{"id":2556,"date":"2021-03-19T08:00:00","date_gmt":"2021-03-19T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2556"},"modified":"2026-08-15T00:21:23","modified_gmt":"2026-08-14T17:21:23","slug":"post-eswl-patientenanweisungen","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2021\/03\/19\/post-eswl-patient-instructions\/","title":{"rendered":"Anweisungen f\u00fcr den Patienten nach der ESWL"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c 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1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">If you have recently undergone an ESWL procedure, or are considering it for your kidney stone, this article will give you an honest picture of what to expect. ESWL (Extracorporeal Shockwave Lithotripsy) is the least invasive kidney stone treatment available. At Bangkok Hospital Headquarters, ESWL is performed with a third-generation lithotripter as a daycare procedure, with short-acting intravenous analgesia or light sedation for comfort. (<em>Reference data from the European Association of Urology Guidelines on Urolithiasis, 2020.<\/em>)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">For background on how lithotripter technology has evolved, you can also read <a href=\"https:\/\/drsoaraweeurology.com\/2021\/06\/18\/eswl-how-the-4th-generation-works\/\">how 4th-generation ESWL systems differ from earlier generations<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Immediate post-ESWL side effects<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Blood in urine (hematuria) \u2014 almost 100% of patients<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>ESWL uses focused shockwave pulses to fragment kidney stones. Minor kidney tissue injury from stone debris is unavoidable, resulting in temporary blood in urine<\/li>\n\n\n<li>Blood and stone debris in urine are expected after every ESWL procedure<\/li>\n\n\n<li>This typically resolves within a few days<\/li>\n\n\n<li>Drinking 2\u20133 litres of water daily significantly speeds up recovery of hematuria<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2570\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/03\/19\/post-eswl-patient-instructions\/bloody-urine\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;9&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1496247011&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;80&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Bloody urination &amp;#8211; Almost 100%\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Bloody urination &amp;#8211; Almost 100%&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Blood in urine after ESWL\" class=\"wp-image-2570\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Bloody-urine.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Blood in urine is expected in almost all patients after ESWL and resolves within days with good fluid intake.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li><strong>Steinstrasse (stone street) \u2014 4\u20137% risk<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>A German term meaning stone street \u2014 crushed stone fragments can accumulate in the ureter, forming a visible column on imaging<\/li>\n\n\n<li>May cause flank pain or may be asymptomatic; monitoring and, if needed, further intervention is arranged<\/li>\n<\/ul>\n<\/li>\n\n\n<li><strong>Residual stone regrowth \u2014 21\u201359% risk<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Residual fragments under 4 mm are considered clinically insignificant and may pass spontaneously<\/li>\n\n\n<li>21% chance of insignificant fragments growing at 5 years \u2014 requires regular ultrasound follow-up<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2577\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/03\/19\/post-eswl-patient-instructions\/regrowth-stone\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Regrowth Residual stone &amp;#8211; 21 &amp;#8211; 59%\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Regrowth Residual stone &amp;#8211; 21 &amp;#8211; 59%&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Residual stone regrowth ESWL\" class=\"wp-image-2577\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Regrowth-stone.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Residual stone fragments may regrow in 21\u201359% of cases \u2014 regular ultrasound follow-up is important.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li><strong>Stone pain (renal colic) \u2014 2\u20134% risk<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Crushed stone fragments passing through the ureter can cause sudden flank pain<\/li>\n\n\n<li>Drinking 2\u20133 litres of water daily reduces this risk; oral medications are also available to help reduce stone colic after ESWL<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2571\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/03\/19\/post-eswl-patient-instructions\/flank-pain\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;Todorov Oleksand 0990200217&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1551371319&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.25&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Flank pain from fragment of the kidney stone &amp;#8211; 2 &amp;#8211; 4%\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Flank pain from fragment of the kidney stone &amp;#8211; 2 &amp;#8211; 4%&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Flank pain after ESWL\" class=\"wp-image-2571\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Flank-pain.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Flank pain from stone fragments passing through the ureter occurs in 2\u20134% of cases after ESWL.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li><strong>Bloodstream infection (sepsis) \u2014 1\u20132.7% risk<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Bacteria can reside within kidney stones. When the stone is fragmented, bacteria may enter the bloodstream, causing sepsis<\/li>\n\n\n<li>Routine oral antibiotics after ESWL are not recommended (to avoid antibiotic resistance); instead, the patient is monitored for fever in the days following the procedure. Fever after ESWL requires prompt medical evaluation<\/li>\n<\/ul>\n<\/li>\n\n\n<li><strong>Significant kidney bleeding \u2014 less than 1% risk<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>ESWL is the least invasive kidney stone procedure; severe kidney injury is very rarely reported<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\">Long-term effects of ESWL<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">There is no existing evidence in the medical literature supporting long-term complications from ESWL. The European Association of Urology 2020 guidelines confirm no long-term adverse effects have been demonstrated.