What is Lithotripsy ?
Lithotripsy is coupled with two words - litho (stone)
and tripsy (break), implies - stone-breaking, yet, it is otherwise
called ESWL (Extracorporial Shock
Wave Lithotripsy). It is just a therapeutic technique for
crushing or breaking the kidney stones in small fragraments with
shock wave machine without making an operative incision. Parts involved with this procedure are kidney, urinary bladder, ureter only and
not need to hospitalization because it done as outpatient basis.
Most kidney stones are small enough to
pass completely without treatment but many of patient who have bigger one (up to 20
mm) then treatment is necessary
and now a days ESWL is an incredible choice of treatment
because it managed without surgical
incision, has a great and positive aspect of this therapy. But a notable point
is that this procedure is effective in up to 20
mm size stone and the treatment might not be effective
in larger than 20 mm measured stones. ESWL works well with smaller than 20 mm stones dependably.
Advantages of Lithotripsy –
-It is a
non-surgical treatment.
-No hospitalization required since, it done on an out patient basis,
so patient can go their home same day.
-The recovery
time is usually quite short. After treatment, the patient can get right up to
walk simultaneously up, many individuals can completelly continue every day
activities within one to two days.
-Precautionary diets
aren't needed, just drinking a plenty of water should be implemented,
to help flushing out stone fragments.
Disadvantages of Lithotripsy –
- Anaesthesia –
It is a non-surgical and non- incisional technique
although mild or moderate sedation may be required
and it is completely relied upon patients' health condition and size of the
stone and doctor's choices.
- It is
useful for small stones. Larger than 20 mm stones, may need surgical removal or
other treatment.
-
Treatment may require a few sessions of procedure. After treatment, some
patients may still have stone fragments inside their urinary tract that are too
larger. These can be treated
again either with lithotriptor or
need other solutions to get rid off.
-After ESWL, patient might feel abdominal pain or bleeding from kidney, ureter etc. Analgesics
(NSAID) and drinking a lot of normal water may soothe symptoms. Some times, unsuccess would
be made with this therapy, that results in not break down of stones.
- Some of 50-75%
are observed to be free
from stones within 90 days of ESWL
treatment. The highest success rates seem to be in those patients with smaller stones.
treatment. The highest success rates seem to be in those patients with smaller stones.
CONTRAINDICATIONS -
-Pregnant lady –
Shock wave may harm foetus, so , pregnant lady is not really a suitable candidate for lithotripsy procedure.
Obesity - Over
weighed people are contraindicated for this treatment also.
Intestinal flatulence
–
Intestinal gas may interfere with a Lithotripsy procedure.
Intestinal gas may interfere with a Lithotripsy procedure.
- Patients with
acute or chronic uti - urinary tract infection.
- Patients having
certain type of hard calcium and cystine stones,
sometimes not break up with lithotripsy.
-Patients having
a pacemaker-
Cardiologist
advise is needful prior to procedure.
-Patients with
ureter or urethral stricture, which may prevent stone fragments from passing.
-Patients who
require quick and complete removal of stones.
- Patients with
bleeding disorder (haemophilia) or who have taking blood thinning agent
(anticoagulant such as aspirin), need discontinuation
of anticoagulant drug prior to procedure.
-Damage to the area around the stone, fragrant
or pieces of the stone blocking the flow of urine.
Complications of lithotripsy -
Blockage in
urine flow due to broken fragrant which
might be sticky. Uretroscopic fragments removal may need in such sorts of
conditions.
-UTI (Urinary
Tract Infections).
-Pain may occur due to
stone fragments.
Recurrence of stones - Reformation of kidney stones may seem in
some of the cases and repeat treatment likewise required in that type of cases.
-
Tissue damages –
Some of the fragments become hone edges
and may cause tissue injury and severe pain around stuck stone region.
.............. .................. ....
Written by Rajesh Kumar
.......................................
Written by Rajesh Kumar
.......................................
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