There’re questions came up from the patients for what and how the difference between the patient’s instruction on 3rd and 4th of the ESWL? I’m going to state it deliberately only on the 3rd generation in this topic.
- Burapha University hospital contact number 099-424-1583
- Samitivej Sriracha hospital contact number 088-022-1445
- Royal Phnom Penh hospital contact number 012-991-000
If you would like to review the 4th Generation of ESWL patient’s instructions – please visit this link.
Once we all know that the 4th Generation of ESWL is especially designed for synchronizing with the human breathing leading to scientific prove on 98.5% stone hit rate which the 3rd generation does not. So, the pitfall of 3rd generation is, missing the stone hit target – 82.6% during awaken time.
What does it mean “Awaken time”? it’s means that they still have consciousness to cause anxiety, pains or anything that can make them breathing unsmooth and unproper. When they breathe unsmooth and unproper, it’s led to the 3rd generation of ESWL shooting the missed shockwave bullet and it hits the kidney tissue causing painful and useless the bullet.
Don’t be worried! We can lower this phenomenon by putting the patients to sleep under sedation’s method which is controlling by anesthesiologist. Sedation can control the patient to breath smoother the tempo which is help the missed shockwave bullet.
The post 3rd generation of ESWL patient’s instruction
Right after the ESWL procedure
- You will be awaked by anesthesiologist after the moderate sedation.
- After the observation in recovery room for 1 – 2 hours, you will be transferred to ward for hospitalize for overnight staying. (The reason for overnight staying is to observe of any side effects of the sedation such as dizziness or nausea)
The past several days after ESWL procedure
- Almost 100% of the patients can experience with Bloody urination caused by the cracking stone method from ESWL that blasting effect surrounding the kidney tissue – you will be encouraged to drink plenty of water from 2 – 3 liters a day in order to drain all residual blood which exist surrounding the ESWL target area.
The past 30 days after ESWL procedure
- Risk of Steinstresse 4 – 7% – The German term which mean “stone route”. When stone shattered, it will possibly drop down to the ureter and accumulated through route, this mechanical apparently viewed by imaging tools. Steinstresse will lead to a flank pain or asymptomatic.
- Risk of residual stone 21 – 59% – The residual stone that less than 4 mm, considered as unremarkable stone. The unremarkable stone can spontaneously pass out by its own. The chance of growing of the unremarkable stone at 5 years is 21% growing up, so we need to do regular checkup as the time went by. Normally, the observation of the residual stone will be regular perform by ultrasound only.
- Risk of kidney stone pain – When the stone shattered, sometimes it aggravated a sudden pain. You still encourage to drink 2 – 3 liters of water a day to reduce chance of the stone pain. It also has an oral medication that could’ve reduced the stone pain after ESWL procedure.
- Risk of blood stream infection 1 – 2.7% – The kidney stone is the place where bacteria lived, they will run for their lives, sometimes they ran into the blood stream and made the troubleshooting in there. We will not prescribe any oral antibiotic routinely after ESWL, if we do so, it is unnecessary and giving a chance of a drug resistant by the way. The best practical is to observe whether they will have a fever after ESWL procedure or not?
- Risk of gigantic bleeding from kidney tissue < 1% – Since the ESWL is considered as the least invasive kidney stone procedure, therefore, a severe injury of kidney is minimally reported.
The ESWL’s long term complication
There is no existing evidence supporting the hypothesis that ESWL can cause long term complications.
If you have any questions on the 3rd Generation ESWL procedure. Please talk to your trusted urologist, or it would be my pleasure if you text me. Take care!
You can visit my official homepage here.
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.
Very prompt, positive and professional.Speedy response to my initial enquiry with simple and decisive advice offered. The doctor was also extremely friendly and helpful which was reassuring even via an online consultation. Would highly recommend to anyone.
Polite and kindly answer all my questions, I’m glad to have found him. I ask him lots and lots of questions and he politely answer it all. Some doctor will find you annoying since i ask like alot of questions. And also, he had given lots and lots of good advice.
If there is a 10 stars, i would rate hime 10 stars.
Men’s health. Dr Pommy have made lots of effort in rising awareness for male good Urology practice. He is willing to share information and very professional in answering questions. He is the Thai whom respect a lot!
I have seen many Urologist in the past for my problem but I am satisfied the way Dr. Soarawee Weerasopone is handling my case. He has very good diagnostic skills and explain the condition to his patients in a detailed manner. I will strongly recommend him. Thanks!
Thank You for your advice, I have received fantastic and professional online advice for the diagnosis, treatment and future monitoring of my condition. Thank You very much! I’m sure that your international expertise is of great value to the local community.
Dr Pommy’s profession is second to none, his personality is another extra bonus, polite and down to earth, my oldies is very happy with the result that came, Dr Pommy help him through with the treatments and gave all the best of the best advice he could gives. We couldn’t be much happier with him and thank you for his services. He is very much recommended.
I visited Dr. Pommy today. He treated me very well. I think that Dr. Pommy is the excellent professional and #1 urology doctor in Phnom Penh.
Professional doctor. Reply fast and responsible.
Fantastic! Really amazing support and understanding
Dr. Weerasopone is professional and knowledgeable. He assists his patients with getting through their diagnostic process smoothly and easily. The end result is a diagnosis that is thoroughly explained, a treatment that is successful and a patient who has peace of mind. I would highly recommend Dr. Weerasopone for anyone looking for a reassuring experience.
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.
I am quite pleased to be able to know and meet Dr Soarawee Weerasopone. He is quite professional in the way he shared his analysis and tries to understand the person he talks to, like me. I feel I had the final conclusion from his detailed explanation, I am really grateful for his support and his prompt reply when I approached him online. Speaking to a doctor in a good friendship way, not easy to find someone like him. Feeling blessed to know him. 🙏😊
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.
A very good and kind doctor. It is hard to find this kind of doctor that will answer right away your question through online platforms without any charges or whatsoever. Provide recommendation and prevention of any health related problems to his speciality.
Dr. Soarawee, he is a kind hearted doctor who provided me good online consulting. I do thank for his professional and patient to advise me. I support and like the way you help people with your positive manner, Dr. I wish you healthy and happy in your life and your profession.
He is willing to do free consultations for those who are in need. I felt really comforted after he did a short consultation.
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.
I really Love Dr. so much I really appreciate his kind hearted. He is the he best kind and helpful Dr. ever I ever see. He help curing my grandpa’s illness with all his kind heart. He is our family alive god 🙏🙏🙏
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.