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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.

Factors that affect the cost of ESWL:

CountryCostLocal_currency
United KingdomUSD 76006004
TurkeyUSD 4000120560
SpainUSD 50004600
United StatesUSD 45004500
SingaporeUSD 26303524

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.

Classification

The following are the main classifications:

Based on the Shock Wave Generator Type

  • Electrohydraulic Lithotripters: They use underwater sparks to generate shock waves.
  • Electromagnetic Lithotripters: They use electromagnetic coils to produce shock waves.
  • Piezoelectric Lithotripters: They employ piezoelectric crystals that expand and contract to produce shock waves.

Based on the Targeting Method

  • Fluoroscopy-Guided ESWL: Uses X-ray imaging to locate and target the stone.
  • Ultrasound-Guided ESWL: It uses ultrasound imaging to locate and target the stone.

Based on Stone's Characteristics

  • Size of Stone
  • Composition of Stone
  • Calcium-based stones

Based on the Location of Stone

  • Kidney stones: Typically easier to treat with ESWL.
  • Ureteral stones: May require different positioning or additional treatments.

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.

  • Sedation or Anaesthesia: Based on the patient's status and expected pain, mild sedation or light anaesthesia may be employed to reduce discomfort during surgery.
  • Application of Shock Waves: The stone is the very specific target of high-energy shock waves generated from outside. These waves fragment the stone into smaller pieces as they travel through the soft tissues.
  • Monitoring and Adjustment: Imaging is employed to monitor the process continuously. To ensure accurate targeting, shock wave position or intensity may be altered.
  • Recovery and Completion: After treatment is completed, which typically takes 30 to 60 minutes, the patient is monitored for a brief period and then discharged.

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.

  • Obstruction of your ureter
  • Bleeding
  • Infection

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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Explore Hospitals ( 125 )
ESWL in VPS Lakeshore Hospital: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

Types of ESWL in VPS Lakeshore Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ESWL (Overall)1717 - 3035141259 - 250694
Standard ESWL1725 - 2534141853 - 208531
Laser ESWL2239 - 3035182890 - 249184
  • Address: VPS Lakeshore Hospital, Nettoor, Maradu, Ernakulam, Kerala, India
  • Facilities related to VPS Lakeshore Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
ESWL in Clinique Internationale Marrakech: Costs, Top Doctors, and Reviews

Marrakesh, Morocco

Apart from in-detail treatment procedures available, Clinique Internationale Marrakech located in Marrakesh, Morocco has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • A resuscitator for cardiac conditions
  • Team for emergencies consisting of cardiologist and physician specialising in emergencies
  • 250 healthcare personnel with over 50 doctors
  • Many therapeutic sections covered in treatment
  • Clinique Internationale Marrakech, Marrakesh, Morocco provides latest diagnostic and treatment related facilities present
  • 5 Operating Theaters
  • 3 resuscitation units
  • 2 blocks of cardiovascular catheterization
  • 100 bed capacity
  • Special suites with a comfort section
  • A neonatal pediatric resuscitation section
ESWL in Parkside Private Hospital: Costs, Top Doctors, and Reviews

London, United Kingdom

Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
  • 4 Operating Rooms
  • 69 registered beds
  • 21 Outpatient Consulting rooms
  • 4 minor procedure rooms
  • 11-bed day unit
  • Endoscopy suite
  • Pathology Laboratory
  • Pharmacy
  • Cafeteria/Restaurant
  • Car Parking
ESWL in NMC As Salama Hospital: Costs, Top Doctors, and Reviews

Al Khobar, Saudi Arabia

Apart from in-detail treatment procedures available, NMC As Salama Hospital located in Al Khobar, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Technology Advancement- Hospital has an ultrasound unit, a mammogram, a CT scan unit, and an X-ray imaging unit
  • Laboratory
  • 60 Private bedrooms
  • Operating rooms
  • Labor and Delivery Units
  • Isolation rooms
  • 2 Dental clinics
  • Special Care Units
  • 24*7 Emergency Services
  • Intensive Care Unit
  • Pharmacy
  • Cafeteria
ESWL in Hannibal International Clinic: Costs, Top Doctors, and Reviews

