What to Expect

With lithotripsy, you can expect a few key aspects throughout the process. Initially, you’ll undergo imaging tests, such as an X-ray, an ultrasound or a CT scan, to determine the size and position of the kidney stones. The procedure itself may involve extracorporeal shock wave lithotripsy (ESWL). In ESWL, shockwaves are directed at the stone from outside the body to reduce the stone into a sand-like substance that is easily passed through urination. The procedure is usually done on an outpatient basis, and sedation or anesthesia is provided to minimize discomfort.

During the procedure, you might feel some mild discomfort, but most of the pain is managed with medication. Afterward, you may experience mild to moderate discomfort as you pass the stone’s remains through your urinary tract, including pain, blood in the urine, or frequent urination. Most patients can return to their normal activities within a few days. Follow-up appointments will be necessary to ensure the procedure’s success and to check if any stone fragments remain. Overall, lithotripsy is effective and is the only non-invasive option for managing kidney stones.