Lithotripsy at Khan Kidney Clinic/Kidney Stone Center Shadman Chowk Opposite APWA College Near Khushali Bank & TCS Jail Road Lahore. 0300-943-493-0
Extra-corporeal Shock Wave Lithotripsy (E.S.W.L.) is self-possessed of three words
1. Extracorporeal (Extra-Outside & Corporeal-body)
2. Shock wave (Ultrasonic/Sound Waves)
3. Litho+Tripsy (Litho-Stone) & (Tripsy-Crushing)
It means the stones present in the Urinary tract are crushed into small sand-like particles, by harmless ultrasound shock waves, applied over the skin. These risk-free shock waves make contact with the stone by penetrating through the skin surface painlessly and spotlighting the stone after traveling through the water media of body tissues.
Preparation
There is no need to remain empty stomach and no special preparation is required.
Only ultrasound KUB, X. Ray Plain KUB and Renal Function Tests are required.
Pain and Anesthesia
Pregnancy and Lithotripsy
What services does "Khan Clinic" in Lahore, Pakistan offer?
We specialize in lithotripsy, a non-invasive procedure to treat kidney stones. Our clinic also offers comprehensive kidney care services for your health and well-being.
Address/Location of Khan Kidney Center
Khan Kidney Clinic Shadman Chowk Opposite APWA College Near Khushali Bank Jail Road Lahore. You can search for us on Google Maps
How do I book an appointment?
Booking an appointment with us is easy! You can either call us/WhatsApp us directly at 0300-943-493-0 or use the online appointment form on our website. We're here to help!
What are the clinic's operating hours?
We are open from Monday to Saturday, 9 AM to 8 PM. Feel free to visit us during these hours for any kidney-related concerns.
Is Lithotripsy painful?
Lithotripsy is generally a painless procedure. Although patients might feel slight discomfort, our skilled team ensures their comfort throughout the procedure.
Do you accept insurance? Yes, we do accept insurance from various providers. Please bring your insurance details when you visit, and our friendly staff will assist you. Can I bring a Family Member with me during the procedure? Absolutely! We always encourage patients to bring a family member or friend for support. Your comfort and peace of mind are our priorities. How experienced is your team? We are providing lithotripsy services since year 2000. Our team is highly experienced with years of practice in nephrology and lithotripsy. We are committed to providing top-notch care. What should I expect during my first visit? During your first visit, our doctors will conduct a thorough examination and discuss your medical history. We'll then create a personalized treatment plan just for you. Do you offer follow-up care? Yes, follow-up care is an integral part of our services. We ensure you receive ongoing support and adjustments to your treatment as needed. Q: What should I expect during my first visit?A: During your first visit, you'll meet with our friendly team for a thorough consultation to discuss your medical history, current condition, and the best treatment plan for you.Q: How experienced are the doctors at Khan Lithotripsy in Lahore?A: Our doctors are highly experienced and specialized in kidney care, ensuring you receive the best possible treatment.Q: What is lithotripsy?
A: Lithotripsy is a medical procedure used to treat kidney stones and other stones in the urinary tract. It uses shock waves to break the stones into smaller pieces so they can easily pass through your urinary system. We're here to make sure you're comfortable and informed every step of the way!
Q: Sedation & Anesthesia during Lithotripsy?
A: Most patients find lithotripsy to be only mildly uncomfortable. We prioritize your comfort and will use appropriate anesthesia to ensure a pain-free experience. We're with you at every step to make this as pleasant and stress-free as possible!
Q: How long does the lithotripsy procedure take?
A: The actual procedure usually takes about 30 to 60 minutes. Including prep and recovery, you can expect to spend a few hours at our facility. Our caring team will make sure the time flies by!
Q: What should I expect after the procedure?
A: After lithotripsy, it's normal to experience some blood in your urine, mild discomfort, and the passing of stone fragments. Our team will give you detailed post-procedure care instructions to make your recovery smooth and quick!
Q: How should I prepare for a lithotripsy procedure?
A: We'll provide you with clear pre-procedure instructions tailored to your needs. Typically, this includes fasting for a few hours and avoiding certain medications. No worries, we've got all the prep details covered for you!
Q: Are there any risks or side effects associated with lithotripsy?
A: Lithotripsy is generally safe, but like any medical procedure, it comes with some risks such as bruising, infection, or incomplete stone removal. Rest assured, our expert team is here to minimize risks and address any concerns you may have!