Tunis, Tunisia

Apart from in-detail treatment procedures available, Hannibal International Clinic located in Tunis, Tunisia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • It has a capacity of 180 beds spread all over the 11 floors
  • Patients have comfort during their stay. Each room is furnished with LCD Screen, free Wi-fi, Phone, Safe, Refrigerator, Newspaper service, Mobility access
  • Diverse rooms option such as normal rooms, suite rooms, etc., are available for the patients
  • It has state-of-the-art equipment and infrastructure; in order to provide a restful and comfortable environment to the patients
  • As it is near the Tunisia- Carthage Airport, therefore it gets efficient for the hospital to serve International patients
  • Operating rooms are equipped with MEDglas concept consisting of MEDglas door & wall
ESWL in Jimenez Diaz Foundation University Hospital: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001
  • Joint Commission International, or JCI

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations
ESWL in Quironsalud Marbella Hospital: Costs, Top Doctors, and Reviews

Marbella, Spain

  • ISO 9001

Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • The hospital is present in an area of 10.500 square meters.
  • A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
  • There is a specialised radiology department as well as a hemodialysis unit.
  • The hospital also consists of an Intensive Care Unit with a laboratory.
  • Also present are a functional test area with physiotherapy services in addition to functional recovery.
  • Wide network of Insurance partners both national and international.
  • A professionally managed international patient care center.
  • There are more than 25 medical specialties
  • The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
  • There are also more than 5 operation theatres with 2 endoscopy rooms
  • Ultrasound, MRI, CAT scan are also present as per needs and requirements.
ESWL in Manipal Hospital, Dwarka: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of ESWL in Manipal Hospital, Dwarka and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ESWL (Overall)1733 - 3032140926 - 250164
Standard ESWL1722 - 2544140813 - 207523
Laser ESWL2230 - 3035183095 - 249255
  • Address: Manipal Hospital Dwarka, Palam Vihar, Sector 6 Dwarka, Dwarka, New Delhi, Delhi, India
  • Facilities related to Manipal Hospital, Dwarka: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
ESWL in Guven Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

Types of ESWL in Guven Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
ESWL (Overall)2834 - 455184226 - 136857
Standard ESWL2836 - 361683817 - 110013
Laser ESWL3378 - 4584101912 - 133544
  • Address: Kavakldere, G
  • Facilities related to Guven Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer
ESWL in Piyavate Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI
  • ISO 9001

Types of ESWL in Piyavate Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
ESWL (Overall)3329 - 6767122388 - 238538
Standard ESWL3437 - 5501118794 - 197031
Laser ESWL4525 - 6725163660 - 235731
  • Address: Piyavate Hospital, Khlong Samsen Road, Bang Kapi, Huai Khwang, Bangkok, Thailand
  • Facilities related to Piyavate Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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Process Involved for ESWL

  • Consultation: See a urologist to check the kidney stone's size, location, and nature.
  • Pre-operative evaluation: Evaluate medical history and conduct imaging studies to verify the stone's nature.
  • Discussion of Treatment: Consider whether or not ESWL (Extracorporeal Shock Wave Lithotripsy) is appropriate or whether other treatment will be required.
  • Treatment Procedure: Discover the process of ESWL, pain to be anticipated, and experience to be looked for.
  • Post-Treatment Follow-up: Observe for stone fragments, control pain, and see no complications develop.
  • Kidney Stones
  • Ureteral Stones
  • Urinary obstruction, pain, or hematuria are the signs of ureteric or kidney stones.
  • The stones are also too large to pass through individually.
  • Medication and other non-surgical treatments have failed.
  • Stones are verified by imaging (CT scan, ultrasound, or X-ray).
  • Non-invasive: No cuts are needed.
  • Reduces the necessity of general anesthesia and hospital stay.
  • High success rate in breaking down stones into smaller fragments.
  • Shorter recovery time compared to surgery.
  • Urologist
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
  • Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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Dr. Abdullah Rahil
Dr. Abdullah Rahil

MPT (Neuro)

7 Years of Experience

Dr. Abdullah Rahil, M.P.T. (Neurology), is a dedicated physiotherapy professional specializing in orthopedic, neurological, and musculoskeletal rehabilitation. With strong clinical expertise, he focuses on improving patient mobility, reducing pain, and restoring functional independence through evidence-based rehabilitation techniques. He is skilled in advanced therapeutic approaches that support effective rehabilitation and recovery for a wide range of musculoskeletal and neurological conditions, focusing on improving mobility, reducing pain, and restoring functional independence. Dr. Rahil has extensive experience managing diverse rehabilitation cases. His patient-centered approach emphasizes personalized treatment plans, continuous assessment, and comprehensive rehabilitation to achieve optimal recovery outcomes.. View More

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Dr. Ashish George
Dr. Ashish George

Gastroenterologist

18 Years of Experience

Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh. View More

Last Reviewed - January 2026