shatter the stones into smaller bits that can be naturally excreted from the body through urine.
Patients with tiny kidney stones (less than 2 cm in diameter) that are situated in the kidney or upper ureter are often advised to undergo ESWL. For larger stones or stones found in other regions of the urinary system, the technique is ineffective.
A patient's choice of ESWL may be influenced by a number of factors, such as:
However, ESWL might not be suggested for people who:
The choice to undergo ESWL should ultimately be taken in consultation with a healthcare professional who can assess the patient's unique circumstances and suggest the best course of action.
To achieve the greatest outcome, patients who are scheduled for an Extracorporeal Shock Wave Lithotripsy (ESWL) surgery must get ready beforehand. Here are some general pointers for getting ready for the ESWL:
To get the greatest outcome, patients should carefully adhere to their doctor's recommendations both before and after the treatment.
Here is a general overview of the steps involved in performing ESWL:
Depending on the size and position of the stones, the total time for the ESWL operation can range between 45 and 60 minutes. Although they may need to refrain from excessive exercise for a few weeks, patients can typically go home the same day and resume normal activities within a few days. To ensure that all of the stone particles have been removed from the body, further imaging tests may be performed.
Extracorporeal Shock Wave Lithotripsy (ESWL) surgery
Most patients can resume their regular activities within a few days of the treatment, however, they may need to refrain from heavy lifting or intense activity for a few weeks. To ensure a quick recovery and avoid complications, patients should carefully follow their doctor's post-procedure instructions. Patients should also get in touch with their doctor if they have excruciating pain, fever, or any other symptoms that might point to an issue.
Kidney stone treatment using extracorporeal shock wave lithotripsy (ESWL) is safe and risks are rare. The followings are some of the benefits and risks associated with ESWL.
Make sure you discuss the benefits and risks of the procedure with your doctor beforehand. This will help you plan your recovery better.
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In general, ESWL can be repeated several times for the treatment of kidney stones. However, the number of times ESWL can be repeated may be limited by factors such as the size and number of stones, the presence of other underlying health conditions, and the risk of damage to the kidneys or other organs.
With an overall success rate of between 70-90 %, ESWL is highly effective in treating kidney stones. The size, location, and makeup of the kidney stones are among the variables that affect how well the ESWL treatment works.
ESWL is typically regarded as a safe kidney stone treatment. While ESWL is generally considered safe and effective, it may have some potential risks and side effects, including possible harm to the kidneys.
ESWL therapy is typically regarded as a painless technique. Before the surgery, patients are given a local anesthetic or a moderate sedative to deal with any discomfort during the procedure.
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