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Extracorporeal Shock Wave Lithotripsy (ESWL)

Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive medical procedure designed for the treatment of kidney stones and other calculi. The technique employs shock waves to fragment stones into smaller pieces, facilitating their natural passage through the urinary tract without the need for surgery.

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Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive medical procedure designed for the treatment of kidney stones and other calculi. The technique employs shock waves to fragment stones into smaller pieces, facilitating their natural passage through the urinary tract without the need for surgery.

Symptoms Of Extracorporeal Shock Wave Lithotripsy (ESWL)

Symptoms

When do you need an ESWL?

Small to Medium-Sized Kidney Stones
Location of the Stone
Stone Composition
Patient Preference or Health Considerations

Types of conditions

There are three main types of Extracorporeal Shock Wave Lithotripsy (ESWL)

Standard ESWL

Ultrasound-guided ESWL

Fluoroscopy-guided ESWL

Standard ESWL

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Cost Estimation

Learn about the expenses involved in the procedure and what factors affect them.

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The average cost of the Extracorporeal Shock Wave Lithotripsy (ESWL) in India is around ₹ 28,000 to ₹ 70,000.

₹ 70,000

High Cost

₹50,000

Average Cost

₹ 28,000

Low Cost

The LIST of AVERAGE COST of the Extracorporeal Shock Wave Lithotripsy (ESWL) across TOP 9 cities in India in Indian Rupee (INR) is as follows :

City

Lowest Cost

Average Cost

Highest Cost

Delhi

₹ 30,000

₹ 40,500

₹ 60,000

Mumbai

₹ 35,000

₹ 50,000

₹ 70,000

Bangalore

₹ 32,000

₹ 50,000

₹ 65,000

Chennai

₹ 30,000

₹ 45,000

₹ 55,000

Kolkata

₹ 28,000

₹ 40,000

₹ 50,000

Hyderabad

₹ 32,000

₹ 40,000

₹ 60,000

Ahmedabad

₹30,000

₹40,000

₹55,000

Pune

₹ 32,000

₹ 50,000

₹ 65,000

Jaipur

₹28,000

₹ 40,500

₹50,000

Commonly Asked Questions

Know More About Extracorporeal Shock Wave Lithotripsy (ESWL)

How many sessions of ESWL are typically required?

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When do you need an ESWL?

  • Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive procedure used to treat kidney stones and other urinary tract stones. It is typically recommended in the following situations:

  • Small to Medium-Sized Kidney Stones: ESWL is most effective for kidney stones that are less than 2 centimetres (about 0.8 inches) in diameter. Stones larger than this may require alternative treatments such as percutaneous nephrolithotomy (PCNL) or ureteroscopy.

  • Location of the Stone: ESWL is most commonly used to treat kidney stones located in the kidney or upper ureter. Stones in the lower part of the ureter or those located close to the bladder may be better treated with other procedures.

  • Stone Composition: ESWL is effective for treating certain types of kidney stones, including calcium-based stones and some types of uric acid stones. However, it may be less effective for cystine stones or certain other types of stones.

  • Patient Preference or Health Considerations: ESWL is a non-invasive procedure that does not require incisions, so it may be preferred by patients who want to avoid surgery or have medical conditions that make surgery risky.

  • Pregnancy: ESWL may be considered as a treatment option for kidney stones in pregnant women, as it does not expose the fetus to radiation or require anaesthesia. However, it is typically avoided during the first trimester of pregnancy.

Diagnosis

ESWL is considered based on:

  • Stone Size and Composition: Suitable for certain sizes and types of stones.

  • Patient Health: Overall health and medical history determine eligibility.

Causes and Risk Factors

  • Dehydration: Insufficient fluid intake leads to concentrated urine.

  • Dietary Factors: High intake of oxalate-rich foods like beets, chocolate, and nuts.

  • Genetic Predisposition: A family history of kidney stones may increase the risk.

  • Medical Conditions: Certain conditions, like urinary tract infections, can contribute.

  • Age: Individuals between 30 and 60 years are more susceptible.

  • Gender: Men are generally more prone to kidney stones.

  • Obesity: Higher body mass index (BMI) can increase the risk.

  • Geographical Location: Certain regions may have higher rates due to climate and diet.

Preparing for Surgery

  • Diagnostic Tests: Imaging studies to locate and assess the size of the stone.

  • Blood and Urine Tests: Checking for kidney function and identifying underlying causes.

  • Health Assessment: Evaluating overall health to determine surgical fitness.

  • Hydration: Maintaining proper fluid intake to reduce stone formation.

  • Dietary Adjustments: Limiting certain foods that contribute to stone formation.

  • Medication Management: Adjusting medications that may affect blood clotting.

Treatment Details

Surgical Approaches:

  • Extracorporeal Shock Wave Lithotripsy (ESWL): Non-invasive shock waves to break down stones.

  • Ureteroscopy: A thin tube is inserted through the urethra to remove or break stones.

  • Percutaneous Nephrolithotomy (PCNL): Surgical removal through a small incision in the back.

Anesthesia:

  • Local or General Anesthesia: Depending on the complexity and type of surgery.

  • Sedation: Administered to keep the patient relaxed and comfortable during the procedure.

Types of Surgery

ESWL (Extracorporeal Shock Wave Lithotripsy)

  • Non-invasive: No incisions are made.

  • External Shock Waves: Directed towards the stone to fragment it.

Ureteroscopy

  • Invasive: A thin tube (ureteroscope) is inserted through the urethra.

  • Direct Visualization: Allows the surgeon to locate and treat the stone directly.

PCNL (Percutaneous Nephrolithotomy):

  • Invasive: Involves a small incision in the back.

  • Stone Removal: Direct access to the kidney for removal or fragmentation.

Recovery

Postoperative Care

  • Monitoring: Observation for complications such as bleeding or infection.

  • Pain Management: Medications to control postoperative pain.

  • Hydration: Encouraging increased fluid intake to flush out any remaining stone fragments.

Return to Normal Activities:

  • Varies by Procedure: ESWL allows a quick return to normal activities, while PCNL may require more downtime.

  • Follow-up Appointments: Scheduled to monitor recovery progress.

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Is ESWL painful?

The procedure is generally well-tolerated, and discomfort is managed with anaesthesia or sedation.

Can ESWL be used for all types of kidney stones?

ESWL is effective for certain types and sizes of stones, and the choice depends on individual cases.

What is the recovery time after ESWL?

Most patients can resume normal activities shortly after the procedure, with minimal downtime.

Are there any dietary restrictions after ESWL?

Some dietary modifications may be advised based on stone composition to prevent recurrence.

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This is the most common type, using shock waves generated outside the body to fragment the stones.

The cost of ESWL is influenced by various factors, including:

  • Stone Size and Complexity: Larger or complex stones may require more sessions.

  • Facility and Equipment: Costs may vary based on the healthcare facility and the type of lithotripter used.

  • Geographical Location: Different regions may have varying healthcare costs.

Here's a table showing the estimated cost range across different cities in India:

The number of sessions varies based on stone size and complexity.

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