Shock Wave Lithotripsy Treatment and Procedures in India

Get Second Opinion

Name *

Email *

Phone*

Country Code *

Please enter 10 digit mobile number *

Please provide your phone number with country code

Hospital Network *

Type your comment *

Leave this field blank

Doc Connect

Hospital :

Max Super Speciality Hospital, Saket

Description:

Robotic Urological Surgery: 15 years journey
Dr. Rahul Yadav, Dr. Anant Kumar
Robotic surgery is the latest in advanced onco surgical procedures
Dr. Harit Chaturvedi
Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child
Dr. Neeraj Awasthy, Dr. Sushil Shukla
Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm
Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
Risk factors for patients undergoing treatment for Breast Cancer
Ms. Kanika Arora, Ms. Ritika Samaddar
Radiology Case of The Month
Dr. Nafisa Shakir Batta, Dr. Dhruv Jain

Date:

October, 2015 :15

PDF:

Medical-Journal_15_Oct'15_Pagewise.pdf

Month

Red Autoclave(Infected Plastic Waste)

Yellow- Incineration(AnatomicalWaste & Soiled Waste)

Blue Autoclave (Glass- Bottles)

Black Cytotoxic- Incineration( Cytotoxic Contaminated Items)

White- Sharp

Total Bags

Total Weight(In KG's)

No. of Bags

Weight (in KG's)

No. of Bags

Weight (in KG's)

No. of Bags

Weight (in KG's)

No. of Bags

Weight (in KG's)

No. of Bags

Weight (in KG's)

Apr-17

924

2963.50

954

2994.10

239

1017.30

103

279.20

1645

606.40

3865

7861.00

May-17

1175

4624.12

1028

3498.40

276

1524.34

195.01

1803

823.85

4369

10665.71

Jun-17

1060

4511.45

902

2886.66

293

1324.05

194.00

2057

1100.69

4388

10016.85

Jul-17

0.00

Aug-17

0.00

Sep-17

0.00

Oct-17

0.00

Nov-17

0.00

Dec-17

0.00

Jan-18

0.00

Feb-18

0.00

Mar-18

0.00

YTD

3159

12099.065

2884

9379.155

808

3865.69

266

668.705

5505

2530.94

12622

28543.555

ShockWave Lithotripsy

Clinical Directorate

Clinical Excellence Reports

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

What is Shock Wave Lithotripsy?

Shock wave lithotripsy (SWL) is one of the most frequently used treatments for kidney stones. High-pressure waves are targeted from outside the body at the stone which causes it to break into fragments. Another name for shock wave lithotripsy is Extracorporeal Shock Wave Lithotripsy (ESWL), where extracorporeal means from outside the body. SWL is an efficient non-surgical procedure for treating stones in the kidney or the ureter. Once the stones are broken into fragments, they are easily passed through urine.

When Is Shock Wave Lithotripsy Used?

Multiple factors are taken into consideration before implementing SWL. Very large stones are difficult to treat using SWL. The shape and size of the stone, the position where it is placed, kidneys condition and the patient's overall health, everything is taken into consideration before an SWL. Generally, stones which are smaller than 2cm in diameter are suitable for an SWL.

Who are not the right candidates for SWL?

Pregnant women
Patients with bleeding disorders, kidney disorders
Obese patients

Preparation Prior SWL

Anesthesia is used by the doctor to help the patient remain calm and still during the procedure. It could either be general, regional or local anesthesia; hence the patient is advised not to have or any fluids 6 hours prior to the procedure. Patients can continue their regular medications, but blood-thinning medications are stopped by the doctor for around 5 days before the lithotripsy procedure. A mid-stream urine culture test is advised by the doctor to confirm the urine’s sterility before the treatment.

SWL Treatment Procedure

The patient is positioned on the operating table and a soft, water-filled cushion is stationed on the abdomen or behind the kidney which helps the high-frequency waves to be transmitted to the kidney. The patient is positioned in such a manner that the shock waves would be directed precisely at the target. Usually, the procedure takes about 45-60 minutes and around 1000-3000 shock waves to crush the stones.

At times, the physician slides a tube (DJ stent) through the bladder and threads it up to the kidney. These tubes also called as stents that are used to keep the ureter open. It is also used when there is a high risk of infection or the patient is not able to tolerate the pain. Post-treatment the patient is generally allowed to leave after an hour. Patients are advised to consume lots of fluids and then are asked to strain their urine through a filter in order to capture the stone fragments for testing.

Shock Wave Lithotripsy cost in India varies with the type of procedure selected, the facility where the treatment takes place and the city where the patient decides to choose to get the procedure done.

What Can a Patient Expect After The Procedure?

Post-treatment, the patient might experience abdominal pain and will possibly have blood in the urine. Some may even experience acute pain when the stone fragments pass through urine. Sometimes, the stone present is not entirely crushed, and further treatment is needed. Patients are advised to contact the doctor for any complications post-treatment such as the urge for urination after the bladder is empty or a severe pain even after having painkillers.

Follow-Up Care

Patients are advised to consume around three liters of fluids per day in order to help the passage of stone fragments. If there are not any complications associated with SWL, patients are instructed to meet the physician after one month of the treatment. A kidney, ureter and bladder X-ray is advised prior to seeing the physician as it helps him to evaluate the condition. Simple analgesics are usually required after the treatment. Only in certain cases, stronger medications are prescribed.

ShockWave Lithotripsy Specialists/Doctors