It is the scientific and non-invasive procedure to disintegrate stones in kidney, ureter and bladder without surgery.

ESWL is the short form of Extra Corporeal(outside the body) Shockwave Lithotripsy. This procedure breaks up the stones in kidney and ureter WITHOUT SURGERY into fine sand like particles which subsequently pass out with urine. This procedure is being widely and successfully used in USA, UK, Germany and other European countries since 1980, it is considered to be the most superior procedure of removing stones and is approved by the HEALTH AUTHORITIES ALL OVER THE WORLD.
Over 50 lacs patients have already been treated by over 800 installations globally.

⊙ No cutting hence no long incisions and ugly scars.
⊙ No damage to kidney or other vital organs
⊙ Internationally popular procedure
⊙ early resumption of normal activities
⊙ method of choice for treatment of recurrent stones as repeated surgery often results in kidney removal or damage.
⊙ no need for blood transfusion, avoid serious hazards eg. hepatitis and AIDS
⊙ patients unfit for surgery due to medical reasons can be safely treated
⊙ unparalleled safety – oldest patient treated was 90 years of age.

• Single and multiple stones of various chemical compositions, size and shapes can now be disintegrated.  Recently the stone density has come as best predictor for optimum result and fragmentation. A size of less than 15 mm and stone density of 1200 HUF will do better with ESWL.

This is the procedure of choice for recurrent stones as repeated surgery is afterall difficult, hazardous and may result in the removal of kidney.

Routine check-up and usual investigations are required(as advised by your physician/surgeon/urologist).

Average sitting takes 30-40 minutes depending on the size and number of stones. Usually no stay is required.

Patients ranging from infants to aged as well as those who are not fit for surgery due to heart disease, hypertension, diabetes, respiratory disorders, kidney failure, etc. can be treated safely by this procedure.

The stone is fragmented into very fine particles. The patient is asked to drink plenty of fluids. The fragmented particles pass out with urine.

Adequate facilities for follow up are available at our institution.

The treatment will be carried out by a team comprising of Urologist, Doctor and Technician.

No, lithotripsy persay, never causes stone reformation. The stone disease is known for recurrence, irrespective of the treatment modality because multiple risk factors including genetic predilection, hereditary dietary, environmental factors etc:

No, the stone treatment may require ancilliary treatment like PCNL, stenting, RIRS & Ureteroscopy as an adjunct for complete clearance. Our centre can undertake these procedures & patients need not go to other places to get their stones removed.
A ‘sandwich’ therapy is offered as stone package for treatment which shall include ESWL, any ancilliary operative procedures like PCNL or ureteroscopy(only surgeon’s operating fee is inclusive), the cost of consumables & hospital stay is to be borne extra. The double J stenting, if required, shall be charged extra.

ESWL is the ideal treatment in carefully selected patients, however, there are 8-10% chances of the non-fragmentation of stones because of their typical composition. All these patients shall be declared as a failure after 3 sessions & they shall be offered either PCNL/open surgery depending upon the situation. In case of failure due to technical reasons, the ancillary procedure shall be charged as per actuals.

Ureteroscopy is the procudure in which the urosurgeon can see inside the ureter break and remove stones under direct vision irrespective of the size using most modern energies viz. laser, ultrasonic lithotripter, dilate the urether in case of stricture, repair the ureter in case of injury, pass a double J stent and may perform many other procedures. It is usually done under spinal/general anesthesia and the patient has to be admitted overnight. As the procedure is directly under vision and fragments are removed in toto, the success rate is cent per cent.

• Percutaneous nephro lithotomy is the procedure known to the general public as “key-hole” surgery. As the name implies, a small hole is made right up to the stone through the side of the patient’s body and any stubborn, difficult or large stone is removed through this “key-hole” after breaking it into small pieces with laser or ultrasonic energy. This is done under l anesthesia and the patient is discharged after 3-4 days.

It is the procedure by which the Prostate or tumor in urinary passage or bladder is resected through urethral route by endoscope, without any open operation. Contrary to belief, the procedure never causes any spread of cancer or growth of prostate. The procedure is usually done under regional block. Even patients with high risk factors like Heart attack, neurological deficit and advance age can undergo the procedure safely.

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An ideal endoscopic treatment of bladder & urethral stone carried out as an outdoor procedure.

• Male urethra is tackled endoscopically. It is primarily a day care procedure and has a success rate of over 60% in carefully selected patient with good follow up.

The use of laparoscope in urology is increasing and practically all open surgical procedures are being done by it. All ablative and reconstructive , oncological Urological Surgeries can be be performed decreasing the morbidity and hospital stay.

It is performed with minimum morbidity, surgical scars & recovery is immediate.

As the name implies it is a dynamic functional study which records graphically the events of urination in both filling phase & voiding phase. It detects the actual cause of neurovesical dysfunction. 

The study is indicated for neurological, diabetic and patients with unexplained response to medical treatment of Prostate and bladder.

All patients with voiding dysfunction with concomitant diabetes mallitus, chronic retention, neurogenic bladder & where the symptoms do not fit with objective evaluation.

Bed wetting or nocturnal enusesis is quite common in children & in many cases it many be manifested to adulthood too, there are very few organic cases but it is mostly improper toilet training, it can be cured if properly seen & taken care of.

An impalpable testis is a disease which if uncorrected may lead to irreversible loss of spermatogonia, the stem cell forming sperms when the child becomes adult, the maximum time for waiting is upto 12-18 months.

• It is quite common in young females wherein when they laugh there is urinary leak, it is curable.

It is a urinary leak especially at the time of stress like coughing & in severe squatting, running, sneezing cases even while changing posture. A careful advice by a urologist can cure this condiition. It is very common in 3rd-5th decade of the females.

The urinary infection occurs in newly-married females, which, if untreated may lead to pyelonephritis & symptomatic UTI requiring hospitalizations. It is curable & preventable by proper urological advice.

Yes, everyone over 40 years of age needs to be examined regularly to detect renal dysfunction early.

Yes, Hospital has exclusive Kidney check-up programme in which consultation, check-up, etc. are performed within a day. If need be a nephrological checkup is also performed to rule out any renal dysfunction.

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