Associates in Urology of Central Florida
a division of Orlando Physician Specialists, LLC
Shockwave lithotripsy for kidney stones
You have been diagnosed with kidney stones and a special high-tech procedure called extracorporeal shockwave lithotripsy will be carried out for disintegrating the same. In this operation usually a small strong is inserted and placed between the kidney and the bladder which is not visible however the stone is been subjected to pressure waves which disintegrate as a result the resultant fragments are mainly very small and dark cold stone dust 13 beat some large fragments remaining the patient is usually sent.
Preparing for the procedure:
Early preparations soon as the decision is made for this treatment on general measures are useful. Blood thinners and anti-inflammatory medication must be stopped in about 10 days in advance. This includes aspirin Ecotrin, ibuprofen, meloxicam, warfarin, Coumadin, plavix, pradaxa, eliquis, and lovenox.
All herbal supplements are to be stopped 14 days in advance. This include but not limited to ephedra ginsing kava valerian root, St Johns wort, garlic fish ginkgo appetite suppressant's vitamins and on over the counter products.
Metformin / glucopage must be discontinued 48 hours prior to your procedure.
You may require assistance of you primary care or cardiologist. Please check with our office regarding any unusual medications you may be on.
Stopping smoking reducing wait keeping on medical diseases like diabetes blood pressure and heart disease under control is important.
You may need to obtain a preoperative clearance from your primary doctor or specialist.
The day before the procedure
Satisfactory hydration avoid heavy meals and meat products the evening meal should consist of clear liquids like bouillon soup and fruit dishes. Do not dehydrate yourself if you have a tent and seek to constipate you may start stool softeners on this day.
The day of the procedure
Continue medications for high blood pressure or any neurological condition. Diabetics should not take any medications in the morning. Simply shower with soap and water for cleanliness. If you notice anything unusual please report it to the nurse upon admission to the facility.
What to expect during the procedure
In this operation the patient is under full anesthesia and therefore no pain is experienced. You may have a catheter inserted from the bladder to the outside. This is generally removed in the recovery room but for other reasons may be left in when you go home.
What to expect after the operation
There is no specific pain and there is no incision. The main type of discomfort and pain is from the stent within. This may be at the level of the kidney or a cane the spasmodic towards the bladder. This may result in a desire to void and frequency may result due to that tube.
Usually patient will be given to either orange or blue to help relax the muscle and alleviate the pain.
The tube (stent) from the kidney to the bladder or is generally left for about a week. You will be advised to obtain renal ultrasound in about a week at the office to determine the absence of any large fragments. If none are present the stent is generally removed in the office, for which a local anesthetic is all that is necessary.
Post operative care
The patient is usually discharged the same day and advised to hydrate him or herself well. You should continue all medications. Urgency is fairly common and frequency of urination may result. In mild pain is not usual but is well controlled by medication's severe pain is rare. If you have high fever with chills with or without pain please notify the office immediately.
The day of the stent removal the patient should not eat a heavy meal and should stay well hydrated. Upon a visit to the office the nurse will place the patient on the table and anesthetic jelly is used for this procedure. A special instrument called a scope is used to visualize the bladder and a special grasping forceps used to seize the stent and gently remove it from your body.
Most patients have found that sought to be worse than the actual procedure. There is some urgency running to the bathroom that follows for up to 24 hours. Rarely the Ureter (your natural passage tube from the kidney to the bladder) me have spasmodic activity and meet also give you discomfort and at times severe pain. You are encouraged to drink plenty of water to reduce or avoid the pain.