Q: Who is a good candidate for lithotripsy?
A: Lithotripsy is suitable for many people with kidney stones. Your doctor will assess your specific situation and medical history to determine if it's the right choice for you. We're committed to finding the best solution for your health!
Q: How soon can I return to normal activities after lithotripsy?
A: Most people can resume normal activities within a few days to a week. We'll give you personalized advice based on your condition and recovery progress. Your well-being is our top priority!
Q: How effective is lithotripsy in treating kidney stones?
A: Lithotripsy has a high success rate for breaking up kidney stones, but the effectiveness can vary depending on the size and type of stone. Our team will work with you to ensure the best possible outcome. We're dedicated to your health and comfort!
Q: How does lithotripsy work?
A: Lithotripsy works by targeting kidney stones with focused high-energy shock waves. These waves break the stones into tiny fragments that can easily pass through the urinary system. It's pretty fascinating how technology can make things so much easier!
Q: What are the main advantages of lithotripsy?
A: The main advantages of lithotripsy include being non-invasive, having a quick recovery time, and avoiding the need for more complex surgeries. Plus, it's very effective at breaking down stones, making the whole ordeal much less stressful for you.
Q: What is the recovery time after lithotripsy?
A: Recovery after lithotripsy is usually swift. Most people can return to their normal activities within a couple of days. You'll be back to feeling like yourself in no time!
Q: Are there any risks associated with lithotripsy?
A: Lithotripsy is generally safe, but like any medical procedure, there are some risks, such as minor bleeding, bruising, or infection. However, these risks are minimal, and we'll take every step to ensure your safety!
Q: Who is a good candidate for lithotripsy?
A: Lithotripsy is ideal for patients with medium-sized kidney stones and good overall health. Our medical team will evaluate your specific situation to determine if it's the best option for you. We're here to help you find the best solution!
Q: Will I need multiple sessions of lithotripsy?
A: It depends on the size and number of your kidney stones. Some patients may require multiple sessions to completely break down all the stones, but our team will keep you informed and comfortable throughout the process.
Q: How can I book a lithotripsy consultation?
A: Booking a consultation is easy! Just give us a call or visit our website to schedule an appointment. We're looking forward to helping you get back to feeling your best!
Q: Are there any side effects after undergoing lithotripsy?
A: Yes, there can be. Some patients experience mild side effects like bruising, minor discomfort, or even traces of blood in the urine. But worry not, these usually resolve on their own in a few days.
Q: Can lithotripsy cause complications?
A: While complications are rare, they can include infection, persistent pain, or obstruction caused by stone fragments. But don't worry, our expert team is always ready to provide the best care possible.
Q: Can Children undergo lithotripsy?
A: Yes, child lithotripsy above the age of 5 years is available and can be quite effective. We're dedicated to providing a nurturing environment for patients of all ages.
Q: Is there any preparation needed before a lithotripsy session?
A: Yes, there are a few steps. We'll guide you through every aspect, including fasting and avoiding certain medications. We aim to make the preparation process as smooth and simple as possible.
Q: How effective is lithotripsy in treating kidney stones?
A: Lithotripsy is highly effective for many patients, breaking up stones so they can pass naturally. Each case is unique, but we're committed to achieving the best outcomes for you.
Q: Are there any alternatives to lithotripsy?
A: Absolutely, there are several other treatment options like medication or surgical procedures. We'll discuss all possible avenues with you to find the best fit for your needs. Your comfort and health are our top priorities!
Hospitalization/Admission
No admission or bed rest is required. ESWL is usually a multi-session treatment for hard and big stones and this treatment is entirely an outdoor procedure
Advantages of Lithotripsy- Completely non-invasive procedure
- Well-suited for small kidney stones that can be easily broken up
- Almost 80% of all stones can be treated safely by ESWL
Disadvantages of Lithotripsy
- Treatment results are not as good for larger stones
- More than one session may be required to clear the stone
- Hard stones may not fragment despite multiple sessions and require other treatment methods
- Can cause acute pain and discomfort as stone fragments pass
- Cannot be used if the patient has a bleeding disorder or is pregnant
Lithotripsy Machine (Lithotripter)
The Lithotripsy unit is called “Lithotripter” developed in Germany in 1980.
