Regarding to a ton of questions on Extracorporeal Shockwave Lithotripsy (ESWL), a minimal invasive procedure for kidney stones so I will launch this topic especially for the 4th Generation one which currently implicated at Royal Phnom Penh hospital, Cambodia.
- 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
- Post-ESWL patient instructions is provided here.
- The history of all 4 generation ESWL is provided here.
How ESWL works?
- I must say that the this technology is an incidental breakthrough during World War 2 which develops generation by generation. Latest advance generation will give us the more benefit in term of the perioperative pain and complications reduction. 4th Generation machine is the latest ever technology so far (2021)
- It will create shockwave pulse from its shockwave head which implicated at the patient’s skin around the flank area (Flank area is where our kidney lies)
- The shockwave will travel through the patient’s skin and turn kidney stones into pieces.
- The ESWL only-ability is done but enough. Then the natural urine which continuous producing from our kidney will flush the kidney stone fragments down and turns out as a normal urination.
What are the strong pros of 4th Generation ESWL over the previous version one?
- 4th Generation machine is equipped with auto-tracking system. Please imagine my voice on it; it’s like a targeting missile machine in warfare, so the shockwave will accurately hit the kidney stone with no missing target and resulting in less pain from unnecessary kidney tissue hit by shockwave pulse.
- Minimized perioperative pain make 4th Generation procedure can be managed as day-care procedure with free from anesthesia team.
- Less medical expense on anesthesia team
- Less medical expense on hospitalization from anesthetic postoperative effect
- Less hospitalize time consumption, only 3 hours of procedure
- Less complications were reported due to shockwave accurately hit the stone, 98.5% hit rate over 82.6% hit rate from 3rd old Generation one
How much success rate of 4th Generation ESWL session we can guarantee?
- Due to ESWL is the minimally invasive kidney stone procedure so it is perfectly matching with small kidney stone.
- European Association of Urology 2020 has recommended ESWL in kidney stone less than 2 cm.
- Over 3 years of the real practicing, Royal Phnom Penh has our individual data on the 4th Generation ESWL.
- 84% success rate on < 1 cm kidney stone
- 77% success rate on 1 – 2 cm kidney stone
- 60% success rate on > 2 cm kidney stone
- ***The success rate defines as less than 4 mm of kidney stone fragment found during the following up period
Any questions on ESWL procedure, you can discuss with your trusted Urologist or that would be honored if you text me. See you in next topic!
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.
I highly recommend Dr. Pommy, who is a Specialist, in a league of his own.He has given my wife a second lease on life. He is thorough with his investigation and takes the time to explain the prognosis in layman terms. My wife cannot express enough in words of how Blessed she has been to have found this rare gem of a Specialist! Thank you for taking care of my wife.
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
I had the opportunity to shadow this amazing, compassionate, and inspiring doctor for a day and I can attest not only to his commitment and dedication to his patients, but also to his passion for medicine. I highly recommend him for all things related to urology.
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Thank You for your great advice, I have received fantastic and professional online advice for the diagnosis, treatment and future monitoring of my condition. He is very patient oriented, and is willing to answer any follow-up questions with further explanation. Thank You very much!
I was in excruciating pain when I went to see Dr. Pommy, the Chief Urology Department, Royal Phnom Penh hospital in Cambodia at about 9:00 AM. He surprised me by telling me that I could be treated in the afternoon. After being hit with 7,000 shock waves, NO MORE kidney stone, and no more pain. At the same time, my creatinine levels returned to normal after the treatment that day. It was like killing two birds with one stone. I highly recommend lithotripsy treatment for kidney stones. The treatment was virtually painless and I had relief almost instantly. Dr. Pommy was very kind and professional in handling my health issues.
My husband had the most pleasant, great treatment in the hands of Dr. Soarawee Weerasopone. He treated and help in the most graceful way my husband’s illness. In times of pain and doubts about what to do in an emergency we were very please to find someone that could not only explain every step of the treatment as well with great disposition answered any questions and make my husband feel relaxed and confident that everything was going to be fine. And it did. So THANK YOU SO MUCH. And may God always keep your way to treat your patients the way you humanly treat my husband. God bless you Dr. Weerasopone.
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I had problems with urine incontinence (active bladder) my life was a mess; I couldn’t sleep for 3 weeks, because every night as I lay down I get the urged but as soon I go the the toilet… Small stream and nothing. This was 8 – 10 times a night which effecting my overall health and well being, my quality of life went down hills. I found Dr Soarawee Weerasopone on the Google search. Chat with the doctor he patiently listen to my problems and give an answer. He ask me to come in for testing. 3 weeks later my symptom or ailments are gone.
I would highly recommend Dr. Soarawee… If you are having issues dealing with urine incontinence; he will seat down and actually listen to you, and he has a great great personality.
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Dr. Pommy is great!, On a recent routine check-up, I discovered a kidney stone and cyst on my kidney. I was advised to see Dr. Pommy for a follow-up, and i’m glad that I did as he is the premier urologist in my area (Cambodia). If you simply Google his name, his experience and credentials are the first things you encounter. Dr. Pommy is accessible and answered my questions in a well-thought and knowledgeable manner. He assured me that my new discoveries (stone and cyst) were nothing to worry about with a relatable explanation that broke down the science/results. He is very patient oriented, and is willing to answer any follow-up questions with further explanation. If you are in Asia (Thailand, Cambodia, Vietnam), and in need of an expert opinion or consultation, Dr. Pommy is a great person to speak with.
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I wish to share my recent very pleasant experience consulting with Dr Pommy, Urologist (Soarawee Weerasopone, MD Thai Urologist). I was extremely pleased to find a physician with his specialized training and prompt very professional communication. Dr. Pommy handled my particular medical needs in a caring and systematic fashion and provided me great confidence in his skill set. I have thirty years experience working in the medical field and am a professor from the USA. I will definitely send friends and family to this physician and return for my own future healthcare needs.
Dr Soarawee he so awesome best doctor you ever met. He so polite and he help me and give the advice and recommend all the best he can with the treatment and everything before take the next step. Really love and much appreciate. Very thankful for his help. Very recommended. Thank you Dr
Best urologist in Southeast Asia.
Best support and advice via line.
Thank you so much for help me many time.
Selbst wenn du aus Deutschland kommst ist Dr Pommy die beste Wahl.
Dieser Doktor hilft dir in allen Männer Problemen.
Danke nochmal lieber Doktor Pommy.