How are kidney stones broken?



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Kidney stones are a very common disease, affecting 15% of people, a serious Nax disease, with a probability of recurrence greater than 50% after five years of follow-up.

Urinary stones are an important cause of urinary pain and urination, sometimes in case of kidney failure and death. They therefore require effective treatment and long-term medical control.

The most important renal catheterization currently available: pharmacotherapy, extracellular lithotripsy, transcutaneous lithotripsy, ureteroscopy, laparoscopic and open surgery.

Extremely shock wave lithotripsy (ESWL) is a modern and effective technique developed in the medical world by the German aeronautical firm DORNIER in the 1980s, during its tests on planes.

The shock waves of the fragmentation device focus toward a focal point, resulting in high pressure that destroys solid kidney stones by erosion and fragmentation of the cytoplasmic body. Surrounding the gravel Its flexibility and tear-proof ,. It does not hurt, in addition to the fact that the shocking waves is concentrated on these tissues

  • Pregnancy
  • Coagulation disorders
  • Severe obesity> 120 kg
  • Aortic aneurysm Aortic aneurysm or renal artery.
  • The composition of gallstones is also important because cysteine ​​and calcium oxalate minerals are highly resistant to fragmentation.

One of the challenges for the doctor is to choose the ideal type of treatment for the pebble. And the presence of diseases or malformations or abnormalities.

In this context, the recent recommendations of the American Society of Urinary Surgery (AUA) suggest that ESWL is the first option, when the size of the pebble is

in the total stones [19659002] Urethral stones

Considering the factors mentioned above, according to the same association, the overall rate of success of fragmentation of kidney stones outside the body is about 85%.


  • Prepared by: Dr. Mohammed the leper.
  • Verification: Tasnim Loung.
  • Editing: Issa Hazeem.
  • Source: Campbell-Walsh Urology, 11th Edition

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