Lithotripsy Cost

Lithotripsy, a non-invasive procedure, has revolutionised the treatment of kidney stones. This innovative technique uses shock waves to shatter stones into small pieces, allowing them to pass naturally through the urinary system. Understanding the lithotripsy surgery cost is crucial for patients considering this treatment option.

This comprehensive article delves into the factors that influence shock-wave lithotripsy cost, including the type of procedure, hospital fees, and geographical location. We'll explore the average lithotripsy cost in India, compare it to other countries, and discuss why this treatment is often recommended. 

What is Lithotripsy?

Lithotripsy is a non-invasive procedure that breaks down kidney stones using shock waves. This treatment targets stones too large to pass naturally through the urinary tract. Doctors locate the stone with an X-ray or ultrasound before sending focused ultrasonic energy directly to it. The shock waves shatter the stone into smaller fragments, which can then pass through the urinary system. This method helps avoid more invasive surgical procedures. 

There are three main types of lithotripsy: ultrasonic, electrohydraulic, and extracorporeal shock wave lithotripsy (ESWL). ESWL is the most common type, using pressure waves to break up stones.

What is the Cost of Lithotripsy Procedure in India?

The average cost of lithotripsy is ₹35,000, but it’s important to note that additional expenses, such as diagnostic tests, medications, follow-up consultations, and type of procedure and location, may increase the overall cost of treatment. 

For extracorporeal shock wave lithotripsy (ESWL), patients can expect to pay between ₹30,000 and ₹50,000. 

Flexible ureteroscopy with laser lithotripsy (FURSL) is more expensive, ranging from ₹65,000 to ₹80,000. 

Factors Influencing the Cost of Lithotripsy

Several factors affect the lithoscope surgery cost in India, including:

• The treatment city plays a significant role, with tier 1 cities like Delhi, Mumbai, and Bangalore generally having higher costs than tier 2 or 3 cities. 
• The choice of hospital also impacts expenses, with private facilities typically charging more than government hospitals. 
• The doctor's experience is another crucial factor, as seasoned professionals often command higher fees. 
• The specific reason for lithotripsy, whether for kidney, gallbladder, or ureter stones, can influence the price. 
• The severity of the condition, including stone size and number, may increase costs. 
• Potential complications during the procedure might also lead to higher expenses.

Who Needs a Lithotripsy?

Lithotripsy is recommended for individuals with kidney stones or ureteral stones that are too large to pass naturally through the urinary tract. This non-invasive procedure is particularly suitable for patients with stones less than 2 cm in size located in the kidney or upper ureter. 

Why is Lithotripsy Required?

• Lithotripsy becomes necessary when kidney stones grow too large to pass naturally through the urinary tract. This non-invasive procedure breaks down stones using shock waves, helping patients avoid invasive surgery. 
• It's beneficial for stones in the kidney or upper ureter, especially those less than 2 cm in size. Lithotripsy treats severe pain, bleeding, and urinary tract infections caused by large stones. 
• It also prevents potential kidney damage from blockages. 
• The procedure has a higher success rate of 70% to 90%, with patients becoming stone-free within three months. However, some patients may need additional treatments if fragments remain.

What are the Risks Associated with lithotripsy?

Lithotripsy, while generally safe, has potential risks, such as: 

• Patients may experience bruising or discomfort at the treatment site. 
• Passing stone fragments can cause irritation and discomfort in the urinary tract. 
• In rare cases, bleeding or infection may develop. 
• Some stones resist fragmentation, requiring additional treatment. 
• Patients might have pain, frequent urination, or a sense of urgency post-procedure. 
• Blood in urine is common for days or weeks after treatment. 

To manage discomfort, doctors often prescribe pain medication and recommend increased fluid intake. It's crucial to contact a doctor if fever, severe pain, heavy bleeding, or other concerning symptoms develop.

Conclusion

Lithotripsy has a significant impact on the treatment of renal stones, offering a non-invasive alternative to traditional surgery. Various factors can influence the cost of the procedure, including the type of lithotripsy, hospital fees, and geographical location. Understanding these elements helps patients make informed decisions about their healthcare options. 

As we've seen, lithotripsy is not without risks, but its benefits often outweigh the potential drawbacks for many patients. It's crucial to consult with doctors to determine if this procedure is the right choice for individual cases. 

FAQ's

1. Is lithotripsy a major surgery?

Lithotripsy is a non-invasive procedure that doesn't require surgery. It utilises shock waves to break down kidney stones, allowing patients to avoid invasive surgical procedures. This technique reduces complications, hospital stays, costs, and recovery time.

2. Is lithotripsy painful?

Most patients report mild to moderate pain during the procedure without anaesthesia. Some experience severe pain. With general or regional anaesthesia, patients shouldn't feel pain during the procedure. Doctors may prescribe pain-relieving medications to manage discomfort afterwards.

3. Do kidney stones come back after lithotripsy?

Kidney stones can recur after lithotripsy. Studies show recurrence rates of 0.8%, 35.8%, and 60.1% after 1, 5, and 10 years, respectively. The stone burden and a history of urolithiasis influence recurrence rates.

4. When is lithotripsy suggested?

Lithotripsy is recommended for kidney stones larger than 5 millimetres that block urine flow or cause severe pain. It's particularly preferred for stones in the kidney or upper ureter, especially those less than 2 cm in size.

5. Who is not eligible for the treatment?

Lithotripsy isn't suitable for pregnant women, those with bleeding disorders, kidney infections, or unmanaged high blood pressure. Patients with cardiac pacemakers, obesity, or certain kidney conditions may also be ineligible. Stones composed of cystine or certain types of calcium may not respond well to this treatment.