Lithotripsy Treatment Birmingham

What is Lithotripsy?

Extracorporeal shock wave lithotripsy (ESWL) is a procedure in which kidney and ureteral (tube draining urine from the kidney to the bladder) stones are broken into smaller fragments by shock waves. These small fragments can then pass out of the body naturally. This approach may leave you stone-free without surgical intervention or invasive procedures.

During lithotripsy, the stones are fragmented by high energy shock waves created outside the body. The machine used to deliver the shock waves is called a Lithotriptor.

Which stones are suitable for Lithotripsy?

• Stones in the kidney
• Stones in the ureter (tube draining urineFrom the kidney to the bladder)

Are there any contraindications for this treatment?

There are certain factors that would prohibit lithotripsy treatment such as:

• If you weigh over 120 kg
• If you have had blood-clotting problems
• If you are pregnant

There may be other factors that your doctor will take into consideration before performing the procedure.

What are the alternative treatments for kidney stones?

The majority of small stones within the kidney are fragmented by lithotripsy. However, a proportion of smaller stones and most larger stones need other treatment methods using telescopes passed through the bladder or through a keyhole operation. Decisions regarding the best treatment option will be taken based on the size and position of your stone and the structure of your kidney.

What preparation do you need before attending lithotripsy?

• If you are taking a substance used to prevent blood clottings such as Aspirin, Warfarin or Clopidrogel, please discuss this with your Urologist prior to your appointment.
• If you have a pacemaker, please let your Urologist know.
• Continue other routine medications.
• Do not eat anything 4 hours prior to the procedure (you can drink freely). If you are diabetic, please take your normal diet as suggested.
• Someone else must drive you home after the procedure or accompany you on public transport. You should be able to drive again the next day if you feel well enough.

How is the procedure (ESWL) performed?

The procedure is done as an outpatient and it takes about an hour. Tests will be performed beforehand, such as;

• An x-ray to determine the size and location of the stone
• Routine urine test
• Blood pressure
• An electrocardiogram (ECG), if there are any risk factors

After signing a consent form, you will be positioned on the Lithotripsy table, and monitoring equipment will be connected. A needle may be inserted in a vein in your arm to administer painkillers. The position of the stone will be located using an X-ray or ultrasound scan. After confirming the position of the stone, painkillers will be given, and treatment will start.
You must lie still during your treatment. You will be able to request more medication if you experience any pain. After the treatment has finished, you will rest in the recovery area. You will be discharged home when you are comfortable, and your observations are stable. Please allow approximately 2 hours for your visit.