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Our Blog

Indication of Shockwave lithotripsy

Kidney stones or ureteral stones:
Stone location
SWL is suitable for stones located in the kidney or upper urinary tract, including the ureter. Stones in lower parts of the urinary tract (near the bladder) are less effectively treated with SWL.

Shockwave lithotripsy is commonly used to treat kidney stones (renal calculi) and stones that have moved into the ureter (the tube connecting the kidney to the bladder).

There are various guidelines published from European and American Urology Associations recommending SWL as first choice of treatment for the kidney stones

Stone size

SWL is most effective for stones that are less than 2 cm (20 mm) in diameter. Larger stones may require other treatment options like percutaneous nephrolithotomy (PNL) or ureteroscopy with laser lithotripsy.

Stone density and hardness

The density and hardness of the stone, as assessed by imaging techniques like CT scans or X-rays, can influence the success of SWL. Harder stones may be more difficult to fragment. 
Newer and better technology machines are more effective than the cheaper technology machine.

Patient's overall health and Anatomy
SWL is generally considered safe for patients who are fit for anesthesia. However, certain medical conditions or anatomical factors may make SWL less suitable or contraindicated. For example, patients with bleeding disorders, active urinary infections, pregnancy, severe obesity, or skeletal abnormalities near the target area might not be ideal candidates for SWL.
Failure of other treatments:
If other treatment options have been tried and failed, ESWL might be considered as an alternative.

All stones in Kidney and Ureter can be treated by SWL