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Lithotripsy For Removal Of Kidney Stones


Lithotripsy is a procedure to remove kidney stones using sound waves to break them apart.



  • Medicines can help decrease pain and prevent or treat an infection. You may also be given medicine to help pass the pieces of stone or prevent more kidney stones from forming.

  • Take your medicine as directed. Contact your primary healthcare provider (PHP) if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your PHP or urologist as directed:

Write down your questions so you remember to ask them during your visits.


You may have a small amount of blood in your urine for 1 to 2 days. You may also have bruising and minor pain in your back or abdomen. You may have pain whenever you pass pieces of your kidney stone. This may happen over a few weeks. Do the following after your lithotripsy:

  • Rest. You may feel like resting more after your procedure. Have family or friends help you with day-to-day activities, if possible. Slowly start to do more each day. Rest when you feel it is needed.

  • Drink plenty of liquids. This helps flush any remaining small pieces of stone. Fluids can also help prevent more stones from forming. Limit the amount of caffeine you drink. Caffeine may be found in coffee, tea, soda, and sports drinks. Ask how much liquid to drink each day and which liquids are best for you.

  • Apply heat on your lower back for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and soreness.

  • Strain your urine every time you go to the bathroom. Urinate through a strainer or a piece of thin cloth to catch the stones. Take the pieces to your caregivers so they can be sent to the lab for tests. This will help your PHP or urologist plan the best treatment for you.
    Look for Stones in the Filter

  • Ask if you need to make changes in the foods you eat. You may need to limit certain foods. You may need to limit nuts, chocolate, coffee, and certain green leafy vegetables. You may also need to limit meat and salt.

  • Do not pull on the stent because this can cause pain and bleeding. Make sure the stent does not have any kinks so the urine will drain properly. Do not lift the bag higher than waist level. This helps stops the urine from flowing back through the stent and causing an infection. Ask how to clean your stent to help prevent an infection.

Contact your PHP or urologist if:

  • You have a fever.

  • You have severe pain.

  • You cannot urinate.

  • Your urine is still bloody more than 2 days after lithotripsy.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You urinate bright red blood.

  • You have chest pain.

  • You have trouble thinking clearly.

  • You have severe vomiting.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.