fbpx

Kidney stone treatment with Non-Invasive 4th Generation ESWL.

front page
FB Dr Soarawee
Soarawee Weerasopone, MD

Minimally Invasive Uro-Oncologist
Royal Phnom Penh hospital, Kingdom of Cambodia

Now days, every modern surgeon aims to do every operation as non-invasively as possible. In the past, kidney stones had be done by open surgery, Luckily right now we have several methods to get rid of the stone without any wound or minimizing the wound. ESWL is one option for stone management we are going to talk about. The first machine was invented in Germany after World War 2. With the benefits of shockwave sound that can infiltrate into skin without any wound, it has been developed into the 4th generation machine which does not need to be done under anaesthesia so the patient can save on unnecessary expenses in terms of the anaesthesiologist team, operative cost and hospital stay.

1st Generation ESWL

1st Generation machine is really big, being the size of around a big truck and the patient needed to be operated on under a full-filled watertank. Definitely, needed the anaesthesia within the water so everything was difficult and nearly impossible to do.

2nd Generation ESWL

That’s why 2nd generation machine was invented to solve the problem of staying in a water tank for a long time. With this generation, the first ever-dry technique, the patient tended to be more comfortable during the procedure. But the cons still exist, for example, the machine was still big, the patient was still not comfortable and needed anaesthesia due to the pain.

3rd Generation ESWL

Commonly practiced all over the world right now, the 3rd generation machine is a lot more compact, more comfortable for the patient – allowing them lie down on the bed during operation. However, anaesthesia is still needed due to some shockwave pulse possibly missing the target and causing kidney pain.

4th Generation ESWL is currently installed at Royal Phnom Penh.
4th Generation ESWL is currently installed at Royal Phnom Penh.

4th Generation ESWL

Royal Phnom Penh hospital is the first and currently only hospital in Cambodia that has installed this technology. Even in Thailand are still the previous 3rd generation that need to do shockwave under anaesthesia.

From the original paper from Taiwan, 4th generation machine reach 98.5% compared with 3rd generation one at 82.6% shockwave hit rate. The less missed target, the less pain patient will be experience. The pain is minimal so there is no need for any anaesthesia or even pain killers. The 12 mm of stone disappeared at 80% stone free rate within 3 months following up as reported.

With almost 2 years of experience in this machine, our success rate is 84%, 77% and 60% in < 1, 1 – 2 and > 2 cm kidney stone respectively. Strong patient satisfaction with no serious complications so far. Anyway, there are alternative management for the kidney stone and every procedure has pros and cons. The distinctive pro for 4th generation ESWL is day-care management and it is the least invasive for stone management. Is it worth to try before doing any harmful operation? Any questions you can come to visit me at the Urology clinic.

Post-ESWL patient instructions is provided here.

How the 4th Generation ESWL works? is provided here.

Free 1
Free 2
WeChat
WhatsApp BW 3
Telegram Final
LINE

Topics on Kidney stone

Medical ureteric stone expulsive therapy: How much success rate on it?

Medical ureteric stone expulsive therapy: How much success rate on it?

It is very common for me to taking care of ureteric stone pain’s patients with frequently ask questions from them on the medical therapy on stone expulsion. All answer will be arranged in Q&A below Question : Is it possible to avoid endoscopic stone surgery? Yes, it is! But you must be sure that youContinue reading “Medical ureteric stone expulsive therapy: How much success rate on it?”

Ureteric stone pain: Initial self-management

Ureteric stone pain: Initial self-management

Ureteric stone pain is considered as one of the most severe pains in our body can be suffering from. Flank pain wills suddenly happening as a result from the instantly stone occlusion within the ureter. Ureter is a small tube organ with 25 cm long functioning as urine transportation from the kidneys to the urinaryContinue reading “Ureteric stone pain: Initial self-management”

Role of the Potassium citrate in kidney stone treatment

Role of the oral medication in kidney stone treatment

The FAQ (Frequently ask question) from patients at Urology clinic; what about Potassium citrate therapy for kidney stone treatment or stone prevention for the post successful stone operation? In this point I have to answer that the “Most of kidney stone cannot be treated or get rid them of by just the medication but itContinue reading “Role of the oral medication in kidney stone treatment”

Loading…

Something went wrong. Please refresh the page and/or try again.

6 thoughts on “Kidney stone treatment with Non-Invasive 4th Generation ESWL.

Leave a Reply

en_USEnglish
%d bloggers like this: