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Home › Articles › Shock Wave Lithotripsy: who is a candidate?

Shock wave lithotripsy

Shock Wave Lithotripsy: who is a candidate?

Who is a good candidate for shock wave lithotripsy?

The short answer

This treatment sends focused sound waves through the skin to break a stone into small pieces you pass in your urine. It often works for smaller kidney stones and some upper ureter stones.

More detail

It may not fit very hard or very large stones, stones in hard-to-reach spots, pregnancy, or people who can't stop blood thinners. A CT scan helps us decide. Stone that won't pass? Lithotripsy suits many smaller kidney and upper-ureter stones; very hard or large stones and some lower-kidney stones do better with ureteroscopy, and a CT scan helps decide.

Our care near Marietta

Across Marietta, Canton, Dallas and Jasper, our team sees you for visits and follow-ups at the office where you first come to us. Procedures for all four offices take place at our Marietta Clinic & Surgery Center on Church Street Extension NW.

Schedule your visit with Advanced Urology, with locations across metro Atlanta.

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Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

Before lithotripsy: your visit with us

Stone patients are seen at all four of our clinics, while lithotripsy itself takes place in our Marietta surgery center. We'll look at a recent CT to see the stone's size, density and position, check your kidney function, and review blood thinners, since some need to be paused.

How our urologists decide

With lithotripsy, focused sound energy delivered through the skin breaks the stone into passable fragments. It tends to suit smaller stones in the kidney or upper ureter. Larger or harder stones, or stones lower down, may be better handled with ureteroscopy, and we'll explain why if we suggest a different route.

Call or seek care promptly if

  • Pain comes with fever or chills
  • You're vomiting and can't keep fluids down
  • You can't pass urine

Our scheduling team at (678) 344-8900 helps people from Canton, Jasper and Dallas plan treatment in Marietta.

The day of treatment

Lithotripsy is done with anesthesia, and you go home afterward. Expect to see small fragments in your urine over the following days or weeks.

Drinking plenty of water afterward helps the pieces move along more easily.

We'll check with an X-ray or scan afterward to confirm the stone has cleared.

More on stones

Videos from Advanced Urology

Kidney Stones? 3 Ways to Remove Them What the video covers: In under two minutes, Dr. Casey McCullough compares three procedures for a stuck stone, among them lithotripsy and ureteroscopy, and notes that stone size, position, hardness and overall health steer the decision. Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Questions after reading this? Our offices in Marietta, Canton, Dallas and Jasper share one phone line and one caring team.

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