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Suffering From Kidney Stones? Ask for ESWL

Majority of the Kidney and Ureteric stones less than 20 mm can be treated without Surgery by

Extracorporeal Shock Wave Lithotripsy (ESWL)

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ESWL has many advantages compared to endoscopic surgery. 


  1. The most safest treatment modality available till date

  2. Short out patient day care procedure

  3. Doesn't require Anaesthesia.

  4. Doesn't require hospitalisation.

  5. Doesn't require skin incisions.

  6. Patients can resume back to normal activity immediately post ESWL procedure.

  7. No risk of infections.

  8. No DJ Stenting Required

Endoscopic Surgery

  1. Comparatively less safe 

  2. In Patient Procedure

  3. Requires Anaesthesia.

  4. Requires 24 Hours hospitalisation.

  5. May require skin incisions.

  6. Patients can resume back to normal activity 2 Days after the procedure.

  7. Mild risk of Infections.

  8. DJ Stenting Required, Pt can experience stent related symptoms like Urinary Frequency, Urgency, Blood in the urine. 

Kindly note that ESWL has its own limitations and your Urologist will help you decide about the ideal treatment for you.

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Very few centres offer ESWL for the  treatment of kidney stones. Many of them use a low cost Lithotripters which can compromise the effectiveness of the treatment and the outcomes.


Most of the hospitals use a Fluoroscopy guided ESWL which exposes the patients to harmful radiation. Many lithotripters are placed in a mobile van to visit various hospitals which  can hamper the lithotripter's efficacy and the treatment outcomes.  


At Matoshree, an in house Ultrasound guided ESWL - Siemens Modularis Variostar Lithotripter is used to treat the kidney stones which ensures accurate localisation of the stone, real time monitoring of the procedure without any harmful radiation. 


Unlike other hospitals, the ESWL Procedure is performed by an experienced Urologist which ensures better outcomes & patients safety.


I had a 9mm kidney stone for which I consulted Dr. Bashetty. He very clearly explained all the options ( and their advantages and disadvantages ) that were available to me and advised which option was best suited for my specific case. He has a very assuring and compassionate attitude which put me at ease ( I was anxious :-) ) . I chose ESWL and I had three sittings ( my stone was quite a hard one ). In all the three sittings the procedure was done personally by Dr. Bashetty. Throughout the duration of the procedure he made sure that I was at ease and comfortable. Within one month I passed all the stone fragments and now I am stone free! There was some pain during the passage of the fragments , but was managed with the medication that Dr. Bashetty prescribed. During the course of my treatment he was ALWAYS present to answer any question or doubts that I had , however trivial or silly. Overall I felt that Dr. Bashetty is very invested in his patients ( as much as the patient himself/herself ). I am extremely grateful to Dr. Bashetty for taking such good care of me. Based on my own personal experience, I would very very strongly recommend him to anybody who has a similar problem.


Dr Rajeev Bashetty

MS (General Surgery), MCh (Urology)

Consultant Urologist


Dr. Rajeev Bashetty is a Consultant Urologist with a special interest in Extra Corporeal Shock Wave Lithotripsy (ESWL) & Endourology. He obtained his training in General Surgery and basic Urology from the renowned JN Medical College Belgaum and Advanced Urology Training from the Prestigious Bangalore Medical College Bangalore. He is specialised in treating kidney stones with ESWL and Lasers. He has worked with various Lithotripters since 1999 and has a vast experience in treating kidney stones with ESWL, Percutaneous Nephrolithotomy (PCNL) & Laser Stone Surgeries (RIRS). He strongly believes that most of the kidney stones can be successfully treated with ESWL there by preventing a surgery.

Dr Suma Raju

MD, Dip of American Board of Nephrology

Consultant Nephrologist

Dr. Suma Raju has a vast experience in Internal Medicine and Nephrology. As an American Board Of Internal Medicine & Nephrology certified Nephrologist, she is well-versed and has practiced in various aspects of nephrology with Los Angeles County Medical Center as associate professor of clinical medicine and as director of Diabetic Nephropathy Clinic. She has also exclusively practiced nephrology with Sutter Gould Medical Foundation, California for a year. Her main interests are Kidney failure, Fluid Electrolyte disturbances, Glomerulonephritis, Urinary tract infections, Diabetic Nephropathy and Resistant Hypertension. She is also certified by the American Society of Hypertension.

Kidney stones are known to human mankind since antiquity and their treatment has significantly changed over a period of time from a morbid open surgery to minimally invasive surgery. During this course of evolution, Extracorporeal Shock Wave Lithotripsy (ESWL) was invented. 
The first ESWL treatment of a human was performed on February 07, 1980 by Christian Chaussy, Dieter Jocham & Bernd Forssmann in Germany. The results with this new treatment modality were so successful that it thoroughly revolutionised modern stone management. Till date, ESWL remains the least invasive and the most safest treatment modality for Kidney & Ureteric Stones.

The technology of ESWL has been refined over a period of time. Unlike in the past, the procedure is now performed  without anaesthesia and the patient can be discharged to work within few hours.

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