- What is Lithotripsy (ESWL) ?
- How is Lithotripsy (ESWL) Performed ?
- Brief Historical Background of ESWL
- Lithotripsy is Safest Without any Side Effects
- Why non invasive ESWL is better than invasive
procedures URS, PCNL, RIRS, Endoscopy, Open Surgery ?
- Who is Suitable for ESWL ?
- What Causes Kideny Stones ?
- Why should we go for Kidney Stones Treatment ?
- Guidelines For The Stone Patients
- Patient Must Know The Reason Of Stone Formation
- Be Carefull About Ultrasound Findings
- The Limitations Of Ultrasound In Stone Disease
- Kidneys Are Vitals For Life, Major Functions
- For Ureteral Stones Also, Over The Skin Lithotripsy, Best Choice
- Our Message

What is Lithotripsy (ESWL) ?

The complete term is Extracorporeal Shock Wave Lithotripsy (E.S.W.L.), which means Lithotripsy from the outer core of body i.e., over the skin. Lithotripsy is combination of two words "Litho" and "Tripsy". In Latin, "Litho" is used for "Stone" and "Tripsy" means crushing.
In modern science, Lithotripsy is a branch of medical field, in which the stones present in Urinary and Biliary systems are crushed into small sand like particles, by the vibratory impulses generated by biphasic, harmless ultrasound shock waves, applied over the skin. In this modality of treatment, neither a surgical cut or hole on the skin is required nor is any internal tube or instrument used endo-scopically, through urethra or per Orem. The harmless shock waves reach the stone by penetrating intact outer skin surface painlessly and focus on the stone after traveling through water media of body tissues.
To begin with, cracks or lines of cleavage develop, and then stone is crushed into small sand like particles. These small particles are automatically excreted from the body through natural passages. The particles of Kidney stone are passed through urine, whereas the particles of Gallstones are passed through feces, as the gallbladder is connected with small intestine through a tube, called common bile duct.
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How is Lithotripsy Performed ?

This method of treatment is unbelievably simple, convenient and comfortable. There is no need to remain empty stomach and no special preparation required. The patient just walks in the lithotripsy room and lies on a soft table. Water filled balloon touches the abdomen like soft cushion and multiple images of stone appear on the TV monitors from various directions. There is no need of anesthesia, as the patient does not feel any pain or inconvenience. The treatment starts in a relaxed atmosphere, while chatting lightly about the procedure. During the process also, the patient feels satisfaction & comfort. It seems as if some soft devise is knocking at his/her skin repeatedly through the balloon cushion. In this peaceful & soothing environment, the stone breaks into pieces in minutes. The patient walks out of the room with a satisfied face and starts the routine life on the same day. This applies to most of patients with certain exceptions. ESWL is a multi session treatment and for very hard and big stones, the procedure may be repeated for more than once.
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Brief Historical Background of (ESWL)

The Lithotripsy unit is called “Lithotripter”. This wonder of medical science and state of art technology was developed in Germany, where first patient was treated in February 1980, in Munich University.
The first success created a great wave of jubilation all over the medical community and this success was considered as one of the greatest inventions and achievement of 20th century for stone management. Even for the surgeons, it was astonishing and amazing that for those cases, where they have to operate for hours in blood filled fields, the same treatment was now possible without surgery and there were even no side effects. In a short span of time, different models of Lithotripter were invented due to rapid advancement in technology.
In the beginning, the patient had to lie in water filled tub and only small sized stones of kidney were crushed after keeping the patient empty stomach & giving GA. But as the medical research advanced, newer machines with better technology were manufactured. Now there is no need to anesthetize the patient or keep him hungry, nor is any water tub required. The treatment of the patient is usually completed in fraction of hours, without any remarkable pain. With recent developments, the stone treatment, with equal convenience, is possible at all locations, whether in Kidney, Ureter (tube of Kidney), Urinary Bladder, Gall Bladder or Bile duct.
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Lithotripsy is Safest Without any Side Effects

