Experience relief from kidney stone pain with advanced ESWL procedure. Consult us to book an appointment with the top urologists in Chennai for painless ESWL treatment in Chennai.
Extracorporeal shockwave lithotripsy or ESWL is a non-invasive procedure for removing kidney stones. The procedure uses high-frequency sound waves to target stones and breaks them into smaller fragments so they can be flushed out of the body through urine. Urologists generally recommend ESWL when the medications are ineffective to manage the pain and treat the stone. Shockwave lithotripsy for kidney stones is usually recommended for kidney stones of diameter 6-8mm. Get in touch with us to know more about ESWL treatment in Chennai.
Who can benefit from ESWL Treatment?
ESWL works effectively for patients with a stone size less than 10mm located in the kidney or high in the ureter. However, when kidney stones are present low in the ureter, near the pelvis and bladder, they don’t usually respond well. Therefore, it is important to consult your doctor before undergoing the ESWL treatment.
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Kidney stones mean passage time:
Stone size less than 2mm: 8 to 10 days
Stone size between 3 - 4mm: 12 to 20 days
Stone size between 4 - 6mm: 30 to 45 days
Stone size is greater than 6mm: 6 months to 1 year
Risk factors of kidney stone:
High calcium supplements intake
Increased consumption of animal protein
Nephrolithiasis ICD 10:
Diagnosis Code for calculus of kidney and ureter: N20
ICD-10 Code for pelviureteric junction (PUJ): N20
ICD-10 Code for vesicoureteric junction (VUJ): N20. 1
ICD-10 Code for urinary (tract): N20.9
ICD-10 Code for suburethral and ileal conduit: N21.8
ICD-10 Code for hydronephrosis with renal and ureteral calculous obstruction: N13.2
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Several diagnostic tests done before the ESWL treatment include the following –
Imaging tests (Xrays, abdominal ultrasound, MRI)
Blood urea nitrogen (BUN) test
The patient is administered with spinal anesthesia before the procedure. ESWL does not necessarily require general anesthesia as the intensity of pain is very low during the procedure. The patient is made to lie on a water-filled tub or cushion. The water acts as a medium between the machine and the organs to prevent damage to the surrounding organs. The surgeon uses several imaging tests like x-rays or abdominal ultrasound to determine the exact location of the stone. Once the stone is located, the surgeon releases a series of high-energy sound waves to break the stones into smaller fragments. The doctor carefully adjusts the power and intervals of the sound waves accordingly to break the stone into smaller pieces.
Once the stone is broken into smaller pieces, they are flushed out of the urinary tract. The whole procedure usually takes 30-45 minutes, depending on the stone density, medical health of the patient, and the surgical expertise of the surgeon. ESWL may not be an effective procedure for all types of kidney stones and may require multiple sessions to break them completely. The surgeon may also choose to insert a ureteral stent in case of a large stone. A stent enlarged the passage of the ureter for smooth movement of stones and help reduce the pain during the stone expulsion.
Frequently Asked Questions
What is the full form of ESWL?
The full form of ESWL is Extracorporeal shockwave lithotripsy.
What size of stones are treated with the ESWL procedure?
ESWL is effective in removing kidney stones with a diameter of less than 10mm. However, several urologists may recommend shockwave therapy for kidney stones as an ideal procedure with sizes between 6-8mm.
What is the duration of ESWL?
ESWL generally takes 30 – 45 minutes, depending on several factors such as size and number of stones. Surgery time also depends on the medical condition of the patient and the surgical expertise of the urologist.
Is ESWL surgery painful?
No, ESWL is not a painful procedure as it is done under anesthesia. However, there may be mild discomfort after the procedure due to stent insertion when the effect of anesthesia wears off.
Who should not undergo ESWL treatment?
ESWl treatment is usually not recommended for patients with the following conditions –
Pregnant women (sound waves and X-rays may be harmful to the fetus)
Patients with bleeding disorders
Patients with kidney infections, urinary tract infections, or kidney cancer
Patients with abnormal kidney structure or function.
If the location of stone is in the pancreatic duct (may require an endoscopy to remove the stones)
Is ESWL for pancreatic stones effective?
Yes, the ESWL procedure for pancreatic stones is really effective since the location of the stone lies in the effective radius of sound waves. The urologists may also suggest ureteroscopy for the same.
