How is remote lithotripsy performed in kidney stones?
Most often, the procedure is performed with the help of anesthesia. The device is located on the lumbar region, more often - on the side of the abdomen, depending on the location of stones in the urinary system. The duration of the procedure can range from 40 minutes to 1.5 hours, depending on the total number of concrements being crushed. The number of shock waves carried out during one session can reach 5,000. It is worth noting that the first waves generate with reduced energy and with large gaps. Thus, adaptation of the organism to a similar kind of influence is achieved.
No preparatory measures are required for the procedure. However, before carrying out lithotripsy, it is necessary to completely clean the intestines, for which laxatives are prescribed (Fortrans, for example).
After the end of the procedure, as well as 2 weeks after the procedure, the ultrasound apparatus is monitored.
When is remote shock wave lithotripsy prescribed?
Indications for this type of manipulation are:
- renal colic;
- detection in the urinary system of stones from 0.5 to 2.5 cm;
- frequent inflammatory reactions to the presence of stones.
In what cases is the remote ultrasound lithotripsy contraindicated?
Among the contraindications to this manipulation is:
- pregnancy;
- disruption of the blood coagulation system;
- presence of infectious, as well as inflammatory processes in the genitourinary system.