This modality of treatment is absolutely harmless and without any side effects. It is approved by most rigid & strict health standards all over the world including FDA (America) & DIN (Germany).
Some people may think that if these shockwaves can crush a stone, why don’t these damage the body, as the tissues of body are more delicate than stone? The answer is that our body has 60-70% of water. The characteristic of the Lithotripsy waves is that these travel through water without resistance but when come across a stone (which is devoid of water), lot of resistance is created and mechanical energy is generated. These energy-loaded waves penetrate the stone surface at a critical frequency with vibratory impulses with tsunami effect and spread throughout its substance in various calculated dimensions. This phenomenon first produces multiple cracks in a stone, and then transforms it into small sand like particles, in situ, without damaging the surrounding body tissues. Its example is like our voice comprising of sound waves, which travels in air without hindrance but faces lot of resistance, when hits a wall and echoes back.
It is important to point out here that these harmless & safe shockwaves are absolutely different in physics, chemistry & characteristics from harmful ultraviolet rays used in radiotherapy for cancer disease. The ultraviolet rays used to burn caner tissue, effect the surrounding organs of the body to some extent but the waves used to treat the stone, don’t damage the surrounding tissues at all.
As you know, for pregnancy and other ailments, many physicians prescribe ultrasound test. During pregnancy, sometimes this test is repeatedly performed, if the consulting physician considers it mandatory. This test has gained great popularity, being safe, and harmless. The shockwaves used for stone crushing are also biphasic ultrasound waves and are absolutely harmless for human body.
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Why non invasive ESWL is better than invasive procedures
URS, PCNL, RIRS, Endoscopy, Open Surgery ?

ESWL is non Invasive procedure, meaning by, this procedure is performed over the skin. No natural body orifice like urethra is negotiated, manipulated or entered and no incision, cut, breach or hole on skin is made. So the patient is safe from all the hazards and complications of invasive procedures like URS, PCNL, RIRS, Endoscopy, JJ insertion, open surgery etc.
The complications and hazards of invasive procedures include bleeding, haematuria, Urinary tract injury and infection, Gut injury, peritonitis, fever, wound infection, hospital cross infection, hazards of indoor admission, loss of urinary tract virginity, septicemia, septic shock, lung injury, blood transfusion hazards, hepatitis, TB and Aids. In addition, complications of GA (anesthesia), which includes throat and chest infections, brain damage and cardiac arrest are part and parcel of all invasive procedures.
The very word ‘Surgery’ or ‘Operation’ is so horrifying & dreadful to cause palpitation and pilo erection. When Allah SWT has provided us the advanced, non-surgical superior remedy, Lithotripsy, which is also harmless, time tested, cost effective, convenient & in use worldwide use, with utmost success, then there seems little justification to opt for the primitive, dangerous, brutal and discarded path of surgery. Human being is so delicately and softly formulated by Almighty Allah SWT that he feels intense pain of even a pinprick. Then who would like the dissection of his abdomen with a sharp knife, permanent week abdominal muscles, ugly scar, excessive blood loss with resultant after effects, loss of working period for weeks due to stay in hospital, all the hazards of invasive procedures, inconvenience and mental torture of attendants & relatives. Of course, no sensible person would like this.
As far invasive endo- urological or per cutaneous procedures are concerned, these add more misery by procedural complications, significant procedural failure rates, internal intubation, stents, and post procedural discomfort and complications, apart from hazards of other hazards of invasive procedures, mentioned above.
Add to this miserable picture, in surgery, stone is usually removed by cutting the hollow tube of kidney (renal pelvis or Ureter) and is repaired by stitching with a thread or clip. This process causes trauma and can implant infection in the kidney, making the lumen of the tube narrow and irregular (stricture), with resultant poor drainage and stone reformation more frequently. Unfortunately, if some serious infection flares up or some other complication of surgery arises, then uncontrollable expenses are multiplied through various channels like costly medicines, hospital & theater expenses, bed & room charges, laboratory charges, doctors & nurses fee and so on. The poor man may helplessly sees the control of his budget slipping out of hands and realizes as if the python of expenses is encircling his neck tightly and is dragging him to some unknown destination. Sometimes, the lifelong savings of a poor man or white collared gentle man are consumed completely and it becomes impossible for him to continue with the lingering treatment. The horrifying diseases of the modern times, including AIDS & Hepatitis may also get transmitted in surgical patients through open wounds, hospital cross infections, injection needles & blood transfusions.
On the other hand, consider another patient, who has walked in a Lithotripsy Centre, without even accompanied by any attendant. He has taken his breakfast or meal of the hour in routine. He has discussed his problem with the Lithotripsy Doctor. His case has been worked up in a short time, has got the Lithotripsy treatment in 40-50 minutes and after receiving certain instructions from the Doctor, has walked out of Lithotripsy center, going back to his job on the same day .This is a routine practice with Lithotripsy patients with few exceptions.
In non invasive Lithotripsy, there is no cut, no wound, no scar, no instrumentation or manipulation endo-scopically, no significant bleeding or pain, no anesthesia & unconsciousness, no indoor hospital admission or bed rest, no significant loss of working hours and none of the hazards & complications of Surgery, endo-scopy, anesthesia and hospital stay. There is also no chance of getting Hepatitis or AIDS.
Because of these facts, in USA, Europe and other advanced countries, the concept of open surgery for stone removal has been eliminated practically and the treatment of choice, in most of cases is through Lithotripsy (E.S.W.L.). Till today, for suitable cases, no technology better than ESWL has been invented even for the richest person on earth, the head of a state or any VVIP.
According to reports of some medical journals, in USA, it is now felt unnecessary to train new doctors for open surgery for stone removal, because stone removal by open surgery in USA has become a primitive & almost obsolete method to be mentioned only in history.
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Who is Suitable for (ESWL) ?