Does ESWL have a high success rate?
ESWL is an advanced procedure with a high success rate for small-sized stones (diameter of around 6-8mm) that are ineffective against medications, therapies, etc. However, ESWL can provide excellent results, with more than 90% of patients experiencing relief from pain. Get in touch with us to know more about the ESWL treatment.
What is the cost of ESWL surgery in Chennai?
The ESWL treatment cost in Chennai usually starts from Rs. 40,000. However, the cost of the procedure can vary depending on several factors such as consultation charges, number of sessions, insurance coverage, medical condition of the patient, surgical expertise of the urologist, etc. The price can also increase if the surgical experience of the surgeon is higher. Get in touch with us to know more about the ESWL treatment.
Is there insurance coverage for ESWL procedure in Chennai?
Yes, some insurance companies cover the cost of ESWL in Chennai. ESWL surgery is done as a medical necessity to avoid complications involving kidneys. However, the insurance coverage depends on the insurance policies and the terms and conditions set by the insurance provider.
What are the complications of untreated kidney stones?
Prolonging kidney stones can lead to possible complications –
Loss of kidney functioning
Septicemia (blood poisoning)
Can kidney stones cause gastrointestinal problems?
Yes, kidney stones are often associated with several gastrointestinal symptoms such as nausea, vomiting, pain in the lower back, and discomfort while urinating. Large-sized stones can also obstruct urinal passage, causing several GI issues, including gas, constipation, etc.
How to prepare for the ESWL procedure?
Your doctor or healthcare institute generally provides instructions before the ESWL procedure to help your prepare for the surgery. Here is how you can prepare for your ESWL surgery –
Inform your urologist about any ongoing medications or health conditions before the ESWL surgery.
Wear loose-fitting clothes to avoid discomfort around the surgical site.
Stop smoking tobacco or anything else before the surgery.
Inform your doctor about any allergies related to anesthesia.
Do not eat or drink 8 to 9 hours prior to the surgery, as it can delay the effects of anesthesia.
What to expect after ESWL?
Since shockwave therapy for kidney stones break them into smaller fragments, you can expect to pass stone pieces in your urine for several days. Stone pieces may appear similar to sand, gravel, or dust. Some patients may experience pain while passing stone fragments (even tiny ones). The kidney stone specialists may prescribe several OTC medications and suggest dietary restrictions to help reduce the pain and ease the recovery process until the stone fragments are completely flushed out of the body.
Recovery after ESWL
Recovery is an essential aspect of surgery. The normal recovery time after the ESWL procedure usually takes a day, and the patient can resume work within two to three days after the surgery. Since there are no cuts and stitches, you can perform minimal physical activities that do not strain your lower body.
Benefits of ESWL surgery
ESWL being an advanced procedure offers several benefits over conventional surgeries. Some of the benefits of extracorporeal shockwave lithotripsy include the following –
No cuts or stitches
Shorter hospital stay
Resume daily activities within a week
Benefits of choosing Pristyn Care for ESWL procedure in Chennai
Pristyn Care is a full-stack healthcare service provider that offers several benefits in terms of surgery experience and financial assistance. Our associated hospitals are equipped with the latest technology and modern infrastructure for a high success rate. Some of the benefits of choosing Pristyn Care for your ESWL procedure in Chennai include –
15+ years of experienced urologist
Latest tools and equipment
Personal care buddy
Assistance with paperwork for Insurance approval
Flexible payment options
Free pick-up and drop facility on the day of ESWL surgery
Free follow-up consultations after the surgery
COVID-19 safe environment
Book an appointment with our experienced urologists for your ESWL treatment in Chennai.
Here is how you can book an appointment with some of the best urologists in Chennai through Pristyn Care –
Fill out the patient form on our website. A team of medical coordinators will reach out to you at the earliest to gather details from your end once the appointment form is submitted. The appointment will be subsequently fixed with the concerned urologist according to your schedule.
Connect with our medical coordinators via the contact number on our website. A team of dedicated medical coordinators will gather inputs from your end and connect you with the kidney stones doctor near your area for your ESWL treatment and book your appointment consecutively.
You can also book an appointment through our Pristyn Care app. Our medical coordinators will arrange an offline or online video consultation with the kidney stones specialist near your area.