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Other problems may include perirenal hematomas (blood clots near the kidneys)
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Lithotripsy?
DefinitionLithotripsy is a medical procedure that uses shock waves to break up stones in the kidney, bladder, or ureter (tube that carries urine from your kidneys to your bladder). After the procedure, the tiny pieces of stones pass out of your body in your urine.Alternative NamesExtracorporeal shock wave lithotripsy; Shock wave lithotripsy; Laser lithotripsy; Percutaneous lithotripsy; Endoscopic lithotripsy; ESWLDescriptionExtracorporeal shock wave lithotripsy (ESWL) is the most common type of lithotripsy. "Extracorporeal" means outside the body.You will wear a medical gown and lie on an exam table on top of a soft, water-filled cushion. You will be given a mild sedative or pain medicine before the procedure starts. You will also be given antibiotics before the procedure starts to prevent infection.High-energy shock waves, also called sound waves, will pass through your body until they hit the kidney stones. You may feel a tapping sensation when this starts. The waves break the stones into tiny pieces. Often, you will be given general anesthesia for the procedure. You will be asleep and pain-free.The lithotripsy procedure should take about 45 minutes to 1 hour.A tube may be placed through your bladder or back into your kidney. This tube will drain urine from your kidney until all the small pieces of stone pass out of your body. The tube may be put in place before or after your lithotripsy treatment.See also: Percutaneous urinary proceduresWhy the Procedure Is PerformedLithotripsy is used to remove kidney stones that are causing:BleedingDamage to your kidneyPainUrinary tract infectionsRisksLithotripsy is usually safe. Ask your doctor about these possible complications.Bleeding around your kidney, which may need a blood transfusionKidney infectionPieces of the stone block urine flow from your kidney (this may cause severe pain or damage to your kidney)Pieces of stone are left in your body (you may need more treatments)Ulcers in your stomach or small intestineYour kidneys may not work as well, or they may stop working, after the procedureBefore the ProcedureAlways tell your doctor or nurse:If you are or could be pregnantWhat drugs you are taking, even drugs, supplements, or herbs you bought without a prescriptionDuring the days before the surgery:You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot. Ask your doctor when to stop taking them.Ask your doctor which drugs you should still take on the day of the surgery.On the day of your procedure:You will usually be asked not to drink or eat anything for several hours before the procedure.Take the drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureAfter the procedure, you will stay in the recovery room for up to about 2 hours. Most people are able to go home the day of their procedure.See also: Lithotripsy - dischargeOutlook (Prognosis)How well you do depends on the number of stones you have, their size, and where in your urinary system they are. Usually, lithotripsy completely removes the stones.ReferencesCurhan GC. Nephrolithiasis. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 128.Lingeman JE, Matlaga BR, Evan AP. Surgical management of upper urinary tract calculi. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders; 2007:chap 44.Reviewed ByReview Date: 09/16/2011David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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What is the full name for lithotripsy?
the procedure is termed extracorporeal shock wave lithotripsy (ESWL).
What does lithotripsy treat?
Lithotripsy is the use of high-energy shock waves to fragment and disintegrate kidney stones.
What is done prior to lithotripsy?
Prior to the lithotripsy procedure, a complete physical examination is performed, followed by tests
Are there alternatives to lithotripsy?
Before the advent of lithotripsy, surgery was used to remove kidney stones. This approach is uncommon today
What is the process of crushing stones?
Lithotripsy
Lithotripsy is the destruction of a kidney stone through the use of ultrasonic waves?
lithotripsyLithotripsyLiThOtRiPsYextracorporeal shockwave lithotripsy (ESWL)Extracorporeal shock wave lithotripsy (ESWL) means destruction of a kidney stone or gallstone by ultrasonic waves traveling through water.lithotripsy
What is ESWL?
Extracorporeal shock wave lithotripsy
What is the recovery time for Ultrasonic lithotripsy surgery?
The recovery time for ultrasonic lithotripsy surgery will vary with each person. On average, the recovery time is less than 4 weeks.
What surgical procedure involves crushing a stone or calculus?
lithotripsy
Does a 4mm kidney stone require lithotripsy?
In some patients a 4mm kidney stone may not need lithotripsy, however, for some patients this may be too large to pass without assistance.
How soon after Lithotripsy can a person have it again?
How soon after lithotrypsy can a person have it again
When does lithotripsy require a stent?
Some patients may have a stent placed prior to the lithotripsy procedure. A stent is a plastic tube placed in the ureter which allows the passage of gravel and urine after the ESWL procedure is completed.
