Welcome Today 06 22 2018

ESWL off Shock wave method

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Today, kidney stones are broken with 90-95% ESWL and ESWL is the most innocent stone treatment method known. The shock waves that focus on the stone, the erosion on the surface, constitute the tension wave that separates the structural elements of the stone from each other and thus breaks the stone. The kidneys and urinary tract stones are broken by shock waves that are transmitted from outside the body. It is the most modern form used in the treatment of kidney stones. The devices may vary according to the shape of the shock wave (piezo-electric, spark gap, electromagnetic) or the shape of the stone (ultrasonography, x-ray).

In the ESWL method, the success rate of stone breakage depends on where the stone is found, its structure and its size. If the stone is in the ureter between the kidney and the bladder (ureter), it blocks the flow of urine and urine, and if the stone size is large, endoscopic d-j catheter insertion is recommended without ESWL.

Easily broken with ESWL are according to the order

1. Struvite stones (infected stones)
2. Calcium apatite
3. Uric acid
4. Calcium oxalate monohydrate
5. Cystite stones

Patients in whom ESWL is not recommended are grouped
Patients with a stone greater than 3 cm
Pregnant women (x-ray devices)
Patients with cardiac pacemaker, renal failure, abdominal aortic aneurysm
Those who use blood thinners (those who risk bleeding)
Those with stenosis or anomalies in the urinary tract
Extremely fat people.

Complications of ESWL

1. Bleeding around the kidney (perineal hematoma)
2. Malignant hypertension in long-term treatment
3. Stone formation (stein strasse)
4. Injury around the kidney and tissue hardening (fibrosis)


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