Dept. of Urosurgery    
 
 
ESWL (Lithotripsy)

E S W L is short form for EXTRA CORPOREAL (OUTSIDE THE BODY) SHOCK WAVE LITHOTRIPSY (Disintegration of Stones). In this procedure stones located in the Kidney & Ureter are localised and broken down by shock Waves into fine particles. The Stone is broken down by Lithotripter into fine particles. The patient is therefore asked to drink plenty of Fluids to encourage the passage of these particles out of the body with the urine. Single, Multiple & Staghorn Stones of various Sizes and Shape have now been successfully treated by E S W L.

As No SURGERY is required this procedure is very popular in America and all European countries. Usually the cost of the treatment, Inclusive of the Doctor ‘s Fee and post treatment care is Rs. 12,000. In the case of Large and Multiple stones, the cost may vary. The cost of the medicines used for the patients and stent (if required) would be extra.


 
Advantages
 
• No Anaesthesia, so patients Unfit for Surgery due to Medical Reasons
  (Like Diabetes, Hypertension, Respiratory Problem) can be easily treated.
• No Cutting, hence No Ugly Scars or Discomfort.
• No Hospitalisation
• No Loss of Working Days , can continue Normal activities very soon .
• No Blood Transfusion , hence No Risk of AIDS , Hepatitis .
• All Age Groups can be easily treated .

 
 
 
 
 
 
Ureteroscopy  
This is the procedure where the Urosurgeon can see inside the Ureter and under direct vision can break and remove Stones using Ultrasonic Lithotripter. It is usually done under Spinal/ General Anaesthesia and the patient has to be admitted for one day.
 
 
P C N L
( KEY HOLE SURGERY )
 
A small hole is made right upto the Stone under Image Intensifier by the side of the patient‘s body and difficult hard or large Stone is removed through this “Key Hole“ after breaking it into small pieces. This procedure is done under Anaesthesia and the patient has to be admitted for 2 - 3 Days.
 
 
T U R
 
Trans urethral resection means removal of the Enlarged Prostate or Bladder Tumor through the normal Urinary passage without giving any cut to the patient’s body. This is done under Spinal Anaesthesia and the patient is admitted for 2-3 Days.
 
 
   
DR. VIVEK KHANDELWAL

M.B.B.S M.S. M.C.H (UROSURGERY)
CONSULTANT UROSURGEON
JEEWAN MALA HOSPITAL

 


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