Lithotripsy

Lithotripsy

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Minimum Cost
30,000
Average Cost
40,000
Maximum Cost
50,000
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What is Lithotripsy Surgery?

Lithotripsy surgery is a medical procedure that is used to break down kidney stones or other stones in the body. The word "lithotripsy" comes from the Greek words "litho", which means stone, and "tripsis", which means crushing or breaking. The procedure is usually done using sound waves, which are directed at the stones to break them into smaller pieces that can be passed more easily through the urinary tract and out of the body.

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Types of Lithotripsy Procedure

Several types of lithotripsy procedure can be used, as per the size and location of the stones, along with other factors like the patient's age, overall health, and medical history. Some of the most common types of lithotripsy procedure include:
  • Extracorporeal Shock Wave Lithotripsy (ESWL)

    ESWL is the most common type of lithotripsy procedure, and involves using shock waves to break up kidney stones from outside the body. The patient lies on a special table, and a machine sends shock waves through the body to the kidney stones. The shock waves focus on the stones, causing them to break into smaller pieces. The patient may need to be sedated or given anesthesia for this procedure, which usually takes about an hour.

  • Laser Lithotripsy

    This minimally invasive procedure employes a laser to break up kidney stones. A small telescope is inserted into the ureter, and the laser is used to break the stones into smaller pieces which can be easily passed from the body. This procedure is usually done on an outpatient basis, and patients can usually go home the same day.

  • Percutaneous Nephrolithotomy (PCNL)

    PCNL is a more invasive procedure used for larger kidney stones or stones located in difficult-to-reach areas. The patient is given anesthesia, and a small incision is made in the back to access the kidney. A telescope is inserted through the incision, and the stones are broken up using a laser or other tool. This procedure requires an overnight hospital

  • Ureteroscopy

    Ureteroscopy is a procedure that is used to remove stones from the ureter or kidney. A small telescope is inserted into the ureter, and the stones are either broken up with a laser or other tool, or removed using a small basket. This procedure is usually done on an outpatient basis, and patients can usually go home the same day.

  • Lithotripsy surgery is a safe and effective way to treat kidney stones and other types of stones in the body. Different types of lithotripsy procedures may be used depending on the size and location of the stones and other factors. Patients should discuss treatment options with their healthcare team to determine the best treatment course for their individual needs.

  • When is Lithotripsy Operation Required?

  • Lithotripsy operation is required when a person has kidney stones, which are stones that are formed in the kidneys owing to the accumulation of minerals.

  • Kidney stones are known to cause a lot of pain and can even lead to complications such as infections and damage to the kidneys.

  • Lithotripsy operation is a non-invasive procedure which uses shock waves to break the stones into smaller pieces, which can be easily passed out of the body through urine.

  • This procedure is recommended when the size of the kidney stones is too large to be passed out naturally or when the stones are causing severe pain and discomfort.

  • Lithotripsy operation is also recommended for people who have a history of recurring kidney stones.

  • How to Prepare for Lithotripsy Surgery?

  • Before the lithotripsy surgery, the doctor will perform a physical assessment and collect information about the patient's medical history to ensure that the person is fit for the procedure.

  • The doctor may also conduct some tests like blood tests, urine tests, and imaging tests, to understand where the stones are located and what is the size of these kidney stones.

  • The doctor may recommend certain dietary changes to the person, such as drinking plenty of fluids and avoiding foods that are high in oxalate, which can contribute to kidney stones.

  • The person should inform the doctor about any medicines they are taking, including over-the-counter medications, supplements, and herbal remedies, as these can interfere with the lithotripsy procedure.

  • The person should avoid eating or drinking anything for several hours before the procedure, as the lithotripsy procedure is usually performed under sedation or anesthesia.

  • The person should arrange for someone to take them home after the procedure, as they may feel drowsy or disoriented due to the sedation or anesthesia.

  • The person should wear comfortable and loose-fitting clothing on the day of the procedure and should avoid wearing any jewelry or other accessories.

  • Finally, the person should follow all the instructions given by the doctor regarding the preparation for the lithotripsy procedure.

  • What Happens Before Lithotripsy Surgery?

