Bethsaida Hospital Serang introduces ESWL, a modern non-surgical treatment designed to safely and effectively break kidney stones with minimal pain and rapid recovery.
Kidney stones, medically known as nephrolithiasis or urolithiasis, are hard deposits formed in the kidneys from crystallised minerals and salts. They can be as small as grains of sand or as large as a ping-pong ball, and may remain in the kidney or move through the urinary tract. Some of the main risk factors include:
- Not drinking enough water
- A diet high in oxalate (such as spinach and chocolate) or excessive salt intake
- A family history of kidney stones
- A sedentary lifestyle
“It is important to detect kidney stones as early as possible because if left untreated, they can cause serious complications such as infection or kidney damage,” explained dr. Harun Wijanarko Kusuma, Sp.U, Urology Specialist at Bethsaida Hospital Serang.
Causes of Kidney Stones
Kidney stones form when urine contains excessive amounts of certain substances, such as calcium, oxalate, or uric acid, which then crystallise. Contributing factors include:
- Dehydration: A lack of fluids makes the urine more concentrated, allowing minerals to crystallise more easily.
- Diet: High intake of salt, animal protein, and oxalate-rich foods can increase the risk.
- Genetic factors: A family history of kidney stones may increase susceptibility.
- Medical conditions: Certain health problems can increase the risk of kidney stones, such as overactive parathyroid glands (which cause high calcium levels in the blood), recurrent urinary tract infections, or disorders that affect how the body processes minerals and nutrients.
Diagnosis of Kidney Stones
To diagnose kidney stones, doctors usually employ several methods, including:
- Urine examination: To check for the presence of crystals or infection
- Ultrasonography (USG): Helps detect the presence and size of kidney stones
- CT scan: Provides a clearer image of the stone’s location
Several Treatment Options for Kidney Stones
There are several methods used to treat kidney stones, depending on their size, location, and the patient’s condition, including:
- Medication: To help dissolve small stones
- ESWL (Extracorporeal Shock Wave Lithotripsy): Breaks stones without surgery
- PCNL (Percutaneous Nephrolithotomy): A minimally invasive procedure for large stones
- Ureteroscopy/RIRS (Retrograde Intrarenal Surgery): Uses a scope and laser to break stones without surgical incisions
ESWL: A Modern Non-Surgical Solution
ESWL (Extracorporeal Shock Wave Lithotripsy) is a non-surgical procedure that uses high-energy shock waves to break kidney stones into small fragments, allowing them to pass naturally through the urinary tract. ESWL is considered one of the primary treatment options for small to medium-sized kidney stones that are difficult to pass naturally.
Advantages of the ESWL Method:
- No incision: No surgery or wounds required
- Minimal pain: The procedure is performed with light anaesthesia, ensuring patient comfort
- Fast recovery time: Patients can return to normal activities within 1–2 days
- Effective for small to medium stones: Suitable for stones <2 cm
- Quick procedure: Typically takes around 30–60 minutes
“ESWL is a highly effective modern solution for breaking kidney stones without the need for surgery. This technology greatly helps patients with lower risk of complications and shorter recovery time,” explained dr. Harun.
Urology Clinic at Bethsaida Hospital Serang
Bethsaida Hospital Serang is equipped with the latest technology and a team of experienced specialist doctors, including dr. Harun Wijanarko Kusuma, Sp.U, who treats kidney stone cases and other urological conditions. dr. Tirtamulya, Director of Bethsaida Hospital Serang, added, “Our Urology Clinic is equipped with modern diagnostic facilities, such as USG, CT Scan, and ESWL technology. All services are designed to provide the best treatment experience, ensuring safety and comfort for patients.”