----------------------- Advertisement --------------------------
Q&A
If you have any query about any medical problem get an answer from an expert
  Comments: Read | Post

Is it safe to have another lithotripsy?

Saturday, 02 September 2006
Answered by: Dr. Ashutosh Singh
Consultant Nephrologist
Knoxville,
USA
Google Buzz

Q. Within the last 17 years I have had 20 lithotripsy surgeries and I have a stone that is the size of 11 mm. Is it safe to have another lithotripsy? I was told you can only have so many lithotripsy surgeries, is this true?

A.  Extra-corporeal Shock Wave Lithotripsy (ESWL), a technique used to treat kidney and ureteric stones are known to be a safe procedure with no known established long-term side effects. However, it is important to mention here that, some studies both in animals and humans have pointed towards a small and an insignificant risk for a reversible damage to the parenchyma (body) of the kidney, minimal impairment of kidney function and an insignificant rise in blood pressure. But most of these studies have had shortcomings in their conclusion, making it still debatable about the definite long term risks of ESWL. Some believe that changes in the technique of the shock wave parameters including the rate, intensity and focal positioning of the shock waves may help in minimizing these effects. My advice would be to undertake a repeat metabolic and chemical analysis of the recurrent forming stones and the 24-hour urine studies which would help in redefining your continued medical treatment. All of these are intended to reduce the chances of recurrent stone formation thereby minimizing the need for repeated surgical interventions.

A.  Extra-corporeal Shock Wave Lithotripsy (ESWL), a technique used to treat kidney and ureteric stones are known to be a safe procedure with no known established long-term side effects. However, it is important to mention here that, some studies both in animals and humans have pointed towards a small and an insignificant risk for a reversible damage to the parenchyma (body) of the kidney, minimal impairment of kidney function and an insignificant rise in blood pressure. But most of these studies have had shortcomings in their conclusion, making it still debatable about the definite long term risks of ESWL. Some believe that changes in the technique of the shock wave parameters including the rate, intensity and focal positioning of the shock waves may help in minimizing these effects. My advice would be to undertake a repeat metabolic and chemical analysis of the recurrent forming stones and the 24-hour urine studies which would help in redefining your continued medical treatment. All of these are intended to reduce the chances of recurrent stone formation thereby minimizing the need for repeated surgical interventions.

Comments: Read | Post
More from this section
More »
Post comments
We request you not to tell us about your medical problems through this comment tool.
We are unable to keep track of the innumerable queries and their answers that we get everyday unless they are sent through "Ask a Question"

Name:*   E-mail:*
City:   Phone:
Comments:* 7000 characters remaining
Spam protection
Enter the code:*
Disclaimer: Material sent in this section is contributed by users. DoctorNDTV accepts no responsibility for the content or accuracy of such material and does not endorse or subscribe to the content.
----------------------- Advertisement4 --------------------------
 
Latest Photos
 
 
Survey
Radiation and health outcomes

The effect radiation has on human health has been the subject of recent interest.

-------------------------------- Advertisement -----------------------------------