Shock Wave Lithotripsy Treatment and Procedures in India | Max Hospital
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Bio Medical Waste Report For Shalimar Bagh

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 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

ShockWave Lithotripsy

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Home >> Our Specialities >> Urology >> Conditions Treatments >> ShockWave Lithotripsy

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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.