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ESWL (Extracorporeal Shock Wave Lithotripsy)

ESWL (Extracorporeal Shock Wave Lithotripsy)

A non-invasive process known as lithotripsy (short for extracorporeal shockwave lithotripsy or ESWL ) breaks up stones into smaller sand-like fragments that may pass on their own. This technique has been in the United States since 1984 and is the most frequently used procedure to combat kidney stones. It does not require an incision. The principle for stone destruction among all types of lithotripters is the same. Shock waves are generated outside the body and focused on the target stone. There are different kinds of lithotripters. Some devices allow the patient to be placed in a water bath to allow the propagation of the shock waves; others use a soft cushion or membrane on which the patient rests for shock wave transmission. Prior to the procedure, patients undergo a physical examination, and their history is reviewed. Because this process can produce pain, most patients are given some type of anesthesia. Your doctor will help you decide whether you need only a sedative, regional, or general anesthesia

Patients need to know that ESWL does not remove their stone. When effective, stones are fragmented to be small enough to pass out of the kidney. Because the residual fragments can cause discomfort while they pass, the doctor may insert a stent, a narrow tube placed through the bladder and into the ureter, to assist passage. Repeat ESWL can be a possibility if initial treatment is not successful. Your doctor will evaluate your x-rays to determine if ESWL is appropriate for your stone.

Gambar Batu Ginjal

Batu Ginjal Saat Terapi EWSL

ESWL adalah salah satu terapi bagi penderita batu ginjal guna dihancurkan dengan gelombang kejut, efek samping yang jauh lebih sedikit dibandingkan dengan operasi.

Jenis tindakan yang lain selain EWSL adalah :
- Percutaneous nephrolithotomy (PNL)
- Ureteroscopic stone removal
- Standard open surgery (nephrolithotomy)

Di Indonesia, hanya beberapa Rumah Sakit tertentu yang mempunyai fasilitas ESWL untuk sekarang ini.

Reference :
- www.tms-uro.com
- www.webmd.com
- parkaveurology.com
- www.soton.ac.uk
- www.drmarc.co.uk
- www.gls-lithotripsy.com
- www.ahealthyme.com
- health.nytimes.com
- BeritaIptek.com - ESWL (1)
- BeritaIptek.com - ESWL (2)
- Batu Saluran Kemih
- Batu Ginjal

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