All those patients, whose kidney are functional and don’t have any distal obstruction are suitable candidates for E.S.W.L. In large stag horn stones, stone bulk is an important consideration and cases are selected after fully evaluating the individual case. Sometimes auxiliary procedure like JJ stent or PCN may be needed.
- ESWL process is equally effective & successful in
-whole of urinary system, whether the stone is lying in Kidney, Ureter or Urinary bladder
-What so ever is the composition of stone, Calcium Oxalate, Phosphate, Triple Phosphate, Uric Acid or Cystine.
-Whether it is radio opaque or radiolucent (visible on x-ray or only visible on ultrasound).
-All age groups, no age limit, equally effective for one month old baby to hundred years old man.
Those patients with reformation of stones after PCNL, URS and surgery or suffering from hypertension (high blood pressure), diabetes, hepatitis, carrying pacemakers, unfit for surgery due to medical or anesthesia risks, are suitable for Lithotripsy in most of cases and this miraculous treatment has emerged as great blessing and gift of Allah SWT for them.
As far Gallstones are concerned, only those patients are treated, who fulfill the selection criteria for Gallstone Lithotripsy and are individually assessed in Hospital.
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What Causes Kidney Stones ?

Kidney stone formation is a partially understood, complex disease. It may be a part of more generalized disease process like metabolic syndrome or may be a fore runner of other diseases. So, Kidney stones should be taken seriously and every stone should be unturned to investigate the cause of its formation, as knowing the cause is as important as its treatment. The cause may be present locally, i.e. in Kidneys or in urinary tract or outside the urinary system. The Kidneys are stone forming factories and if we provide the same raw material and environment, these will again produce the same product i.e. stone.

Advanced medical science have discovered many reasons for the formation of stones but still many causes are hidden, many secrets need to be unfolded and many questions to be answered.  Some know causes are discussed below.

1- SMALL VOLUME, LOW URINE OUTPUT, CONCENTRATED URINE

Kidney stone is a hard mass developed from the microscopic crystals that are normally present in the urine. If urine is of small quantity and concentrated, the stone forming crystals will come closer and join to form stone. On the other hand if urine is copious and dilute, the crystals will remain apart and won’t get a chance to clump up and join together to form stone.

The reasons of low output and concentrated urine include dehydration, habitually less water intake, hot climate, excessive sweating, poor thirst, depression, stress, outdoor laborious hard work like farming, Intestinal disorders like diarrhea, mal absorption, intestinal resection, etc.

2- SPECIFIC DIET

Stone formation has some relation with specific diet, as uric acid stones are prone to develop in high protein consumers.

In all other stones, no direct relation between stone formation and food is established.

Calcium Oxalate stones, which are most common, may develop with low calcium diet and excessive calcium intake doesn’t form stones. Similarly Oxalate excessive intake will not form stones, if associated with proportionate calcium and citrate intake. So quantity of one element, effects the absorption of other elements in GIT, meaning by it is imbalance diet with disproportionate elements, rather than any specific diet, which may cause stone formation. All members of a family live in the same environment, in a house, under the same roof and eat, drink similarly, but one member of the family develops stone while others don’t. This proves that diet is not the only factor involved in the formation of stones but there are so many other factors which contribute to it. Furthermore, the reduction of different salts, sodium, vitamins (C&D) and red meat may also decrease the formation of stones.

All those ingredients, consisting of acids and alkalis can also help in stones formation.

In remote areas, where food quality is poor (low protein, imbalance, unhygienic diet), stone formation is more frequent, especially in children.

