Extracorporeal Shock Wave Lithotripsy (ESWL) Treatment In Gurgaon, India

What Is Extracorporeal Shock Wave Lithotripsy (ESWL)?

Extracorporeal Shock Wave Lithotripsy or ESWL is a non-invasive procedure that breaks down kidney stones into smaller pieces causing instant relief from pain. The stones are broken into smaller fragments using high-frequency shockwaves generated from a machine called lithotriptor which subsequently get flushed out of the body via urine.

ESWL is considered an effective treatment for kidney stones up to 10mm in size. Certain medications can help the stone expulsion, which when happens naturally can be immensely painful. The shock-wave lithotripsy breaks the stones present in the ureter or kidneys into smaller particles, so they can come out naturally without causing much pain.

Who Should Undergo Extracorporeal Shock Wave Lithotripsy (ESWL) Treatment?

Extracorporeal Shock Wave Lithotripsy is ideal for patients with smaller stones (size not greater than 10mm) present in the kidney or upper ureter. Urologists generally recommend ESWL procedure for patients with the following - 

Small to Medium Kidney Stones:

Stones that are 4 mm to 10 mm in diameter are typically suitable for ESWL. Larger stones may require other treatments, such as percutaneous nephrolithotomy (PCNL) or ureteroscopy.

Stones Located in the Kidney or Upper Ureter:

Stones present in these areas are more accessible for shock wave targeting. In case of multiple or staghorn stones, the surgeon may recommend endoscopy or an invasive procedure.

How Can I Prepare For My ESWL Treatment?

Before undergoing an extracorporeal shock wave lithotripsy procedure, the patients need to follow a set of instructions given by the hospital to minimize the complications. Here is how you can prepare for your ESWL treatment - 

Fasting:

Fasting for 6-8 hours before the procedure is typically recommended. 

Hydration:

Staying hydrated is important before the procedure and can help your body prepare for recovery. 

Discuss History of Medical Conditions:

Inform your doctor about any history of allergies due to anesthesia, medical conditions, heart surgery, blood thinner medication, etc. to reduce the chances of risks due to the procedure. 

Medical Evaluation:

Urologists recommend imaging tests such as X-rays, ultrasounds, or CT scans to generate a 3D image of the abdomen which can help locate the kidney stones and determine their size and composition.

Blood Test:

Blood tests may be conducted to check for infections in the blood and investigate overall kidney functioning.

Urinalysis:

A urine culture test may be done to check and treat infection before the procedure. 

Medication Adjustment:

The doctor may advise you to stop certain medications such as blood thinners for a few days before the procedure to minimize the risk of bleeding.

How Is Extracorporeal Shock Wave Lithotripsy Procedure Performed?

Extracorporeal Shock Wave Lithotripsy is a non-invasive procedure which means there are no cuts or incisions. The procedure aims to break the stones into smaller fragments which get flushed out via urine. Here is what you can expect during the Extracorporeal Shock Wave Lithotripsy procedure - 

• The patient is made to lie on a padded table with their back positioned against a cushion or water-filled device. This device helps transmit shock waves to the kidney stones.

• Based on the pain tolerance and the size of the stones, the anesthesiologist will give you local or general anesthesia to ensure comfort throughout the procedure.

• A machine called a lithotripter which generates high-energy shock waves externally, is directed at the area where kidney stones are located. These shock waves travel through the skin and tissues without damaging them.

• The procedure typically lasts 30-60 minutes, during which thousands of shock waves are delivered. Depending on the size of the stone, the patient may have to undergo several sessions. 

• Your heart rate, blood pressure, and oxygen levels will be closely monitored throughout the procedure to ensure no risks of complications

What Can I Expect After The ESWL Procedure?

Here is what you can expect after your Extracorporeal Shockwave lithotripsy procedure:

Immediate Recovery:

After the procedure, you will be monitored in a recovery area for a short period before being discharged, often on the same day.

Passing Stone Fragments:

Over the following days or weeks, the patient may pass stone fragments in the urine. There may be mild discomfort or pain including burning during urination or cramping as the stones travel in the ureter.

Hydration:

Hydration is the key as drinking plenty of water can help flush out the stone fragments from the body. Drinking enough water or juice can build up urine which can eliminate stones from the body.

Pain Management:

There may be mild to moderate pain after the procedure which can subside with medications. The doctor may prescribe pain relievers or recommend over-the-counter medications to manage such discomfort.

Follow-Up Appointments:

Encourage regular consultations with the urologist to keep track of your kidney health and confirm all stone fragments have been eliminated from the body.

Are There Any Risks Or Complications Associated With The ESWL Treatment?

While ESWL is considered a safe procedure, there are some risks associated with it such as: 

• Blood in Urine

Temporary hematuria (blood in urine) is common after the procedure.

• Pain or Discomfort

Mild to moderate pain may occur as stone fragments are eliminated through the ureter

• Bruising or Swelling

Some patients may experience bruising or swelling at the treatment site where the shock waves were directed. 

• Incomplete Stone Fragmentation

In case of stubborn kidney stones that are difficult to break, additional sessions may be required to break up the stones fully.

• Infections

Rarely, urinary tract infections may develop due to ESWL procedures and may require treatment with antibiotics.

• Kidney Damage

Though rare, repeated procedures may cause minor kidney damage.

Extracorporeal Shockwave lithotripsy For Pediatric Kidney Stones:

Most symptoms of kidney stones are silent and many children may not know they have stone until it begins to grow or move in the kidneys, bladder, or urethra. Therefore, it makes it crucial to have a comprehensive and integrated team of specialists that cater to the kidney stone treatment in children. 

There are several advantages of the ESWL procedure for pediatric kidney stone treatment as it involves no incision making it less traumatic for children. Moreover, ESWL minimizes the risk of kidney damage compared to open surgery to ensure quick recovery and minimal complications.

Choose Artemis Hospitals For the Best Kidney Stone Treatment In Gurgaon.

Extracorporeal Shock Wave Lithotripsy (ESWL) is a safe and effective treatment option for many patients with kidney stones. Artemis Hospitals, Gurgaon has advanced technology, expert care, and a patient-centric approach for all urological disorders. If you are experiencing symptoms of kidney stones, get in touch with us to book an appointment at Artemis Hospitals for your kidney stone treatment.

Artemis Hospital has a team of highly skilled urologists with extensive experience in diagnosing and treating several urological disorders with a very high success rate.

For expert care, call us today at +91-124-451-1111 or WhatsApp us at +91-959-928-5476. You can also easily schedule an appointment through our online patient portal or download the Artemis Personal Health Record mobile app, available for both iOS and Android devices. Your health is our priority—let us help you take the next step toward healing.

Reviewed By Dr. Rajiv Yadav

Chairperson - Urology & Head, Urologic Oncology & Robotic Surgery

Artemis Hospitals