Extracorporeal Shockwave Lithotripsy (ESWL) is a safe, effective, and widely preferred treatment for kidney stones. When both the patient and the stone(s) are appropriate candidates, lithotripsy can provide rapid relief. The procedure uses targeted shockwaves to break kidney stones into smaller, passable fragments, and recovery is typically short—most patients return to normal activities within just a few days. ESWL is also highly versatile, allowing for the treatment of stones in different areas of the urinary tract.
For patients who qualify and choose this non-invasive approach, ESWL is generally straightforward, with an uncomplicated recovery. Below is an overview of what to expect in the hours and days after treatment.
Immediately After Lithotripsy
After your procedure, you will be discharged to go home. Your doctor will likely recommend rest and avoidance of strenuous activity for the remainder of the day. Mild pain or bruising in the treatment area is common. Your provider may suggest over-the-counter pain relievers or prescribe medication, such as an antibiotic, if appropriate. You will also be advised to drink plenty of fluids, which helps flush out stone fragments. It’s normal to notice blood in your urine, which may appear pink or red for a short time.
The Days Following Lithotripsy
In the days after treatment, you may continue to pass small fragments of the stone in your urine. Staying well-hydrated is essential to aid this process. Most patients are able to resume normal daily activities within 2-3 days. However, if you experience severe pain, fever, or difficulty urinating, contact your physician immediately, as these may be signs of infection or another complication.
Conclusion
While all medical procedures carry some risk, ESWL is considered safer and less invasive than alternatives such as ureteroscopy, with a lower likelihood of complications like bleeding or infection. For patients with the right health profile and stone size, it is often the first line of treatment.
If you’re struggling with kidney stones and would prefer lithotripsy over ureteroscopy, give us a call at (919) 404-7255 or fill out our contact form here.