Extracorporeal shock wave lithotripsy. Prices, reviews, ratings
General information
The essence of extracorporeal lithotripsy is that stones are crushed without direct contact with them. In this case, the stones can be located in the bladder, kidney or ureter. A special device is used, with the help of which a large wave is produced, under the influence of which the stones are crushed to a sandy state. After this procedure, the sand can come out with urine on its own.
The device creates blows of a certain depth and force. The waves created by a special device move away in a cone and are directed to one point. Due to the maximum amount of energy, the stone is crushed.
Procedure
Preparation
In the case of remote lithotripsy, the patient does not need complex special preparation. An important stage before this procedure is an X-ray examination of the kidneys, ureter and bladder or an ultrasound. This helps to determine the focal point to which the device waves will need to be directed. In addition, doctors must ensure that the patient's intestines are completely cleansed. This can be done with a special drug or enema.
The process of remote lithotripsy
This procedure consists of several stages:
- The patient is given general anesthesia or intravenous pain relief.
- Depending on where the stones are located, a special crushing device is applied to the lateral surface of the abdomen or lumbar region. The duration of remote lithotripsy ranges from 40 minutes to 2 hours and depends on the patient's condition, the size of the stone, its structure and other factors.
- The device creates shock waves that can reach up to 5 thousand waves in one session. If this amount of wave radiation is not enough, then the procedure may need to be repeated.
- The doctor regulates the intensity of the wave formation and gradually reduces the time between shocks so that the patient can adapt to what is happening.
Rehabilitation period
After the procedure of remote lithotripsy, the patient needs regular examination. If he has pain in the lumbar region and renal colic, this indicates the need for a repeat operation.
For several days after the procedure, the patient may feel the following unpleasant symptoms:
- pain at the site of application of the device;
- nausea with vomiting;
- pain during urination, which occurs due to the sand coming out through the urinary tract;
- there are blood impurities in the urine.
During the postoperative period, the patient must drink enough fluid so that the fragments of the crushed stone and sand can freely exit the body.
Two weeks after remote lithotripsy, the patient undergoes a control examination of the organs using ultrasound or X-ray.
Indications
Remote lithotripsy has a number of the following indications:
- the presence of renal colic, which is caused by the presence of stones;
- frequent inflammatory reactions to the presence of stones in the urinary tract;
- the presence of stones in the ureter, bladder or kidneys that reach more than 0.5 cm.
Contraindications
It is strictly forbidden to perform remote lithotripsy in the following patient conditions:
- frequent hemorrhages or bleeding, which indicate a violation of blood clotting;
- pregnancy;
- the presence of an inflammatory process in the urinary system or infection in these organs (cystitis, pyelonephritis, urethritis);
- narrowing of the ureter in the lower area of the stone;
- taking medications that thin the blood (at least 7 days before the procedure, these medications should be stopped).
Complications
Remote lithotripsy has a small number of complications compared to other methods of crushing stones. Such complications may be:
- blood in the urine;
- renal hematoma;
- ureteral obstruction.
Prices and clinics
Remote lithotripsy should only be performed in specialized clinics. An experienced urologist will be able to determine the size and location of the stone, which will allow the procedure to be carried out quickly and without serious consequences. On the website, from the list provided, you can choose the clinic you like and decide on the choice of a specialist, having read reviews about the qualifications of doctors and the work of the clinic in general.
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