The procedure does not require any special preparation as anesthesia is not given to patients other than children. Continuous use of diabetes or blood pressure medications should be continued. Blood thinners should be discontinued a few days before the procedure. The procedure can be performed by meeting with your cardiology or internal medicine doctor and getting their approval.
One of the advantages of the ESWL procedure is that it does not require hospitalization and returns to normal life in a short time. It is recommended that patients rest at home after the procedure. Since the broken stones will be excreted from the urinary tract, it is recommended to use painkillers and drugs that expand the urinary canal after the procedure. Patients can return to their normal activities the day after the procedure. During this period, it is recommended to take plenty of fluids.
The stones that are broken down by the process leave the body through the urinary tract. Especially the stone pieces in the lower chamber (calyx) of the kidney cannot be thrown out and remain there. These small fragments predispose to stone formation and small fragments may enlarge (21-59%). While the stones are poured, pain (renal colic) and urinary tract (ureter) line up along the length of the patient and obstruct the urinary tract. This condition is called a stone tract and is usually treated according to the severity of the blockage.
Shock sound waves transmitted from the skin to the stone during the stone breaking process can also damage the kidney and surrounding tissues. It may have side effects ranging from mild to severe bleeding in the kidney (<1-19%). Rarely, it can cause damage to the surrounding tissues. It may cause heart rhythm problems in heart patients (11-59%). It can be applied by taking the necessary precautions, especially in patients with a pacemaker.