Lithotripsy (ESWL)
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Extracorporeal shock wave lithotripsy (ESWL)

Defination:

Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break a kidney stone into small pieces. These pieces can more easily move through the urinary tract and pass from the body. For this procedure you lie on a water-filled cushion. X-rays or ultrasound tests are used to locate the stone. High-energy sound waves pass through your body without injuring it and break the stone into small pieces.

 

Procedure:

ESWL is the most common way of treating kidney and Upper ureteral stones that may not pass in urine. Patient not willing for surgery can be offered this form of treatment. It involves using X-rays (high-energy radiation) or ultrasound (high-frequency sound waves) to pinpoint and locate the stone. A machine then sends shock waves of energy to the stone to break it into smaller pieces so it can be passed in your urine. ESWL can be an uncomfortable form of treatment, so it is usually performed after giving sedation and analgesia. You may need more than one session of ESWL to treat your kidney stones successfully. ESWL is up to 99% effective for stones that are up to 1cm in diameter and the efficacy reduces when the stone size exceeds 1.5 cm and especially lower calyceal stones. This procedure cannot be done in case of infections, altered coagulation profile.

 
 
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Lithotripsy (ESWL)
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