3- INFECTION

If kidneys are effected from any sort of infection (UTI) from any source, it will enhance the process of stone formation and its rapid spread throughout in the collecting system of Kidneys. Infective stones are usually stag horn type, irregular, branch shaped stones, present in alkaline urine and compose of Calcium, Magnesium, and Ammonium Phosphate, also called triple Phosphate stones.

4- OBSTRUCTED, DISTORTED COLLECTING SYSTEM OF KIDNEYS WITH RESULTANT STASIS OF URINE

Blockage, stenosis or narrowing of lumen of urinary system at any level (kidney, ureter, bladder, and urethra) will cause back pressure and stasis of urine, with resultant infection and stone formation. The blockage may be due to congenital anomalies (mal rotated kidneys, horseshoe kidneys, pelvic kidneys, blobbed, kidneys with double collecting systems, calyceal stenosis and atresia, congenital PUJ narrowing, mega pelvis, aberrant renal arteries, mega ureters, ureteral stenosis and strictures, ureterocele, high bladder neck, urethral valves, urethral stenosis and strictures, hypospadia, spinal anomalies etc) and acquired causes( post operative strictures, stenosis and distortion, infections, post-endo-urological and per cutaneous procedure complications, trauma, injury, malignancy, paraplegia, hemiplegia, spinal injuries, etc.

5- METABOLIC CAUSES

a. HIGH LEVELS OF STONE FORMING ELEMENTS IN BLOOD

For instance Calcium, (i.e.; Hyper Calcaemia in Hyper parathyroidism), Oxalate ( Hyper oxalaemia), Uric acid( Hyperuricaemia as in malignancy and high protein diet, use of anti cancerous drugs, etc.) and Cystine (congenital hyper excretion).

b. HIGH LEVELS OF STONE FORMING ELEMENTS IN URINE

For example, high levels of Calcium (primary Hypercalciuria), Oxalate (Hyperoxaluria) and Uric acid ( Hyper uricosuria) are helpful in stone formation, Contrary, high levels of Citrate are helpful in preventing the stone formation and low levels facilitates it.

c. CHANGES IN THE PH LEVEL OF URINE

It will change the amount of acids and alkali in urine helping in the formation of different kinds of stones. Staghorn, infective stones form in alkaline urine and others in acidic urine.

d. HYPER ACTIVITY OF HARMONES

Due to any reason (hyperplasia, adenoma, carcinoma, secondary or tertiary parathyroidism), parathyroid glands,( present in front of neck,) become over active with resultant increase in Calcium levels in blood, causing bilateral, multiple Kidney stone formation, even in child hood.

e. METABOLIC SYNDROM

High blood pressure, Diabetes and Obesity, being part of metabolic syndrome, facilitate the stone formation. Similarly inactivity, over eating and loss of exercise, also contribute to stone formation process, directly and indirectly.

6- INHERITED TENDENCY, STRONG FAMILY HISTORY

Some times, stone disease runs in families and many individuals of successive generations frequently form kidney stones. They need extra care, follow up and vigilance about the problem.
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Why should we go for Kidney Stones Treatment

Having stones in kidneys is a serious and alarming condition, which may have devastating effects on health and life, including many short and long term complications. This disease may be local, a fore runner of other diseases or a byproduct of some other disease processes, i.e. metabolic syndrome.
The stone can have the damaging effects locally, like loss of kidney tissue, thinning of cortex, infections like pyelo-nephritis and pyo-nephrosis, blockage, i.e. Hydronephrosis and Anuria), shrunken kidneys i.e. fibrosis, dysuria, frequency, urinary retention, kidney failure etc.
Stones can also effect the rest of body , like severe pain, weakness, malaise, easy fatigability, pallor, haematuria, pyuria,  anaemia, fever, septicemia, weight loss, hypertension, signs of renal failure, week bones, body aches, vomiting, drowsiness, metabolic disturbances, acidosis, poor physique, low resistance to infections, stress, depression, etc. and day to day life routine and efficiency  is suffered.
So, it is advisable to consider the stone presence very seriously and consult the concerned Physician or Urologist for treatment as soon as possible. No time should be wasted in trying home remedies and quackery trails. Because kidneys are vital organs and the damage caused by stones in the form of loss of kidney tissue (parenchyma) is irreversible.
Use of pain killers to reduce the pain in kidney, may damage the kidney parenchyma and cause stomach ache (Gastritis, ulcer). These pain killers and syrups (spasmolytics) may decrease the tone of kidney tubes muscle fibers and this atony increases the stasis of urine in kidneys with resultant chances of infection and pus formation, along with distention of abdomen and constipation. Excessive use of pain killers may precipitate the kidney failure.
The patient can face emergency situation, if urine is blocked with acute retention, due to stones in urethra or both ureters. Unwanted toxic products will pile up in blood, (Uremia), which may result in severe health problems and patient’s life may be endangered.
Kidney stone may also adversely affect the other diseases of kidneys like CKD, acute n chronic pyelonephritis, acute n chronic glomerulonephritis, can cause high blood pressure and diabetes, influence lungs, heart, blood vessels, bones, joints and other viscera due to anaemia, poor resistance and bad health.
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Guidelines For The Stone Patients

a, Excessive drinking of water, fluids and liquids.

