Shock Wave Lithotripsy

Passing a kidney stone can be very painful. Shock wave lithotripsy is a procedure that's not surgery. It uses high-energy shock waves to break the kidney stone into smaller pieces. This makes them easier to pass. This treatment is also called extracorporeal shock wave lithotripsy (ESWL). Lithotripsy takes about an hour. You often have it as an outpatient. It's done in a hospital, lithotripsy center, or mobile lithotripsy van. You will likely go home the same day. This treatment is not used for all types of kidney stones. Your doctor will discuss whether this is the right treatment for the type of stone you have.

• You will get medicine to prevent pain and help you relax or sleep during lithotripsy. Once this takes effect, the procedure will start.
• A flexible tube (stent) with holes in it may be placed into your ureter, the tube that connects the kidney and the bladder. This helps keep urine flowing from the kidney.
• Your doctor then uses X-ray or ultrasound to find exactly where the kidney stone is.
• High-energy shock waves are aimed at the stone and sent at a high speed. If you're awake, you may feel a tapping as they pass through your body.

• You'll be closely watched for about 1 to 3 hours in a recovery area. Antibiotics and pain medicine may be prescribed before you leave.
• You'll have a follow-up visit in a few weeks. If you received a stent, it will be removed. Your doctor will also check for pieces of stone. You may need a second lithotripsy or another procedure if large pieces remain.

• Infection
• Bleeding in the kidney
• Bruising of the kidney or skin
• Blockage (obstruction) of the ureter
• Failure to break up the stone (other procedures may be needed)

After the treatment, most people can return to their usual activities within 1 to 2 days. It can take a day to several weeks or more for the pieces of stone to leave your body. Special diets are not required but try to drink at least 8 to 12 glasses of water a day. This will help flush your system. During this time:

• Your urine may be cloudy or slightly bloody. You may even see small pieces of stone.
• You may have a slight fever and some pain. Take prescribed or over-the-counter pain medicine as instructed by your doctor. Drinking the prescribed amount of water will also help relieve these symptoms.
• You may be asked to strain your urine to collect some stone particles. These will be studied in the lab.

Contact your doctor right away if you have:

• A fever of 100.4°F (38°C) or higher, or as directed by your doctor.
• Heavy bleeding.
• Pain that doesn't go away with medicine.
• An upset stomach and vomiting.
• Problems urinating.
• New symptoms or symptoms that get worse.