Kidney Stone Surgery: Shock Wave Lithotripsy

now that you have completed part of the
admission process we would like to explain a little more about what you can
expect today the procedure today known as eswl stands for extracorporeal
shockwave lithotripsy we can define it as a procedure where shock waves are
generated from a machine and travel through the surface of the skin to your
kidney stone without requiring surgery in latin the word and let the trips he
can be divided litho means stone and trip see means to break or to crush
their for our purpose and hope today is to break up your stone this will allow the stone pieces to pass
through your urinary system with minimal discomfort to better understand how and
what your urinary system is composed of it is important to know the basics normally a person has two kidneys and
two ureters or drainage tubes which empty into the bladder from the bladder
urine is passed through the urethra a kidney stone also known as a renal
calculus can be located anywhere within your urinary system a stone that is
large or causing blockage may require a ureteral stent a stent is a hollow
rubber like tube with a number of holes in it it is placed in the ureter between your
kidney and your bladder and serves three purposes one to prevent severe pain
caused by blockage of a kidney stone to to maintain flow of urine to the bladder
and three to help dilate or widen the ureter allowing stones to pass freely you may pass small stone pieces with a
stand-in but the bulk of the stone is often
passed after the stances removed the stent will most likely be removed in
approximately one to two weeks by your own urologist once he feels the
stones have been well broken up if you have a ureteral stent in place it
is common to experience one the feeling or need to pass your urine
more frequently to an ache in your side or a burning sensation most often towards the end of your
stream of urine or three occasional episodes of blood in your urine if a stent is required it will be
inserted just prior to your procedure you may now have a short wait before
going to the operating room in time you will head down to the little
tripped her with a nurse or x-ray technician the little trip sir is
located in one of the operating rooms you will wait in an area outside the
door a nurse will look over your papers and may ask some of the same questions
you have already answered you will now enter the little sweet the
stretcher is raised the nurses will remove your housecoat
but your gala will be left on to ensure your privacy you will be placed on a little trip to
bend this feels much like an x-ray table beneath the test is the doctor who will
start your intravenous and give medication to keep you relaxed and
comfortable your heart rate and blood pressure are
monitored throughout the treatment a mask may be placed on your face to
provide oxygen if you require a stint it will be
inserted at this time you will then be carefully positioned with padding placed
around you a part of the table will be removed the lights are dimmed and an
x-ray scanner moves about you to target the stone when the procedure starts you
will hear a repeated banging noise and may feel a continual tapping sensation
against your back remember not to move if you feel
uncomfortable let the knee that is no by raising your
hand and more medication can be given the nurses surgeon x-ray technician and
beneath the tests are nearby the procedure takes about 45 minutes
once this is over you will return to the day care unit the nurse will take your
blood pressure temperature and check the treatment site for any redness or
bruising this redness is normal and should clear in about two days your intravenous will be removed once
you are tolerating fluids even after you leave here you may want
only to sleep because of this it is important not to drive a car for
at least 24 hours after your treatment even though you may feel more like
yourself in the morning your judgment may be impaired due to the
medications you have received you must not dry for 24 hours since your
stay is short you must be aware of how to best care
for yourself after leaving the hospital and what to
do if you have any major problems we have provided you with a copy of
discharge instructions which we will now review shock wave lithotripsy will crush
stones into tiny sand-like pieces which will pass as fluids wash them through
the urinary tract for this reason we recommend 8 to 10
glasses of fluid water is best keeping your coffee and tea intake to a
minimum you may have blood in your urine for a
few days after your treatment if this lasts longer than one week or if you see
large blood clots in your urine call your urologist remember if you have
a stint in you can expect to see blood in your urine at any time while that
stint remains in place you should strain your urine in order to
collect stone fragments strain for two weeks or until you see your urologist he
can further direct you once you return home you can do all of
your usual activities short walks may help move stone pieces along the urinary
tract we will give you a prescription for pain
medication before you leave you may have some discomfort in your
side because of the shock waves many patients describe this as a
toothache type of feeling this generally lasts one two three days
pain may also be caused by stone fragments moving down the urinary tract
soaking in a warm bath may help ease any discomfort you may also receive a prescription for
an antibiotic this is either to treat or prevent an
infection you should get started on this tonight
and finish all of this medication as directed this is usually needed for seven to ten
days not all you neurologists routinely order this you
can get back on any regular medication that you may have been taking
immediately after this treatment call your urologist or go to the nearest
emergency department if one you are hot than cold with the
temperature of 38.5 degrees celsius or 101 degrees Fahrenheit to the pain is
not controlled by the medication you’re taking three you are unable to keep
fluids down or for you are unable to urinate it is very important for you to see your
urologist in one week at which time he can best determine the results of this
treatment about fifteen percent of our patients
have required a second let the trip c treatment on the same stone this could be because the stone is large
is an especially hard stone or it may be in a difficult location you’re referring urologist will
generally make this decision with you and can make similar arrangements for
you to return here if necessary in summary you should one
follow-up with your urologist in one week to drink 8 to 10 glasses of water
per day and three watch for fever and chills or severe
pain and report to your urologist or emergency department if you have
problems or questions call us here on the 1-800 number this number is on your
discharge instructions this is intended to give a general
overview of a let the trip c treatment and inform you of how to care of
yourself after leaving us each person is unique
and each situation is slightly different please ask us about anything at all that
is what we are here for feel free to bring up any concerns or
questions you may have