- Drink water adequately with regular short intervals as much as convenient. Plane, Boiled, filtered or mineral water is preferable, in addition to fresh fruit juices especially citrus( like leemoo pani, orange juice), Lassi, lemon barley, malt 79, fruit squashes, non alcoholic bear, crane berry juices etc. Cold fizzy drinks should be avoided.

- Try to drink 10-15 glasses of fluids daily.

- Try to take water before going to and after coming out of rest room.

- Always drink plenty of water before going to bed, not recommended in old age.

b, Protect yourself from scorching heat of sun and hot climate.
c, Control your sugar level, blood pressure and weight.
d, Keep yourself free from stress, tension, depression, worries, grieves and sorrows.
e, Selective diet is not recommended in every case, except excessive high protein and sodium intake.

Therefore the following food can be taken in suitable quantities:-

Spanich, Tomatoes, Rice, Cauliflower, Green leafy vegetables, salads, beet roots, Strawberries, Cherries, Beans and peas.

Milk and dairy items i.e. Yogurt, Butter Milk, Custard, milk based sweets and Ice Cream etc.

White meat (Fish N Chicken) is preferred to red meat (Beef, Mutton). Eggs and lentils are also not contra indicated.

Tea, Coffee, Chocolate, and Dry Fruits can be taken. Concentrated soft drinks, being hyper osmolar, should be taken sparingly.

Although the above food items have particles which help in stone formation like calcium, oxalate, purines etc, but their role in stone formation is not definitely established.

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One should drink water adequately, with short intervals, so that urine is passed regularly, in adequate amount and time, not thick, deep yellow, foul smelling, low volume, concentrated, scanty or after a long pause. The best convenient way is to observe the urination yourself and adjust the intake of water accordingly.

Therefore we can say that drinking adequate water is more important than selective diet.
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Patient Must Know The Reason Of Stone Formation

Kidney stones re-formation or recurrence is almost 50%, meaning by that every 2^nd stone former will reform stone again, if adequate measures are not taken to prevent it and It is possible only, if we know the cause of stone formation. Kidneys are stone forming factories and will reproduce the stones again and again in favorable environment n conditions. Therefore the stone suffering patients should consult qualified, stone related Physicians or Urologists, follow their advice, so that all possible preventive measures are taken to stop reformation and recurrence.
Stone suffering Patients should regularly visit the follow up clinic, every 3-6 monthly, to be up dated with the progress of their disease.
We, at Hussain Kidney Hospital, are especially equipped with stone related diagnostic and therapeutic recent advances. All this is done under one roof, as an OPD case. We also maintain the medical record of every ESWL patient for future reference and consultation.
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Be Carefull About Ultrasound Findings

Self assessment of your case, just by ultra sonographic size of stone is misleading
Some people become physician of their own by reading the USG report themselves and get confused. It’s not advisable for a patient to decide the plane of treatment of his/her stone disease by just knowing or comparing the size of stone in past n present ultrasound reports himself / herself, without consulting the concerned physician. Due to extensive quackery in Pakistan, common man is easily trapped in the cleverly talks of the quacks, who make fool of them by discussing the increase and decrease of stone size, without knowing that stone has rarely a round shape and is a three dimensional object, having length, breadth and width and many stones are branch shaped stag horn stones and uni dimensional measurement is always deceptive and mis-directive.
Secondly, there are so many other worth considering factors apart from the size of the stones.

For instance,

how much damage is occurring in the kidney due to that specific stone?

what is position and location of stone?

What role that stone is playing in the patient’s disease?

What could be the reason for the formation of that stone?

Finally how to prevent it from recurring again?
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The Limitations Of Ultrasound In Stone Disease

It is worth considering that ultrasound has a limited role in proper diagnosis and comprehensive management of stone disease. Its limitations include,

- It is operative dependent. The operator may be a qualified Sonologist, who picks up the exact relevant findings, a trainee or a mere quack, which only knows about the measurement of stone, without knowing its significance. In Pakistan, unqualified USG operators are available in most of streets and areas, and provide wrong reports, which misguide the patients as well as physician, showing highly non professional approach.

