Procedure of ESWL
  •  Before treatment, blood and urine tests, X-rays KUB and IVP and ECG are done to determine the type of stone, function ofthe kidney as well as to ensure safety of the patient.
  •  ESWL is an equipment to treat urinary stones with rays without surgery.
  •  During ESWL the stone is localized using an image intensifier and high frequency shock waves are focused onto the stone, which results in its mechanical disintegration into small particles.
  •  The breaking up of the stones can be seen on the imaging system. The fragmented stone passes out in the urine. Number of treatment sessions depends on the size and location of the stone.
  •  Patients with single kidney and some large stones may temporarily require Double J Stent to be placed by a cystoscope that is latter removed.
  •  ESWL can usually remove stones from all parts of the urinary tract like - kidney,ureter and urinary bladder.

 

Advantages and Disadvantages of the various treatment methods:
 
 

Comparison

Surgery

PCNL

ESWL

Procedure

Yes

Sometime

Rare

Blood

Sometime

May be

No

Transfusion

Yes

Minor

No

Scar of cut

+++

++

Nil

Pain

About a week

Few days

1 hours*

Hospital stay

In Months

In weeks

Same day

Return to work

+++

++

Next Day

Procedure

Not possible

May not

Possible & safe

Danger

Preferably

possible

Treatment's

Unfit patients

avoided

Preferably

choice

Recurrent

++

avoided

Negligible

Stone Complications

Rare Reluctant due

+ Very rare

Nil Very well

Procedures

to risk and

Reluctant due

accepted

 



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