The 3rd Generation of ESWL’s patient instruction

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There’re questions came up from the patients for what and how the difference between the patient’s instruction on 3^rd and 4^th of the ESWL? I’m going to state it deliberately only on the 3^rd generation in this topic.

• 泰国东方大学医院联系电话 099-424-1583
• 三美泰是拉差医院联系电话 088-022-1445
• 皇家金边医院联系电话 012-991-000

If you would like to review the 4^th Generation of ESWL patient’s instructions – please visit this link.

Once we all know that the 4^th Generation of ESWL is especially designed for synchronizing with the human breathing leading to scientific prove on 98.5% stone hit rate which the 3^rd generation does not. So, the pitfall of 3^rd 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 3^rd 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 3^rd 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

1. 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.

2. 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.

3. 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.

4. 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?
5. 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 3^rd Generation ESWL procedure. Please talk to your trusted urologist, or it would be my pleasure if you text me. Take care!

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