Basically, this is the principle of energy sent as waves to break up kidney stones. Think of the waves generated from tossing a stone into still water, and this is the basic idea behind ESWL.
Dr. Shaw is proud to offer the latest, most minimally invasive options for management of stones within the kidney and ureter (tube connecting the kidney and bladder).
We use the latest generation shockwave-lithotripsy equipment to remove kidney and ureteral stones.
Once upon a time, this required major surgery or incisions. The newest technology allows us to usually perform these cases in one hour or less, and on an outpatient basis.
Shockwave Lithotripsy Information
What is Shockwave Lithotripsy (ESWL)?
When appropriate, we will give pain medicine, including Toradol, which is also relaxes the ureter, decreasing pain. We also use medications called alpha-blockers such as Uroxatral, Flomax, and Rapaflo, which can potentially dilate the ureter, allowing urine to be able to pass by the stone, reducing pain. In some lucky cases, the ureter dilates enough to pass the stone spontaneously. (No surgery!)
For others, with larger stone, complex anatomy, or other factors such as urinary infection, severe pain, shockwave lithotripsy will be necessary to remove the stone.
When at all possible, we ask that you remain on a clear liquid diet the day before the procedure (soups, broths etc). This clears the bowels, and makes it easier to detect the stone under X-Ray, when there is less gas and stool in the abdomen.
It is also critical that you stop any aspirin, coumadin, plavix, or other blood thinners one week before shockwave lithotripsy. Please call our office should you have any questions about this.