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When minerals and other substances in the urine form solid lumps, also known as stones, in the kidneys, it can result in kidney stones. These crystalline materials can be treated with a medical procedure called Lithotripsy. This procedure is also used to treat stones in other organs, like the liver or gallbladder. Shock waves are used in Lithotripsy to fragment stones in the kidneys and the ureter, which is responsible for transporting urine from the kidneys to the bladder. Following the treatment, the fragmented stone pieces were excreted from the body via urine. Lithotripsy has been proven to be a highly effective treatment for kidney stones, with the ability to break up most types of stones using shock waves. A lithotripsy is a non-invasive option, making it a popular choice for urinary stone treatment. There are also various other procedures available to quickly and effectively remove troublesome stones. The recommended course of action will depend on factors such as the type of stone and the overall health of the patient.
Consult the urologists at our Best Kidney Stone Treatment Hospital in Dhakuria if you need Lithotripsy Treatment.
Lithotripsy is a non-invasive procedure that uses high-energy shock waves or lasers to break down and eliminate bothersome stones in the kidney, quickly and effectively.
Shockwave Lithotripsy (SWL) is the standard treatment for renal stones larger than 1 cm, although Percutaneous Nephrolithotomy (PCNL) is frequently necessary for stones smaller than 2 cm. Treatment for stones that are 1-2 cm is controversial. If a stone is larger than 5 mm and does not pass naturally or create symptoms, Lithotripsy is usually required. Usually, stones larger than 10 mm typically require intervention because of the pain and difficulties they can bring.
Lithotripsy, or Extracorporeal Shock Wave Therapy: Using an X-ray as guidance, Extracorporeal Shock Wave Lithotripsy breaks stones in the urinary tract using shock waves from a lithotripter.
Intracorporeal (endoscopic) Lithotripsy: In the management of urolithiasis, the breakdown and removal of urinary stones is referred to as Intracorporeal Lithotripsy. Urinary tract endoscopes are used to carry out these operations.
Laser Lithotripsy: Effective in preventing complications while functioning well for bigger stones > 2 cm.
Hydraulic Electrotherapy Lithotripsy: The process of Hydraulic Electrotherapy Lithotripsy involves the use of electric currents and water pressure to break up kidney stones, making them easier to pass or remove.
Lithotripsy by mechanical means: Large bile duct stones can be crushed using a procedure called Mechanical Lithotripsy.
Ultrasonic Lithotripsy: Using mechanical vibration, Ultrasonic Lithotripsy breaks up stones into smaller pieces that may be inhaled using specialised probes. A less risky technique for stones smaller than 10 mm.
Shock Wave Therapy can be used in two different ways to remove stones. One method includes immersing the individual in a warm bath. The body is positioned such that the stones are accurately targeted using ultrasound or X-rays to determine their location. In the second method, the patient lies on top of a soft cushion or membrane, allowing the waves to pass through. The second method is more popular and is mostly used. It takes one to two thousand shock waves to crush the stones, and it takes around 45 to 60 minutes to complete the therapy.
For a few days to a few weeks following this treatment, it is typical to have a tiny amount of blood in your urine. As the stone fragments pass, you can experience discomfort and nausea. This may occur shortly after therapy and persist for four to eight weeks. If sound waves were utilised to cure the stone, you might have some bruising on your side or back. Additionally, there can be some soreness in the treated area.
For a few days to a few weeks following this treatment, it is typical to have a tiny amount of blood in your urine. As the stone fragments pass, you can experience discomfort and nausea. This may occur shortly after therapy and persist for four to eight weeks. If sound waves were utilised to cure the stone, you might have some bruising on your side or back. Additionally, there can be some soreness in the treated area.
When compared to alternative stone therapies, Extracorporeal Shock Wave Lithotripsy (ESWL) has the advantage of being non-invasive or requiring no incisions. For patients who wish to avoid surgery and the risks and recovery time that come along with it, this makes it their preferred alternative. ESWL is usually done as an outpatient operation, meaning that patients can go back to their homes the same day.
During the ESWL operation, you should not experience any pain if you are under general or regional anaesthesia. The majority of patients who have ESWL without anaesthesia (instead of receiving pain medication beforehand) report mild to moderate pain during the treatment (grading it a 6 or lower on a pain scale of 0 to 10).
Cardiovascular instability can occasionally occur during Extracorporeal Shock Wave Lithotripsy (ESWL) treatment or in the early post-treatment phase. This instability may manifest as altered blood pressure, anginal symptoms, or changes in heart rate or rhythm.
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