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Lithotripsy: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Lithotripsy is a medical routine in which shock waves are used to break the kidney stones, gall bladder stones or the stones that are formed in the ureter. Lithotripsy makes sure that the hardened masses in the different organs are reduced to tiny pieces that can be easily carried by urine outside the body.

Many people develop stones in their kidneys, gall bladders and ureters. If these stones are small enough, they either get carried by urine outside the body or are cured by oral medications. However, if the stones become too big (between 4mm and 2cm in diameter), they may cause severe pain and block urine flow. Also, stones can cause kidney damage, infection in the urinary tract and fever. No medicine can cure the masses of these sizes formed in the organs. In such cases, lithotripsy is performed. Lithotripsy is a great way of removing stones from the body without operating on the patient. The procedure has mostly positive results in people having stones in their kidneys, ureters or gall bladders.

How is the treatment done?

Lithotripsy can be performed in two ways- Extracorporeal Shock Wave Lithotripsy (ESWL) and Intracorporeal Lithotripsy or Endoscopic Lithotripsy.

Extracorporeal Shock Wave Lithotripsy (ESWL) : In this process, the patient is first placed on a water-filled cushion. Then X-rays are used to detect the exact location of the stones. In some cases, an ultrasound test may also be performed to to know the correct location. High-energy shock waves are then passed through the body to break down the stones into fine particles that can pass out of the body with urine. The stones are targeted by almost 1000 to 2000 shock waves for almost an hour. After this, sometimes, the doctor places a tube through the patient's bladder or back into the kidney to drain urine carrying all the particles of the stones.

Intracorporeal Lithotripsy: This type of lithotripsy is performed in patients in whom the exact location of the stones cannot be detected. This process is performed by inserting a tube with a camera and light tied to its tip into the urethra and then gradually upwards to the point where the stones are located. Then shock waves are passed to break down the stones. Intracorporeal lithotripsy is again of four types depending on the type and source of the shock waves - laser lithotripsy, mechanical lithotripsy, electrohydraulic lithotripsy and ultrasonic lithotripsy.

Who is eligible for the treatment? (When is the treatment done?)

Kidney stones are very common and so are stones in gall bladders or ureters. Not all stones are of the same size. The stones that have diameters ranging between 4mm and 2 cmm can be treated by lithotripsy.

Who is not eligible for the treatment?

Lithotripsy is not an option for anyone who is pregnant because the X-rays and sound waves may harm the fetus. The procedure is also not suitable for people with bleeding disorders or those who are suffering from infection of kidney or urinary tract. The structure of the kidney must also be perfectly normal to be eligible for lithotripsy.

Are there any side effects?

Lithotripsy breaks down the stones in the organs into little particles so that they pass out of the body with urine. The little particles can cause great pain when passing with the urine. The fragments can also get deposited in the urinary tract sometimes thus blocking the urine flow. In such cases, a ureteroscopy has to be performed to remove the fragments from the tract. It can also lead to infection of the urinary tract and bleeding outside the kidney.

What are the post-treatment guidelines?

Patients are advised to be at complete rest for at least 2 days. They also have to carry a urine strainer that catches the stone fragments passing with urine.

How long does it take to recover?

Lithotripsy is performed as an outpatient procedure. The patient has to be recovery for 2 hours after the procedure and then he can leave. The patient needs a resting period of 2 days to get on his feet. However, the leftover fragments of the stones may keep coming out of the body even a few weeks after the procedure. But that does not hinder any normal life function.

What is the price of the treatment in India?

The cost of the lithotripsy procedure varies depending on its type. An EWSL can cost from Rs.20,000 to Rs.35,000 while a laser lithotripsy cost ranges between Rs.50,000 and Rs.80,000

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Low Side Effects: Medium Time For Recovery: Medium Price Range:

Rs.20,000-Rs.80,000

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Popular Questions & Answers

I hv 1.1 cm stone in pipe I mean came down from kidney n nw its paining so doc said to do lithotripsy so is there any side effect if I do lithotripsy and is it painful and after this van I do any kind work and right after lithotripsy can I travel please reply me soon plz.

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1) Avoid hard water to drink, drink sufficient boiled water or purified water only. 2) Avoid fruits containing small seeds like tomato, guava, vegetables like brinjal, 3) Duration to cure kidney stone is depends upon size, number of stone, positio...

Is lithotripsy good enough to cure all stones from kidney or one should go for micro surgery?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
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it depends on size & position of stone . attach reports for better answer. if size less that 10 MM .then ok go for litho.
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What is the best treatment for kidney stones. Is the lithotripsy is safe treatment for 17 yrs. Of age. Please help me out, I am thankful to you.

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Size of the kidney stone is important to do whether lithotripsy or not. If the size is below 9 mm, HOMOEOPATHIC MEDICINES can definitely break the stones and helps to drain out through urine. No side effects in HOMOEOPATHIC MEDICINES. Once lithotr...
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Hi, I was having a 13mm stone in right kidney which is now removed through lithotripsy treatment. I just want ask how I can prevent from recurrence of stone?

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you should take 3-4 l water daily avoid taking vegetables containing seeds like brinjals, tomatoes, palak and please confirm that no other stone is present in kidney at present.
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I had a urethral lithotripsy 3 weeks ago. The stent has not been removed yet. After how long can I indulge in coitus?

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Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
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