- It is machine dependent. USG is refined resolution of tissues and high tech; better machines provide better details of tissues. Mostly, the so called street quacks, keep poor quality machines with resultant poor results and poor interpretation.

- It is patient dependent. The quality of details in obese patients is poor as compared to thin lean patient. Patient’s preparation also carries significance. Full stomach, empty bladder, lot of gases and distention of abdomen suppress the findings.

- USG doesn’t cover the whole urinary tract. It doesn’t usually cover the mid n lower ureteral areas due to spine, intestines and gases in abdomen, especially when ureters are not dilated and patient is un- prepared. Similarly, stones in urethra are not traceable on USG, especially if lie distal to prostate.

- Actually, the stone measurements are three dimensional, but USG report usually narrates single dimension, which is misleading in oval, date shape or irregular, branched stones, which spread extensively in all the calyces.

- So, starting stone treatment, depending on mere findings of ultrasound can sometimes prove detrimental to health.

Pre ESWL Assessment

For accurate diagnosis, better treatment and follow up, it’s important to perform all relevant tests including ultrasound, as per advice of an expert doctor or Urologist only. Some related tests include X-ray KUB, IVU, CT URO 3-D, CT KUB, non contrast and with contrast, Urine R/E & C/S, CBC, Renal profile, Coagulation profile, S. Electrolytes (Na+, K+, Ca+, Mg++, HCO3-), s. uric acid, Spot urine (for Ca+, Oxalate, citrate, protein & Uric Acid), S. Paratharmone, 24 Hrs urine (for Ca+, Oxalate, Citrate & Uric Acid), Stone Analysis, Urinary micro Albumen, 25 Hydroxy Vit-D, endo urological and per cutaneous diagnostic procedures, DTPA, nuclear isotope renal scan, etc.
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Kidneys Are Vitals For Life, Major Functions

Kidneys perform vital role in normal functioning of our body.
-These maintain the fluid balance of body. Excess of water passes out in urine and in case of dehydration, water is retained.
- Electrolyte homeostasis (Na+, K+, Cl-, H+, HCO3-, Ca++, Mg++, PO43-) is also maintained by Kidneys.

- These also excrete drugs, urea, creatinine and other toxic and harmful waste products of metabolism from our body through urine. These substances will pile up in blood, if Kidneys don’t function properly. Excess of these toxic substances can cause serious metabolic, fluid and electrolyte disturbances, threatening health and life.

- Kidneys also excrete hormones which help to control blood pressure (renin), production of RBCs in blood, (erythropoietin) and 1, 25 dihydroxy vitamin D3. Briefly kidneys are one of those vital parts of our body, without which, life is impossible. If kidneys stop functioning, the health of the patient start deteriorating rapidly and in advance cases, the support of dialysis and kidney transplants become mandatory.
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For Ureteral Stones Also, Over The Skin Lithotripsy, Best Choice

HUSSAIN HOSPITAL SPECIALIZES IN URETERAL STONE TREATMENT, WITH OVER THE SKIN HARMLESS LITHOTRIPSY, WITHOUT ANY INTERNAL INSTRUMENTATION OR INVASIVE PROCEDURES, LIKE URS, PCNL OR OTHER ENDOUROLOGICAL PROCEDURES
Hussain Hospital has achieved special expertise in treating kidney tube stones (ureter). With installed state of the art technology & vast experience, the stones in ureter are broken down at the same place without any instrumentation or manipulation endoscopically. The treatment of stones is possible everywhere, in upper, middle and or lower part of ureter.
We recommend all those patients , suffering from ureteral stones, to contact us & consult your case. By the blessings of Almighty Allah SWT, you will be cured without any cut, wound, scar, instrumentation or manipulation endo-scopically, bleeding, pain or indoor admission.
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Our Message

Some people comment about Lithotripsy (ESWL), without having even the basic knowledge of the subject and some misquote for some of their personal interests, without any relevance with the facts. For the last 35 years, the medical research, all around the world, have been confirming that this treatment is completely harmless and safe, carrying no side effects. Therefore we advise the stone suffering patients not to give any weight to these false believes and if they need any information or have any question in their mind about Lithotripsy contact the Hospital personally with all your medical record.

Our Motto :"Respect lies in service"
Our Faith : "Help the people, Allah SWT will help you"

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