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A device known as a lithotripter produces a succession of shock waves that are used in extracorporeal shock wave lithotripsy to break up stones within the pancreatic, biliary, or urinary system. An X-ray is used to target the shock waves once they enter the body. By breaking the stones into smaller pieces, the treatment aims to make them easier to retrieve or pass through the body.
Pieces of stones in the ureter and kidneys will pass out with the urine. Large chunks of stones in the pancreatic or bile ducts may need to be removed with an endoscope, a flexible tube that is introduced through the mouth.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 7600 | 6004 |
| Turkey | USD 4000 | 120560 |
| Spain | USD 5000 | 4600 |
| United States | USD 4500 | 4500 |
| Singapore | USD 2630 | 3524 |


Our dedicated Medical Patient Advisors are here to answer your questions, help you compare treatment options, estimate costs, and guide you through every step of your healthcare journey.
Extracorporeal shock wave lithotripsy (ESWL) is a procedure that involves breaking up stones in the urinary tract, bile ducts, or pancreatic ducts by using shock waves generated by a lithotripter.
The shock waves enter the body and are accurately targeted using X-ray imaging. The procedure aims to break the stones into smaller pieces that can either pass naturally through the body or be more easily collected.
For stones in the kidneys and ureter, the fragments will be expelled with urine. For Larger stones in the bile ducts or pancreatic duct, they are removed using an endoscope—a flexible tube inserted through the mouth.
The following are the main classifications:
Based on the Shock Wave Generator Type
Based on the Targeting Method
Based on Stone's Characteristics
Based on the Location of Stone
The purpose of ESWL is to destroy kidney or ureteral stones using shock waves and fragment them into smaller pieces that can pass more easily through the urinary tract. It is a non-surgical alternative to removal that can relieve pain, prevent infection, and restore normal urine flow.
If you experience symptoms such as a bad case of flank pain, hematuria, recurrent UTIs, vomiting or nausea, or difficulty urinating, you need to consult a doctor. These may be ureteric or kidney stone symptoms.
Blood and urine analyses, imaging studies, and checking current prescriptions are a few examples of preparation. In addition to possibly having to discontinue the use of blood thinners or other medications that inhibit clotting, patients are often asked to fast for several hours before the surgery.
ESWL typically lasts about an hour. However, depending on the number and size of your kidney stones and overall health, your treatment could take longer or less time.
ESWL can allow you to pass kidney stones by yourself without requiring more invasive surgery to have them removed.
Patients can take pain medication and fluids in larger quantities to help pass fragments. Straining urine may be advised to collect stone fragments for analysis. To confirm the stone has been removed, follow-up imaging can be scheduled.
The size, composition, and location of the stone all influence success. The clearance rate for stones under 2 cm is 70–90%. Larger or more complex stones require more than one session.
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