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What is Lithotripsy?

Lithotripsy is a medical procedure designed to break down kidney stones into smaller fragments so they can be more easily passed through the urinary tract.

There are a few different types of lithotripsy, but the most commonly used is **Extracorporeal Shock Wave Lithotripsy (ESWL)**. This technique uses shock waves to target and fragment the stones without needing to make any incisions.

Side Effects of Lithotripsy

While lithotripsy is generally effective and minimally invasive, it can have side effects. Some of the most common side effects include:

  • Discomfort or Pain: You might experience some pain or discomfort in your back or abdomen as the fragments pass through the urinary tract.
  • Blood in Urine: It's not unusual to see blood in your urine after the procedure, though this typically resolves on its own.
  • Bruising or Hematomas: Bruising around the area where the shock waves were directed may occur.
  • Infection: There is a small risk of developing a urinary tract infection post-procedure.

These side effects are usually temporary and can be managed with medication and follow-up care.

How is Lithotripsy Diagnosed?

Before undergoing lithotripsy, a thorough diagnostic process is conducted to ensure it is the right treatment for you. This typically includes:

  • Medical History and Physical Examination: Your doctor will review your symptoms and medical history.
  • Imaging Tests: To confirm the presence, size, and location of the kidney stones, imaging tests such as **ultrasound**, **CT scans**, or **X-rays** are used. These tests help determine the most appropriate treatment approach.
  • Urine and Blood Tests: These tests may be performed to assess kidney function and identify any underlying issues contributing to the formation of kidney stones.

Potential Treatment Options for Kidney Stones

Aside from lithotripsy, there are several other treatment options depending on the size, type, and location of the kidney stones:

  • Medication: For smaller stones, medication may help manage pain and assist in passing the stone.
  • Ureteroscopy: This procedure involves inserting a thin tube through the urethra and bladder to remove the stone or break it into smaller pieces.
  • Percutaneous Nephrolithotomy: For larger stones, a minimally invasive surgery where a small incision is made in the back to remove the stones might be necessary.


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