Extracorporeal Shock Wave Lithotripsy
Urology · Minimally Invasive
Same day, 45-60 minutes
Duration
Outpatient
Setting
The patient usually goes home the same day. Increased fluid intake is recommended to help pass stone fragments over the following one to two weeks, follow-up imaging confirms complete stone clearance, and repeat sessions are occasionally needed for larger stones.
Recovery
₹15,000+
Cost
📖About Extracorporeal Shock Wave Lithotripsy
Extracorporeal shock wave lithotripsy, commonly known as ESWL, is a non-invasive procedure that uses focused shock waves generated outside the body to break kidney or ureteric stones into small fragments that can then pass naturally through the urine. It is generally the first-choice treatment for moderate-sized stones because it avoids the need for any incision or internal instrumentation. Imaging is used throughout the session to precisely target the stone with the shock waves, minimizing exposure of surrounding tissue. Because success depends on the fragments being able to pass, ESWL works best for stones under about two centimetres and in favourable locations within the urinary tract.
Duration
Same day, 45-60 minutes
Setting
Outpatient
Recovery
The patient usually goes home the same day. Increased fluid intake is recommended to help pass stone fragments over the following one to two weeks, follow-up imaging confirms complete stone clearance, and repeat sessions are occasionally needed for larger stones.
Cost Range
₹15,000 – ₹40,000
Specialty
Urology
Success Rate
70-90% depending on stone size and location
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📋Indications — Who Needs This Treatment?
- 1Kidney stones under roughly 2 cm in size, upper ureteric stones, stones in patients wishing to avoid more invasive procedures, recurrent stone formers with manageable stone burden
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🔬How the Treatment is Performed
- 1The patient lies on a treatment table with the affected kidney positioned over the shock wave source. Imaging, either X-ray or ultrasound, is used to precisely target the stone, and thousands of focused shock waves are delivered through the skin to fragment the stone over the course of the session, with mild sedation or pain relief given as needed.
📝Pre-Treatment Preparation
- 1Consult a Urology specialist to confirm suitability for Extracorporeal Shock Wave Lithotripsy
- 2Complete all pre-treatment investigations as directed — blood tests, imaging, ECG, or specialist clearance
- 3Disclose all current medications, supplements, and allergies to your treating physician
- 4Fast (nil by mouth) for 6–8 hours if the treatment involves anaesthesia or sedation
- 5Arrange for a responsible adult to accompany you, especially for procedures requiring sedation
- 6Follow all specific pre-treatment instructions issued by your care team regarding diet or medication changes
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⚠️Possible Side Effects & Risks
- 1Bruising over the treated area, blood in the urine for a few days, pain as stone fragments pass, rare failure to fully fragment larger or harder stones, urinary tract infection
🩹Recovery & Aftercare
- 1The patient usually goes home the same day. Increased fluid intake is recommended to help pass stone fragments over the following one to two weeks, follow-up imaging confirms complete stone clearance, and repeat sessions are occasionally needed for larger stones.
Treatment Journey — What to Expect
Before Treatment
Pre-treatment workup, consent signing, and preparation as instructed by your care team. Baseline tests and imaging completed.
During Treatment
Extracorporeal Shock Wave Lithotripsy is administered over Same day, 45-60 minutes. Vital signs monitored. Your specialist manages any immediate side effects.
Immediate Post-Treatment
Recovery observation, assessment of initial response, discharge instructions provided. Follow-up appointment scheduled.
Long-term Recovery (The patient usually goes home the same day. Increased fluid intake is recommended to help pass stone fragments over the following one to two weeks, follow-up imaging confirms complete stone clearance, and repeat sessions are occasionally needed for larger stones.)
Return to normal activities as tolerated. Monitoring for treatment response and side effects. Ongoing support from your specialist.
Extracorporeal Shock Wave Lithotripsy Cost in India (2024–25)
| Component | Govt / Budget | Private |
|---|---|---|
| Specialist Consultation | ₹300 – ₹800 | ₹1,000 – ₹3,000 |
| Procedure / Session Cost | ₹2,000 – ₹10,000 | ₹10,000 – ₹50,000 |
| Medications | ₹500 – ₹3,000 | ₹2,000 – ₹15,000 |
| Follow-up & Monitoring | ₹300 – ₹1,000 | ₹1,000 – ₹5,000 |
| Rehabilitation / Aftercare | ₹1,000 – ₹5,000 | ₹5,000 – ₹25,000 |
* Estimates for India 2024–25. CGHS / Ayushman Bharat may cover eligible treatments. Individual costs vary by hospital, city, and complexity.
Treatment Outcomes
Extracorporeal Shock Wave Lithotripsy has a documented success rate of 70-90% depending on stone size and location when performed by qualified specialists at accredited facilities. Individual outcomes vary based on disease stage, patient health, and adherence to the treatment plan and aftercare instructions.
Frequently Asked Questions
What is Extracorporeal Shock Wave Lithotripsy?+
Extracorporeal shock wave lithotripsy, commonly known as ESWL, is a non-invasive procedure that uses focused shock waves generated outside the body to break kidney or ureteric stones into small fragments that can then pass naturally through the urine. It is generally the first-choice treatment for moderate-sized stones because it avoids the need for any incision or internal instrumentation. Imaging is used throughout the session to precisely target the stone with the shock waves, minimizing exposure of surrounding tissue. Because success depends on the fragments being able to pass, ESWL works best for stones under about two centimetres and in favourable locations within the urinary tract.
Who is a candidate for Extracorporeal Shock Wave Lithotripsy?+
Extracorporeal Shock Wave Lithotripsy is recommended for patients diagnosed with specific conditions where other approaches have been insufficient. Your Urology specialist will assess your suitability based on your diagnosis, health history, and treatment goals.
How long does Extracorporeal Shock Wave Lithotripsy take?+
The typical duration is Same day, 45-60 minutes. This may vary based on the complexity of your case and individual response to treatment.
What is the recovery time after Extracorporeal Shock Wave Lithotripsy?+
Recovery typically takes The patient usually goes home the same day. Increased fluid intake is recommended to help pass stone fragments over the following one to two weeks, follow-up imaging confirms complete stone clearance, and repeat sessions are occasionally needed for larger stones.. Your care team will provide specific instructions based on your response and overall health.
What are the risks or side effects of Extracorporeal Shock Wave Lithotripsy?+
Side effects vary by individual and are detailed in the section above. Your specialist will discuss all risks and benefits with you before treatment begins. Serious adverse effects are uncommon but are part of the informed consent process.
What is the success rate of Extracorporeal Shock Wave Lithotripsy?+
Extracorporeal Shock Wave Lithotripsy has a documented success rate of 70-90% depending on stone size and location at accredited facilities. Outcomes depend on disease stage, patient health, and adherence to the treatment plan and aftercare instructions.
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⚕️ Medical Disclaimer
This page is for informational purposes only. Always consult a qualified specialist before deciding on any treatment. In emergencies, call 112.