Lithotripsy For Removal Of Kidney Stones
What you should know
Lithotripsy For Removal Of Kidney Stones (Precare) Care Guide
- Lithotripsy For Removal Of Kidney Stones Discharge Care
- Lithotripsy For Removal Of Kidney Stones Inpatient Care
- Lithotripsy For Removal Of Kidney Stones Precare
- En Espanol
- Lithotripsy (LITH-oh-trip-see) is a procedure to remove kidney stones that are too large to pass on their own or are causing pain. It is also called extracorporeal (ek-strah-kor-POHR-ee-al) shock wave lithotripsy or "ESWL". Lithotripsy may also be done if the stone stops your kidney from working or blocks the flow of urine to your bladder. High energy shock waves are used to break the stones into tiny sand-like pieces. Then the broken up pieces can be passed (come out) in your urine. Lithotripsy usually takes one to two hours. You are usually able to go home the same day.
- Kidney stones are also called renal calculi. Kidney stones are rock-like pieces that can form anywhere in the urinary system. This includes the kidneys, bladder, ureters and urethra (urine tubes). They form most often in the kidneys, which are located one on each side in the back of your abdominal (center) area. Your kidneys clean waste from the blood and make urine. The stone may be large or small, and you may have more than one stone.
You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.
You may have blood in your urine for one to two days after having a lithotripsy. Bruising and some minor pain in your back or abdominal area are also common. You may need another lithotripsy if the stone was not broken small enough to pass in your urine. You may also need other procedures to break up or remove your stone. Kidney stones can cause a kidney infection and can stop urine from moving out of your kidney. If a kidney stone is not treated, your kidneys could stop working and you may die. Call your caregiver if you are worried or have questions about your medicine or care.
Before Your Lithotripsy:
- Ask your caregiver if you should stop using aspirin or any other prescribed or over-the-counter medicine before surgery.
- Bring a list of your medicines or your medicine bottles when you see your caregiver. Tell your caregiver if you take any herbs, food supplements, or over-the-counter medicines. Tell your caregiver if you have any allergies.
- Tell your caregiver if you know or think you are pregnant, or if you have a heart pacemaker.
- You may need to have blood and urine tests. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.
- Ask caregivers about directions for eating and drinking.
The Day Of Your Lithotripsy:
- Write down the correct date, time, and location of your procedure.
- Ask your caregiver before taking any medicine on the day of the procedure. These medicines include insulin, diabetic pills, blood pressure pills, or heart pills. Bring a list of your medicines or the pill bottles with you to the hospital.
- Do not wear contact lenses on the day of the procedure. You may wear your glasses.
- An anesthesiologist may talk to you before your procedure. This caregiver may give you medicine to make you sleepy during the procedure.
- You or a close family member may be asked to sign a legal piece of paper (consent form). It gives your caregiver permission to do a lithotripsy. It also explains the problems that may happen with a lithotripsy and your choices. Be sure all your questions have been answered before you sign this form.
- Ask a family member or friend to drive you home when you leave the hospital. Do not drive yourself home.
What Will Happen:
You will be asked to change into a hospital gown. You may be given medicine in your IV to help you relax. A stent (tube) may be put into your ureter. This tube may make it easier for broken pieces of kidney stone to pass from your body. You may sit in a bath of warm water or lie on a water-filled cushion. High energy shock (sound) waves are aimed at your kidney stone. When the waves hit the stone, they break it up into tiny sand-like pieces. X-rays or ultrasound are used to find the kidney stones and to watch them as they are broken. The broken pieces of stone pass down your ureters and into the bladder after a few days.
After the Lithotripsy:
You will be taken to a recovery room. You will be there until you either wake up or get the feeling back in the numbed area. You will then be able to go home or will be taken to your room. Do not get out of bed until your caregiver says it is OK.
This is a room where your family can wait until you are ready for visitors after your procedure. Your doctor or nurse will find them in the waiting room to tell them how the procedure went. If your family leaves the hospital, ask them to leave a phone number where they can be reached.
Contact a caregiver if
- You have questions or concerns about lithotripsy.
- You have a fever.
- The problems from your kidney stone get worse.
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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.