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Electrohydraulic Lithotripsy Discharge Instructions


About this topic


The urinary tract is made up of the kidney, ureters, bladder, and urethra. The kidneys make urine and it drains down into tubes called ureters. These ureters are connected to the bladder. The bladder then squeezes out the urine and it exits the body through the urethra. ‚  
Sometimes, salts and minerals in your urine build up and form stones. The stones are hard and can get stuck on their way out of the body. Some stones are too large and block the flow of urine. Others cause bleeding and pain. They may harm the kidney. These stones need a procedure to break them up. ‚  
Kidney stones may be broken up without cutting the skin. A special procedure called an electrohydraulic lithotripsy is used to break the stone down into tiny sand-like pieces. ‚  
This procedure can also be used to remove stones in the belly or bile duct. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • Pieces of the kidney stone may pass in the urine for a few days and may cause mild pain. Your doctor may give you drugs for the pain. Take the drugs exactly as ordered by your doctor.
  • Drink 8 to 10 glasses of water each day. This will help flush the broken kidney stones out.
  • Your doctor may ask you to strain your urine by using a filter. The filter will hold the stone pieces that will be used for testing.

What follow-up care is needed?


  • Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits.
  • Your doctor may ask you to get an x-ray to show how much of your stone has broken up.
  • If you were asked to filter your urine, bring the collected stones on your next visit.
  • If your doctor placed a small plastic tube, called a stent, inside your urethra to help pass larger kidney stone pieces, you may have to come in to have it removed.

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain or discomfort
  • Prevent infection
  • Relax smooth muscle in your ureter to help flush out stones
  • Prevent kidney stones

Will physical activity be limited?


You may have to limit your activity for a while. Talk to your doctor about the right amount of activity for you. ‚  

What changes to diet are needed?


Talk to your doctor or dietitian about your personal diet plan. Ask if there are foods you should avoid. ‚  

What problems could happen?


  • Pain while pieces of the kidney stone pass
  • Blocked urine flow if stone pieces are too big to pass through
  • Kidney injury
  • High blood pressure
  • Urinary tract infection
  • Blood in urine
  • Kidney stones may form again

What can be done to prevent this health problem?


  • Prevent or treat urinary tract infections.
  • Drink lots of water during the day. When you have less fluid in your body, urine becomes concentrated. This increases your chance of kidney stones.
  • Drink fluids in the evening to prevent your urine from becoming too concentrated overnight.
  • Follow the diet plan your dietitian gives you and limit the foods or drugs suggested. This will help to prevent the type of stones you formed before.

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, pain with passing urine.
  • Very bad pain in your back or side that will not go away
  • Throwing up
  • Urine that smells bad, looks cloudy, or has blood in it
  • No urine for more than 6 hours
  • Very bad pain in your chest, shoulder, or belly
  • More swelling of your ankles, legs, and hands or tightness with your shoes or rings
  • You are not feeling better in 2 to 3 days or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my procedure.
  • I can tell you how to strain my urine for pieces of stone.
  • I can tell you what I will do if I have a fever, pain in my back or side that will not go away, no urine, changes to my urine, or swelling.

Where can I learn more?


The Kidney Foundation of Canada ‚  
http://www.kidney.ca/page.aspx?pid=328 ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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