Laser Lithotripsy

Lithotripsy is a medical procedure used to treat kidney stones. It may also be used to treat stones in other organs, such as the gall bladder or the liver. Kidney stones are collections of solid minerals that sometimes form in the kidneys. Healthy kidneys do not have these stone-like formations. Most stones pass out of the body naturally during urination.Stones may consist of small, sharp-edged crystals, or smoother, heavier formations that resemble polished river rocks. Sometimes these larger formations do not pass in the urine. These stones can cause kidney damage. People with kidney stones may experience bleeding, pain, or urinary tract infections. When stones begin to cause these types of problems, your doctor may suggest lithotripsy in order to break up the stones.
1. Laser lithotripsy

A urologist inserts a scope into the urinary tract to locate the stone. The type of the scope may be cystoscope, ureteroscope, renoscope or nephroscope. A laser fiber is inserted through the working channel of the scope, and laser is directly emitted to the stone. The stone is disintegrated and the remaining pieces are washed out of the urinary tract.
This procedure is done under either local or general anesthesia and is considered minimally invasive surgery.
This procedure is widely available in most hospitals in the world.
2. Shock wave lithotripsy

Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy.SWL works better with some stones than others. Very large stones cannot be treated this way. The size and shape of stone, where it is lodged in your urinary tract, your health, and your kidneys’ health will be part of the decision to use it. Stones that are smaller than 2 cm in diameter are the best size for SWL. The treatment might not be effective in very large ones.
SWL is more appropriate for some people than others. Because x-rays and shock waves are needed in SWL, pregnant women with stones are not treated this way. People with bleeding disorders, infections, severe skeletal abnormalities, or who are morbidly obese also not usually good candidates for SWL. lf your kidneys have other abnormalities, your doctor may decide you should have a different treatment. lf you have a cardiac pacemaker, a cardiologist will decide if you can have SWL.