Comments 21

  • I had this done today. They broke up stones in my ureter by the bladder. I still have one in the right kidney. I am wondering why they did not do it to that one. My doc said he would check it in 2 weeks.

  • thank you for sharing

  • I am frequently being attacked by stones in kidneys…

  • VERY Canadian, eh?

  • it doesnt quite go that easily. As I was getting dressed to go home I had pain so bad I was screaming and begging for them to stop it. Took 2 doses of mirohine and was hospitalized overnight. Doctor said it mY have been a muscle spasm but didnt know. worst pain I ever experienced and wouldnt wish on my worst 3nemy.

  • can you please tell me how the fragments of stone going to bladder? passing through the J-stent or from the gap between stent and ureter?

  • this is very scary because my mom has kidney stones

  • i have to have this done tomorrow, how does this feel pain wise?

  • thnx for sharing

  • Thank you so much for this very informative video..
    But i'm still scared to under go this kind of treatment..

  • I just had external lithotripsy done this past Friday. I had vomiting that evening but otherwise seemed to be doing well. However, I started to feel horrible the next afternoon about 4pm and the Oxycodone they prescribed to me wasn't helping. I went to the ER and was admitted into the hospital for the remainder of Saturday evening and most of Sunday. Evidentially the kidney stone 'sand' backed up in my ureter and then urethra. It's now Wednesday, I still don't feel very good and have bouts of nausea and pain.
    They were only able to blast 1 of my kidney stones away so I have a repeat surgery in 4 weeks. This time they are going to place a stent that should help with the blockage and pain. I hope it goes better than the surgery I just had. The pain was not fun at all!!

  • im peeing out blood and blood clots? this happened in jully and it stoped in 3 days. now it happened again. but no pain. so i guss im lucky so far.

  • my heart goes out to people experiencing kidney stones omg worst pain I ever had in my life!

  • if you don't past the first time what need to be done

  • why did I look at this have litho on the 20th

  • i did Shock Wave Lithotripsy yesterday, its wonderful treatment in U.S.A, no pain , only 30 minutes. Thanks my Doctor,

  • my mum is 61yrs can she undergoes surgery to remove kidney Stones

  • Anyone else cringing now?

  • I'm 67 and in the UK. Had the procedure last month on my left kidney. Was told that I would have a stent but didn't get one after all. Perhaps they got enough out anyway. Everything went well, just blood in urine for a day or two; kidney pain on two occasions over two days (sorted with diclofenac suppositories); bladder irritation for about five days (made want to pee frequently but not producing much). All good so far. Thanks to our NHS.

  • Thanks for the comments, I am now aware of what can happen today and tomorrow.

  • do the stones look like that or could they look different

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