ESWL (Extra Corporeal Shock Wave Lithotripsy)
ESWL is performed to break up stones in your kidney(s) or ureter(s). It is performed at a hospital in the Same Day Surgery department. The hospitals at which we perform this procedure use a lithotripter which requires that you lay on a table (you are not submersed in a water tank).
Pre Op Instructions
You will need to stop taking any blood thinning medications (non steroidal anti-inflammatory medications or warfarin, Coumadin, etc) at least seven days prior to ESWL as hematoma (bruising) of the kidney is a possible but unlikely side effect.
There is a dietary prep that we ask that you follow the day prior to your procedure.
Post Op Instructions
- Strain the urine for gravel. Keep all gravel and bring to office with you.
- Drink plenty of water, one 8 ounce glass per hour. This will keep urine clear and help to pass gravel.
- Avoid strenuous activity, if you have a catheter in place.
- Blood in the urine is common. If clots create difficulty contact the office.
- Resume your medications unless you take any anticoagulants (blood thinners) such as Coumadin, Aspirin. Do not resume blood thinners until you ask your doctor.
- Before you leave the facility be certain that you have a prescription for pain medication and a slip for a follow-up x-ray.
CONTACT YOUR DOCTOR IF:
- You have a lot of pain that is not helped by the pain medication.
- You have a rise in temperature above 101.5 F.
- You have any other problems or questions not covered by these instructions.