Patient's question:
How to relieve the constant urge to urinate caused by kidney stones. Waiting online because I have kidney stones measuring 0.7 cm, which are causing me to constantly feel the need to urinate. What medication can help alleviate this? I'm feeling extremely uncomfortable and can't take it anymore. It's like going every few seconds.Doctor's answer:
Hello: Kidney stones can generally be clearly diagnosed through clinical ultrasound examination. Most patients with small or medium-sized stones have no symptoms, while larger stones may cause discomfort or pain in the waist. It is recommended to use extracorporeal shock wave lithotripsy (ESWL) as the first choice for stone removal treatment. Early treatment is also advisable, as it yields better results.First, let’s clarify that extracorporeal shock wave lithotripsy (ESWL) is a non-invasive, innovative stone removal treatment device and technology. Its principle is entirely different from that of extracorporeal shock wave (ESWL). The advantage of ESWL lies in its lack of organ damage, thorough stone removal, minimal pain for patients, and ease of acceptance. In contrast, extracorporeal shock wave (ESWL) can cause organ damage and is more painful.
The ESWL technology employs high-frequency superconducting fluid dynamic shock wave dynamics in a three-dimensional integrated stone removal approach, assisted by large digital ultrasound for precise localization. It features accurate positioning, rapid stone removal, effective treatment of bile duct stones and ureteral stones (allowing stones to pass as they are removed), and particularly thorough removal of in intrahepatic bile ducts. The most prominent feature of this equipment is its user-friendly operation, thorough stone removal for various types of stones, broad applicability, minimal side effects on the body, painless stone removal during the process, no need for hospitalization, and lower treatment costs, making it easily accepted by patients. It is a reliable, effective, simple, and practical treatment device with unique equipment and technological advantages. Therefore, it is currently the best choice for treating various types of stones.
ESWL is particularly suitable for kidney stones and ureteral stones under 10 mm in diameter. For larger stones, the principle of first crushing and then removing the stones can be applied to achieve complementary advantages. Whether it’s small stones or multiple larger stones, early diagnosis of kidney stones has become more timely due to the widespread use of ultrasound. Newly formed small stones can generally be detected early, providing the best conditions for ESWL treatment. At the same time, it offers the latest measures for early stone removal, avoiding excessive treatment methods that cause significant organ damage, poor efficacy, pain, and high costs.
It is recommended to use ESWL as the first choice for stone removal treatment and to seek early treatment for better results.
First, let’s clarify that ESWL is a non-invasive, innovative stone removal treatment device and technology. Its principle is entirely different from that of extracorporeal shock wave (ESWL). The advantage of ESWL lies in its lack of organ damage, thorough stone removal, minimal pain for patients, and ease of acceptance. In contrast, extracorporeal shock wave (ESWL) can cause organ damage and is more painful.
The ESWL technology employs high-frequency superconducting fluid dynamic shock wave dynamics in a three-dimensional integrated stone removal approach, assisted by large digital ultrasound for precise localization. It features accurate positioning, rapid stone removal, effective treatment of bile duct stones and ureteral stones (allowing stones to pass as they are removed), and particularly thorough removal of in intrahepatic bile ducts. The most prominent feature of this equipment is its user-friendly operation, thorough stone removal for various types of stones, broad applicability, minimal side effects on the body, painless stone removal during the process, no need for hospitalization, and lower treatment costs, making it easily accepted by patients. It is a reliable, effective, simple, and practical treatment device with unique equipment and technological advantages. Therefore, it is currently the best choice for treating various types of stones.
The indications and scope of ESWL treatment are as follows:
(1) For kidney stones and ureteral stones smaller than 1.2 cm, ESWL should be the first choice for stone removal treatment. This is because it causes no kidney damage, ensures thorough stone removal, is safe and painless, and avoids the side effects of shock wave. If the stone diameter exceeds 1.2 cm, extracorporeal shock wave (ESWL) should be used first to crush the stone, followed by ESWL for thorough stone removal, achieving complementary advantages.
(2) This equipment is particularly suitable for acute ureteral stones and the resulting hydronephrosis, renal pelvis dilation, ureteral hydronephrosis, ureteral dilation, and renal colic. It can rapidly remove ureteral stones, immediately relieve pain, and quickly alleviate the above symptoms, making it the preferred treatment for ureteral stones.
(3) For patients with multiple kidney stones on the same side combined with ureteral stones, the ureteral stones should be removed first, followed by the removal of multiple kidney stones, to prevent the formation of a "stone street" in the ureter.
(4) For large kidney stones that remain in the lower pole of the kidney pelvis or calyces after ESWL fragmentation, these residual small stones are the best indication for ESWL for thorough stone removal. This is because the handheld high-frequency superconducting shock wave transducer can directly touch the stones in the lower pole of the kidney, moving them into the renal pelvis and ureter for removal.
(5) For the above types of stone diseases, if complications such as urinary tract infections lead to conditions like pyelonephritis, ureteritis, cystitis, prostatitis, or urethritis, the inflammatory membrane hyperemia and swelling may hinder stone removal. Therefore, antibiotic anti-inflammatory treatment must be administered first, and ESWL treatment can only be performed after the inflammation subsides.
(6) ESWL stone removal treatment generally requires 1-3 sessions to completely remove the stones, with a duration of 5-7 days. Patients in good physical condition can undergo continuous treatment, while those with poorer health may need to be treated once every other day. For patients with poor urinary function or infections, hospitalization may be prolonged.
Clinical observations by Professor Chen Bangjing suggest that ESWL is a leading new technology for stone treatment both domestically and internationally. It is currently the preferred method for treating kidney stones, ureteral stones (which are generally removed within two hours), gallstones, and extrahepatic bile duct stones. Its completely thorough stone removal effect, lack of organ side effects, and low cost have benefited a vast number of patients. For stones beyond the scope of ESWL, extracorporeal shock wave (ESWL) should be used first to crush the stones, followed by ESWL for removal. For large kidney cast stones and gallstones, surgical removal is recommended if discovered.
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