Types of Lithotripsy
1. Extra-corporeal Shockwave Lithotripsy (ECSWL) also known as Lithotripsy (ESWL) where the breaking mechanism (shockwave source) is not in the urinary tract and transmits waves from outside of the body
2. Intra-corporeal shockwave Lithotripsy (ISWL) also known as Ureterorenoscopy (URS) where a stone breaking mechanism (shockwave source) is introduced into the urinary tract.
The three major types of lithotripters, classified by the method used to generate shock waves/ultrasonic waves
1. Spark-gap (Electro-hydraulic)
2. Piezoelectric system
3. Electromagnetic system
Although each type of system generates shock waves by different methods, all currently available systems appear to be able to fragment stones. However, we have a Spark-gap (Electro-hydraulic) system.
Principals of Lithotripsy (Stone Breaking Mechanism)
- The physics, instrumentation, and patient-care aspects of extracorporeal shock wave lithotripsy (ESWL) in the treatment of kidney stone disease are described.
- The kidney stone is located through the use of two integrated roentgenographic imaging systems. The x-ray tubes, fixed on either side of a tub of water in which the patient is partially immersed, are directed upward.
- The patient is maneuvered until the imaging systems indicate the kidney stone is within the second focus of the reflector and within the 1.5-cu cm target area. Once within this alignment, the stone is ready for shock wave treatment; general or regional anesthesia is used to immobilize the patient so that the position of the stone can be maintained within the focus of the shock wave.
- When the stone is repeatedly subjected to this high-energy force, it begins to disintegrate.
How Lithotripsy is performed
- This method of treatment for the removal of kidney stones by ultrasonic shockwaves is unbelievably simple, convenient, and comfortable.
- The patient just walks into the lithotripsy room and lies on a soft table. Water filled balloon touches the posterior abdominal wall like a soft cushion
- Then qualified doctor localizes the stone by ultrasound/fluoroscope machine. After localizing and focusing the stone on a TV monitor.
- Then water-filled balloon touches the back side of the posterior abdominal wall just like a soft cushion. Then an ultrasonic shockwave or sound wave is generated by an energy source. Then this shockwave is transmitted through an electrode present within a water-filled balloon.
- Then stone is breached into small sand-like pieces by shockwave/ultrasonic waves. Usually, this procedure is completed between 45 minutes to one hour. The patient walks out of the room and can start his/her daily routine activities on the same day. No admission or bed rest is required. ESWL is usually a multi-session treatment for hard and big stones.
- The procedure may be repeated more than once for hard and big stones.
You can view our Lithotripsy Procedure video by clicking this link; https://www.youtube.com/watch?v=BP4jzJWFU2U&t=6s
or you can visit the Khan Kidney Hospital Lahore YouTube channel playlist.
Hospitalization/Admission
No admission or bed rest is required. ESWL is usually a multi-session treatment for hard and big stones and this treatment is entirely an outdoor procedure
Stone Burden Clearance Time
Stone burden clearance time usually depends on stone type and stone size. Usually, a stone of 1 cm/10 mm is cleared in 2-3 sessions (one session per week).
Risks & side effects of lithotripsy (ESWL)
1. People often experience bruising and
soreness over the local area of the skin after shock wave lithotripsy.
2. Fever or chills may occur after shock
wave lithotripsy. These may indicate an infection, so a person should speak
with a doctor if they experience fever or chills.
3. Light bleeding in the urine (Hematuria)
may occur for a while.
4. Heavy bleeding after lithotripsy is
uncommon.
5. If stone fragments get stuck, there may
be a temporary blockage in the ureter leading to hydro ureter and
hydro-nephrosis. This is a normal phenomenon. If this is the case, a doctor may
perform an additional procedure to remove these fragments.
6. Prolonged pain may also indicate a blockage. If a person has severe pain or does not get relief from taking pain medications, they should contact a doctor.
Suitable patients for lithotripsy
- Cases for lithotripsy procedure (ESWL) are selected after fully evaluating the individual patient. There is no age limit for this procedure.
- All those patients, whose kidney function is normal, are suitable candidates for E.S.W.L
- Stones present in the kidney, ureter, and urinary bladder can be treated with lithotripsy
- Stones of all chemical compositions (Calcium Oxalate, Phosphate, Triple Phosphate, Uric Acid & Cystine) can be treated with lithotripsy.
