How ESWL Works
A lithotripter machine directs high-energy shock waves through the skin to the exact location of the stone. These waves cause the stone to vibrate and eventually fragment into small pieces that pass through urine.
Imaging guidance (ultrasound or fluoroscopy) is used to precisely target the stone without any incisions.
⚠️ When ESWL Might Not Work
- •Stones larger than 10–15mm
- •Hard stones (calcium oxalate monohydrate)
- •Lower pole kidney stones
- •Stones close to blood vessels or aorta
- •Pregnancy (absolute contraindication)
ESWL vs RIRS — Which Is Better for You?
RIRS is generally preferred for stones above 10mm or failed ESWL. However, ESWL requires no anaesthesia and is ideal for smaller stones in certain positions.
Use Our Symptom CheckerIs ESWL Right for Your Stone?
Dr. Deepanshu Gupta will review your CT KUB and determine the best treatment — ESWL, RIRS or PCNL — for your specific case.
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