Page 2 - Shock Wave Lithotripsy Discharge Instructions

Shock wave lithotripsy

Discharge instructions

Stone fragments Notes / Diagrams:

Analysis of stone fragments can be useful to your
urologist in giving you advice to prevent further stone
formation. You may be provided with a strainer to filter
your urine with every void until you have collected
several fragments. Allow the stones to dry and
bring the fragments with you to your follow-up visit.
Sometimes, the stone fragments are so small that they
may pass through the strainer.

Follow-up appointment

A follow-up X-ray after shock wave lithotripsy is
important. This will indicate whether any stone
material remains and the need for additional
treatment. Your X-ray should be obtained immediately
prior to the scheduled follow-up appointment.

A follow-up appointment will be arranged with
the lithotripsy unit urologist, your own urologist or
your family doctor depending on what is most
convenient for you. Your urologist can determine if
there is any other problem, including the possibility
of kidney obstruction without pain. The first follow-up
appointment is usually scheduled within several weeks
after your treatment.
If a ureteric stent was inserted prior to the procedure,
you must ensure that arrangements are made with
your doctor regarding its removal after SWL. Ureteric Follow-up
stents that are left in for a long time (i.e. years) can
cause serious kidney damage.
Please arrange a follow-up appointment with
Call your doctor or go directly to a hospital
emergency room if you have: Dr. _____________________________________________
• severe and persistent pain not relieved by the
prescription medication that you have been in _________ days / weeks.
provided
• chills or fever above 38.5°C or 101°F An X-ray should be obtained immediately prior to
• persistent nausea and vomiting your follow-up appointment.
• on-going heavy urinary bleeding or the passage
of blood clots

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