What is Extracorporeal Shockwave Lithotripsy?

ESWL is a revolutionary technique that emerged in early 1980’s and is a boon for the patients suffering from kidney stones.

About Extracorporeal Shockwave Lithotripsy 

It is a non-invasive treatment for the ones having kidney stones. The method requires no incision and internal telescopic devices, thus no pain, bleeding, and stitches. It is done with help of a machine called as lithotripter, the machine administers a series of shockwaves on the kidney stones with help of x-rays. These soundwaves reach the stones penetrating the skin and tissues and break down the stone in smaller fragments. The treatment is done for several weeks depending on the size of stone, the broken fragments pass easily through the ureter and urinary bladder through urine. The procedure for a single sitting is about an hour, the patient is given local anaesthesia during the treatment, sometimes the surgeon may place a stent if the stone is large that keeps the ureter open, and this helps the stone pieces to pass down without blocking the ureter.

What To Expect After The Treatment?

Lithotripsy treatment in Delhi is an outpatient procedure and you may go home after the treatment is over, you don’t have to spend even a single night in the hospital. But if the stone is large you may have to visit hospital for 2-3 sittings. After the treatment is over the fragments pass through the urinary tract through urine, this may take few days and may also cause mild pain.

Reasons Why It Is Done? 

The treatment is for those who are having kidney stones and are blocking urine flow. The treatment is best for kidney stones that are present in kidney itself or in the part of the ureter that is very close to kidney. The treatment is not used for patients who are suffering from:

• A urinary tract infection.
• Have bleeding disorder.
• If you are pregnant.
• Have kidneys with abnormal structure and function.

Recovery

Generally, patients return to their normal routine activities in a single day, this also depends on the size of the stone treated, but if you have received treatment for a larger stone it may take around a week to return to normal activities. If you feel pain your doctor can prescribe pain killers and antibiotics too to avoid any infection. The doctor may advice you to drink lots of water to prevent any infection and bleeding. 

Side-Effects

Some risks associated with the treatment are:

• Pain and discomfort.
• Some amount of blood in urine.
• Bruising or broken vessels under skin after treatment is over.

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How Can A Best Urologist in Delhi Help You?

Many a time it happens so that when a man has a urological problem which appears to be quite serious and isn't resolving, his doctor wouldn't refer him to some urologist for its treatment. Why aren't patients sent to an urologist even when it is something urologic? Sometimes it is like the primary care doctor feels he or she can take care of it. But nope, not always! Here are reasons why you should be seeing an urologist;

1) Anything pertaining to male infertility

A tiny percentage of infertility factors among men are due to testicular cancer. The primary care doctors often miss it and even the IVF fertility doctor would miss it when he's referred to. But an urologist can deal with this problem

2) Blood while urinating

Hematuria which is sometimes visible or sometimes microscopic is not normal. This could be a sign of kidney or bladder cancer. To wait to check if there is actually blood passing out is not wise. A onetime experience must be enough for an urologist to come in and check the issue.

3) Change in PSA

This is one among the highly sensitive indications of prostate cancer. A lot of doctors would not understand what the PSA test is. This raising concern must be evaluated. It is not advisable to wait for it to get high or severe. An urologist is the best person to know the significance of PSA test from.

 4) Unusual prostate exam

Abnormalities like small nodules, firmness or some irregularities could be a sign of prostate cancer and can only be examined well by a good urologist. Similarly, changes from earlier examinations should be seen, and this can only be done by an urologist. Hence, it is really essential for men above the age of 40 to be treated by an urologist.

5) Abnormalities of kidneys

It is better to assume that the abnormalities found on X rays of kidneys to be kidney cancer until it is proven wrong. Never let someone biopsy the kidney mass before getting checked by an urologist. Biopsy of the mass in kidney could lead to more problems and normal doctors cannot provide you the needed information.

6)  Persistent pain or testicular mass

There are rare chances of a testicular cancer underlying, firmness, nodules or masses that must and should be checked by a best urologist hospital in Delhi.

These reasons are enough to convince you that you should visit best urologist in Delhi in case of any problem.

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Everything You Need To Know About Flexible Ureteroscopy Treatment

In such a busy life, people in general don't look after their health. This has led to a number of diseases which human beings are suffering from. One of such problems is - Stone. Stone can be formed in various parts of the body including stomach, gall bladder, kidney or ureter. Stone of stomach and gall bladder can be treated by conventional methods such as- drinking a lot of water, medication, and keeping a check in diet. But, stone in kidney can cause some serious issues. It leads to even more problems if the stones pass down to the ureter.

In that case, there are chances of bleeding through urine. It can also lead to extreme pain in the lower part of the abdomen. There are several methods which are used to treat kidney stone, but flexible Ureteroscopy is the best to opt for.

Flexible Ureteroscopy Treatment

This procedure involves insertion of a small instrument (like flexible telescope) into the bladder or the ureter. This helps the doctor to diagnose various problems, but mainly helps to find and treat stones. The urologist looks into the ureter, find the stones, and remove it. The surgeon then passes to a tiny wire basket into the lower part of the ureter via bladder. This helps the doctor to grab the stone and pull it out.

This is an outpatient procedure with or without a stent inserted. A stent is a tube which is placed into the ureter to hold it open. If the stones are of considerable size then they are first broken down into small pieces, through helium laser device or shock wave. This procedure is mainly used when the stones are close to the bladder or ureter. There are several advantages of this procedure: -

1. It doesn't need the patient to get hospitalized.
2. The chances of infection, bleeding, etc. are less as compared to an open surgery.
3. There is far less hassle than open surgery and the patient suffers less or no pain at all during the entire process.
4. This procedure is performed by giving general or local anesthesia depending upon the condition of the patient.

Our capital city Delhi is a hub of few hospitals and experts who are best at their work. The hospitals are equipped for flexible Ureteroscopy and keyhole surgery as well. Keyhole surgery is another method used to remove stone of kidney. Keyhole surgery in Delhi is though less popular but can also be opted for removal of stone.