If you have done an ESWL procedure or you just make a decision for treatment on your kidney stone recently, I doubt this article would be benefit right to you. ESWL- an Extracorporeal Shockwave lithotripsy, is the least invasive procedure specifically on kidney stones. The world latest 4th Generation ESWL is currently installed at Royal Phnom Penh hospital. Either way, there still remains some minor side effects from the tool that you could’ve known or experienced after the completion of the procedure. (This reference’s data originated from European Association of Urology on Urolithiasis 2020.) And here they are…
Note. You can review how 4th Generation ESWL is better than the previously one.
- Burapha University hospital contact number 084-621-2969
- Samitivej Sriracha hospital contact number 088-022-1445
- Royal Phnom Penh hospital contact number 012-991-000
Immediate postoperative’s ESWL side effects
- Bloody urination almost 100%
- Regarding to the mechanism of the breaking stone were sending by the shockwave pulses right to the stone, so, stone are breaking from a blast-affect. So it is inevitably to avoid the minor kidney tissue’s injured from debris of the stone and this will leads to a bloody urination.
- Bloody urination along with the debris will always experience after ESWL procedure
- This symptom can be better in few days after the procedure goes by
- You’ll be encouraging to drink water from 2 – 3 liters a day, this is rapidly improved the bloody urination condition.
- Steinstresse 4 – 7 % risk
- It is a German term or “stone route” in English
- When stone was crashed into pieces, it will possibly dropping down to the ureter and they will accumulated through route, this mechanism apparently viewed by imaging tools.
- Steinstresse will leads to a flank pain or asymptomatic
- From 21 – 59 % at risk for residual stone’s regrowth
- The residual stone that less than 4 mm, it’s considering as insignificant stone
- Insignificant stone can spontaneously pass out by its own
- 21% chances of growing of insignificant stone at 5 years needs to do the following up
- Normally, the observation of the residual stone will regularly perform by the ultrasound only.
- From 2 – 4 % at risk for the kidney stone pain
- When stone breaks into pieces, sometimes it aggravated a sudden pain
- You still encourage to drink 2 – 3 liters of water a day in order to reduce the chance of the stone pain
- It also has an oral medication that could’ve reduced the stone pain after ESWL procedure
- From 1 – 2.7 % at risk with a blood stream infection
- The kidney stone is the place where the bacteria lived, once we break it down, they will run for their lives, sometimes they ran into the blood stream and made the troubleshooting in there.
- We will never suggest the oral antibiotic after ESWL, do so, it is like giving a chance of a drug resistance by the way.
- The best practical is to observe whether they will have a fever after ESWL procedure or not?
- A gigantic bleeding from kidney tissue < 1 % risk
- Since the ESWL is considered as the least invasive kidney stone procedure, therefore, a severe injury of kidney is minimally reported.
ESWL’s Long term effect
There is no existing evidence supporting the hypothesis that ESWL can cause long-term complications.
Any questions, you can feel free to discuss with me.
Thank You. I’ve been fortunate over my long life in that I have had to make very few visits to the hospital, but I do remember well the regular trips to my local pediatrician as a boy in the suburbs of New York, and I was reminded of them during my visit to Dr. Soarawee. Yes, he is a top-tier world-class urologist, among many other things including being one of the few physicians, certainly in this part of the world, trained in the use of the Da Vinci Robotic Assisted Surgery system. But it was his generosity in taking the time to sit down with me and answer all my questions both before and after my procedure, his ‘family-doctor’ style bedside manner when he came up to my room to see how I was feeling, all of these human touches from a very busy guy who was constantly flying around the region, that impressed me most. Dr. Soarawee also treated my condition successfully, and I awoke after a few hours to find all of the unpleasant symptoms gone. I can’t thank him enough for his skill, and his compassion.
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皆さま、こんにちは。泌尿器科専門医のSoarawee先生をご紹介します。 私はプノンペンのサンインターナショナルクリニックの常勤医として、多くの日本人の診療に携わっております。そして、泌尿器科の専門医に診察を依頼したい症例に遭遇することが度々あります。そのような時は、ロイヤルプノンペン病院の泌尿器科医師Soarawee先生に依頼するようにしています。理由は、私自身が以前に患者としてSoarawee先生のお世話になったからです。診察は丁寧かつ、分かりやすい英語で十分に説明していただき、安心することができました。Soarawee先生は、最新の専門知識・技術の習得にも熱心で、同じ医師として、とても信頼できると感じました。 また何かあれば、ご相談したいと思っています。カンボジアの医療に貢献してくださる、意欲的な先生だと思います。
我的见證 2019年9月 我在金边 A医院(越南系) 健康檢查 发現尿道結石 14mm 因为從不疼痛 所以未查觉 医院只能作 由輸尿管 插入导管的手術 11月我到B医院(中国系) 再檢查 確定14mm 結石 此医院只能作传统开刀手術 开始上网收集研究尿道結石 結論 1 要选择第四代 無痛体外震碎机 2 要指定很有经验的医生 曾考虑到 新加坡 曼谷 台北 手术 因为要 回診 复診 追踪 需要多次往返 若有預外状况 处理不及时 相当困擾 !后来 我看到 皇家金边医院网站 很高兴他们有 最新的第四代体外震碎机 Soarawee 医生 在台湾長庚医院陪訓 完全符合我的兩大要求 決定在 金边皇家医院 並指定 Dr.Soarawee 进行手术 震碎手术時 完全無疼痛 一个月后 复檢 完全成功 誠心建议 检查有結石 赶紧作无痛体外震碎 不要等发作 我親见朋友 痛到地上 打滾 聽妇女說 比生小孩 还痛 祝 读者 平安健康 ! 叶文和 高尔夫球教练
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