Remote lithotripsy

Remote shockwave lithotripsy. This method presumes generating an acoustic wave outside the patient’s body and focusing it on a calculus in the kidney or ureter. The patient`s body in this case acts as a liquid mass because it consists of 80% water conducting the acoustic wave, which energy is absorbed by crystalline grid of the concrement. In most cases, the procedure is provided to outpatient without anesthesia; the fragments are expected to pass within 2 weeks after the procedure.

Remote lithotripsy process

Remote lithotripsy

Advantages of remote lithotripsy:

  1. No necessity to enter into the human body;
  2. No necessity to hospitalize a patent;
  3. No necessity to administer an anesthesia;
  4. High efficacy of removal (destruction) of low-density calculi up to 1 cm in size.


Disadvantages of remote lithotripsy:

  1. Absence of quick effect;
  2. The necessity of repeat sessions in 30% of patients;
  3. The presence of renal colic and unpleasant sensations within a few days after the procedure;
  4. A risk of hematoma, especially when a wave passes through the kidney tissue;
  5. Low efficacy for calculi greater than 1 cm, high-density calculi, and in cases of long stay of calculi in the ureter, which may potentially require using other treatment options despite of already spent time and money.

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