- There should be no distal obstruction in the urinary tract for clearing of stone fragments
- In the case of large stag horn stones, stone bulk and good kidney function are important deciding factors and in such cases double J stenting may be required
- Those patients with the reformation of stones after PCNL, URS, and surgery or suffering from hypertension (high blood pressure), diabetes, hepatitis, carrying pacemakers, unfit for surgery due to medical or anesthesia risks, are suitable for Lithotripsy in most cases and this miraculous treatment has emerged as a great blessing.
Q: What are kidney stones?
Answer: Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. They can vary in size and cause quite a bit of discomfort!
Q: What causes kidney stones?
Answer: Kidney stones can be caused by several factors, including dehydration, diet, obesity, and certain medical conditions. It's always best to stay hydrated and maintain a balanced diet to help prevent them.
Q: What are the symptoms of kidney stones?
A: Common symptoms include severe pain in the side and back, pain during urination, pink, red, or brown urine, nausea, and vomiting. If you're experiencing any of these symptoms, it's essential to get checked out.
Q: How can I prevent kidney stones?
Answer: Drinking plenty of water, eating a balanced diet, and avoiding excessive salt and protein can help prevent kidney stones. Regular check-ups with your doctor are also a great way to keep on top of your kidney health!
Q: How are kidney stones diagnosed?
Answer: Kidney stones are usually diagnosed through a combination of medical history, physical examination, and imaging tests like ultrasounds or CT scans. Your doctor may also order urine and blood tests.
Q: Can kidney stones be treated without surgery?
Answer: Absolutely! Many small kidney stones can be passed naturally through increased water intake and pain management. However, larger stones may require medical intervention, such as shock wave therapy or surgical procedures.
Q: Are there different types of kidney stones?
Answer: Yes, there are several types, including calcium stones, uric acid stones, struvite stones, and cystine stones. Each type requires different preventive measures, so knowing the type of stone is very helpful in treatment and prevention.
Q: Are kidney stones a common condition?
Answer: Kidney stones are relatively common, affecting about 1 in 10 people at some point in their lives. They're more likely to occur in men, but women can certainly get them too.
Q: Can diet really make a difference in preventing kidney stones?
A: Definitely! Your diet plays a crucial role in kidney stone prevention. Drinking lots of water, reducing salt and animal protein intake, and eating calcium-rich foods can all help reduce your risk.
Q: Should I seek immediate medical help if I suspect I have a kidney stone?
A: If you experience severe pain, fever, chills, or blood in your urine, it's important to seek medical help right away. Early intervention can make a big difference in managing the condition and preventing complications.
Calcium
Calcium stones are the most common and consist of calcium oxalate, calcium phosphate, or maleate.
Eating foods having less oxalate content can reduce your risk of developing this type of stone. High-oxalate foods include
- Potato chips
- Peanuts
- Chocolate
- Spinach
Uric acid
This type of kidney stone is the second most common and can occur in people with gout diabetes and obesity.
This type of stone develops when urine is too acidic. A diet rich in purines can increase
Struvite
This type of stone is found mostly
Struvite stones result from a kidney infection. Treating an underlying infection can prevent the development of struvite stones.
Cystine
With this type of stone, cystine — an acid that occurs naturally in the body — leaks from the kidneys into the urine.
They occur in both men and women who have the genetic disorder cystinuria.
With this type of stone, cystine — an acid that occurs naturally in the body — leaks from the kidneys into the urine.
Signs & Symptoms of Kidney Stones
- Family or personal history: Individuals with a family history of kidney stones are more likely to develop them.
- Dehydration: Not drinking enough water each day can increase the risk of kidney stones.
- Diet: Consuming a diet high in protein, sodium (salt), and sugar can increase the risk of certain types of kidney stones.
- Obesity: High body mass index (BMI), large waist size, and weight gain are linked to an increased risk of kidney stones.
- Digestive diseases and surgery: Conditions like gastric bypass surgery, inflammatory bowel disease, or chronic diarrhea can affect the absorption of substances that contribute to stone formation.
- Medical conditions: Conditions such as renal tubular acidosis, cystinuria, hyperparathyroidism, and repeated urinary tract infections can increase the risk of kidney stones.
- Certain supplements and medications: Vitamin C, dietary supplements, laxatives (when used excessively), calcium-based antacids, and specific medications used to treat migraines or depression can also increase the risk of kidney stones
- These risk factors highlight the importance of maintaining a healthy lifestyle, staying hydrated, and being aware of underlying conditions that can predispose individuals to kidney stone formation
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