  • Medical History:

    Before the lithotripsy surgery, the patient will be asked about their medical history. The surgeon will check if the patient has any allergies, ongoing medical conditions, or taking any medications that can interfere with the procedure.

  • Preoperative Investigations:

    The surgeon may order some preoperative investigations like blood tests, urine tests, and imaging studies such as ultrasound, X-ray, or CT scan for locating the stone and determining its size and shape.

  • Fasting:

    The patient will be asked to fast for 6-8 hours preoperatively to avoid any complications during the procedure.

  • Anesthesia:

    The surgeon will decide on the type of anesthesia to be used during the surgery. Local anesthesia may be used in some cases, while general anesthesia is preferred in most cases.

  • Informed Consent:

    The surgeon will provide a step-by-step explaination of the procedure to the patient and get informed consent before the surgery.

  • What Happens During Lithotripsy Operation?

  • Positioning:

    With the patient on the lithotripsy table, the stone will be located using imaging techniques.

  • Anesthesia:

    The anesthesia will be administered to the patient before the procedure begins.

  • Lithotripsy:

    The surgeon will use a lithotripter, a device that generates shock waves, to break the stone into smaller-sized pieces that can be easily passed out of the body through urine. The lithotripter is usually placed against the skin, and the shock waves are targeted at the stone. The entire process takes 30-60 minutes.

  • Monitoring:

    The patient's blood pressure level, heart rate, and oxygen levels will be monitored constantly to ensure their safety.

  • Aftercare:

    Once the procedure is complete, the patient will be monitored for a few hours before they are allowed to go home. They will be asked to drink plenty of water to facilitate the passage of stone fragments and may be prescribed pain medications to manage any discomfort. The surgeon may also advise the patient to follow a specific diet and lifestyle changes to prevent the formation of stones in the future.

  • Methods/Techniques Used for Performing Lithotripsy Procedure

    Lithotripsy is used for breaking down kidney stones into smaller pieces, which can pass through the urinary tract. There are several methods or techniques used for performing lithotripsy procedures. Some of these methods are:
  • Extracorporeal Shock Wave Lithotripsy (ESWL)

    This method uses shock waves to break down the kidney stones. The procedure is performed under general anesthesia. The patient is placed on a special table, and the shock waves are directed towards the kidney stones, which are located using an x-ray or ultrasound machine. The shock waves create pressure waves; these break down the stones into smaller pieces; these can then be passed out of the body through urine.

  • Ureteroscopy Lithotripsy

    A small, flexible tube called a ureteroscope that is advanced into the urethra and then passed up into the bladder and ureter. The ureteroscope has a small camera attached to it through, which allows the doctor to see the kidney stones. Once the stones are located, a laser is used to break them down into smaller pieces, which can then be passed out via urine.

  • Percutaneous Nephrolithotomy

    This method is used for larger kidney stones that cannot be treated with ESWL or ureteroscopy lithotripsy. The procedure is performed under general anesthesia. A small incision is made in the patient's back, and a tube is inserted into the kidney. A scope is then passed through the tube, and the stones are broken down using a laser or ultrasound waves. The smaller pieces of the stones are then removed through the tube.

  • Post Procedure Details

  • Pain and discomfort in the treated area

  • Bruising

  • Blood in urine

  • Difficulty passing urine

  • After the lithotripsy procedure, the patient may experience some discomfort and pain in the treated area. It is also common to have some bruising and blood in the urine. The patient may also experience difficulty passing urine for a few days after the procedure. It is important to drink plenty of fluids after the procedure to help flush out any remaining stone fragments.

  • Risks and Complications Associated with Lithotripsy Surgery

  • Urinary tract infections

  • Bleeding

  • Kidney damage

  • Increased risk of kidney stones

  • While lithotripsy is generally considered a safe procedure, there are some risks and complications associated with it. Some patients may experience urinary tract infections after the procedure. Bleeding is also a potential complication, especially if the patient is taking blood-thinning medications. In rare cases, the procedure can damage the kidneys or increase the risk of developing kidney stones in the future.

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    DisclaimerThe cost of lithotripsy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.