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Lithotripsy is a non-invasive medical procedure used to break down kidney stones or ureteral stones into smaller fragments so they can be more easily passed through the urinary tract. The procedure uses either shock waves or laser energy to fragment the stones. There are two primary types of lithotripsy: extracorporeal shock wave lithotripsy (ESWL) and laser lithotripsy. ESWL involves generating shock waves outside the body that are directed at the stones, causing them to break into smaller pieces. Laser lithotripsy, typically performed during a ureteroscopy, uses a laser fiber inserted through the urethra to fragment the stones. The primary cause of kidney stones is the formation of crystalline deposits in the kidney due to factors such as dehydration, dietary imbalances, or metabolic disorders. Risk factors include a high intake of calcium, oxalate, or uric acid, as well as certain medical conditions and medications that can contribute to stone formation. Complications associated with lithotripsy can include discomfort or pain during and after the procedure, as well as potential bruising or bleeding in the kidney or surrounding tissues. There is a risk of stone fragments causing temporary blockage or obstruction in the urinary tract, which might lead to urinary tract infections or hematuria (blood in the urine). In some cases, the stones may not be completely fragmented, necessitating additional treatments or procedures. Follow-up care involves monitoring for any residual stones, managing pain, and ensuring that the stone fragments are successfully passed. Overall, lithotripsy is considered an effective and minimally invasive method for treating kidney stones with a generally favorable outcome.
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