Lithotripsy (ESWL)

A scientific perspective on Extra Corporeal Shock Wave Lithotripsy for urinary stone disease.

Understanding ESWL: Myths vs. Science

Extra Corporeal Shock Wave Lithotripsy (ESWL), launched in the 1980s, was initially seen as a non-invasive panacea. However, modern clinical evidence shows that it must be used selectively to be effective.

The Clinical Reality

ESWL can break a stone, but it cannot "bring the stone out." Success depends on the stone breaking into small enough pieces and the body's ability to pass them. In unselected cases, the failure rate is high.

Debunking Medical Marketing

Marketing Claim

"Painless & Non-Invasive"

The Truth

Not entirely painless and carries specific internal risks.

Marketing Claim

"Highly Effective for all stones"

The Truth

70% efficacy even in expert hands and best machines.

When is ESWL Recommended?

At Urogyn, we use ESWL scientifically and selectively for:

  • Small kidney stones
  • Upper ureteric stones
  • Residual stones after PCNL
  • Scientifically selected cases only

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