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2572\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/03\/19\/post-eswl-patient-instructions\/cheerful-mature-doctor-posing-and-smiling-at-camera-healthcare-and-medicine-isolate-on-blue-background-doctor-shows-a-ok\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-7RM3&quot;,&quot;caption&quot;:&quot;Cheerful mature doctor posing and smiling at camera, healthcare and medicine. Isolate on blue background. Doctor shows a ok.&quot;,&quot;created_timestamp&quot;:&quot;1567869695&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;55&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Cheerful mature doctor posing and smiling at camera, healthcare and medicine. Isolate on blue background. Doctor shows a ok&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"From the EAU recommendation on 2020 &amp;#8211; No long term complications were reported.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;From the EAU recommendation on 2020 &amp;#8211; No long term complications were reported.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?resize=800%2C533&#038;ssl=1\" alt=\"ESWL no long term complications\" class=\"wp-image-2572\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/No-reported-on-long-term-complication.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Per EAU 2020 recommendations \u2014 no long-term complications from ESWL have been reported.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Post-ESWL Care<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Is blood in urine normal after ESWL?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes \u2014 blood in urine (hematuria) is expected in almost all patients after ESWL and is not a cause for alarm. The shockwaves that break the kidney stone inevitably cause minor injury to surrounding kidney tissue, resulting in temporary bloody urine that also contains stone debris. This resolves naturally within a few days. The most important thing you can do is stay well-hydrated \u2014 drink at least 2\u20133 litres of water per day. Seek medical attention if hematuria is very heavy, clotted, or persists beyond one week.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What should I watch for after ESWL that requires urgent care?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The main warning signs that require prompt medical evaluation after ESWL are: (1) high fever or chills \u2014 may indicate bloodstream infection (sepsis) from bacteria released when the stone is fragmented; (2) severe or worsening flank pain that does not improve \u2014 may indicate steinstrasse or significant stone colic; and (3) inability to urinate. Minor discomfort, mild bloody urine, and passing small stone fragments are all expected and normal. If you develop fever after ESWL, contact your urologist or go to the emergency department promptly.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Do I need follow-up after ESWL and how long does recovery take?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes \u2014 follow-up is essential. Stone clearance is confirmed by ultrasound or KUB X-ray at 4\u20136 weeks after ESWL. Residual stone fragments smaller than 4 mm may pass spontaneously but carry a 21% risk of regrowth at 5 years \u2014 requiring regular ultrasound follow-up. Most patients return to normal activity within 24\u201348 hours. Continue drinking 2\u20133 litres of water daily throughout recovery. If you experience significant pain, fever, or prolonged bloody urine, contact your urologist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For kidney stone evaluation or ESWL treatment, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters \u2014 <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">book a consultation online<\/a> \u2014 and at Samitivej Sriracha Hospital, Chonburi, through the department line <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Dr. Soarawee does not provide medical assessment, advice, diagnosis or prescriptions through personal messaging channels, direct messages or social media. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/drsoaraweeurology.com\/2021\/03\/19\/post-eswl-patient-instructions\/#webpage\",\"url\":\"https:\/\/drsoaraweeurology.com\/2021\/03\/19\/post-eswl-patient-instructions\/\",\"name\":\"Post-ESWL patient instructions\",\"headline\":\"Post-ESWL patient instructions\",\"description\":\"What to expect after extracorporeal shockwave lithotripsy for kidney stones, including hematuria, steinstrasse, residual fragment regrowth, renal colic and sepsis risk, with the warning signs that need urgent care.\",\"inLanguage\":\"en\",\"lastReviewed\":\"2026-08-12\",\"specialty\":\"https:\/\/schema.org\/Urologic\",\"audience\":{\"@type\":\"Patient\"},\"about\":[{\"@type\":\"MedicalCondition\",\"name\":\"Kidney stone\"}],\"reviewedBy\":{\"@type\":\"Physician\",\"name\":\"Dr. Soarawee Weerasopone\",\"medicalSpecialty\":\"https:\/\/schema.org\/Urologic\",\"url\":\"https:\/\/drsoaraweeurology.com\/\"}},{\"@type\":\"MedicalProcedure\",\"@id\":\"https:\/\/drsoaraweeurology.com\/2021\/03\/19\/post-eswl-patient-instructions\/#eswl\",\"name\":\"Extracorporeal shockwave lithotripsy\",\"alternateName\":\"ESWL\",\"procedureType\":\"https:\/\/schema.org\/NoninvasiveProcedure\",\"bodyLocation\":\"Kidney\",\"howPerformed\":\"Focused shockwaves are delivered from outside the body to fragment a kidney stone. At Bangkok Hospital Headquarters this is done on a third-generation lithotripter as a daycare procedure with short-acting intravenous analgesia or light sedation.\",\"followup\":\"Stone clearance is confirmed by ultrasound or KUB X-ray at 4 to 6 weeks. Fluid intake of 2 to 3 litres daily is advised, and fever after the procedure requires prompt medical evaluation.\"},{\"@type\":\"FAQPage\",\"@id\":\"https:\/\/drsoaraweeurology.com\/2021\/03\/19\/post-eswl-patient-instructions\/#faq\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Is blood in urine normal after ESWL?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Hematuria is expected in almost all ESWL patients, because shockwaves cause minor kidney tissue injury. It resolves within days. Drink 2 to 3 litres of water daily. Seek care if it is very heavy, clotted, or persists beyond one week.\"}},{\"@type\":\"Question\",\"name\":\"What should I watch for after ESWL that requires urgent care?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Urgent signs are high fever or chills, which may mean sepsis from bacteria released by the stone; severe or worsening flank pain, which may mean steinstrasse; and inability to urinate. Mild bloody urine, minor discomfort and passing fragments are normal.\"}},{\"@type\":\"Question\",\"name\":\"Do I need follow-up after ESWL and how long does recovery take?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Stone clearance is confirmed by ultrasound or KUB X-ray at 4 to 6 weeks. Residual fragments under 4 mm may pass but carry a 21 percent regrowth risk at 5 years. Normal activity resumes in 24 to 48 hours, with 2 to 3 litres of water daily during recovery.\"}}]}]}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Blood in the urine, a stone street in the ureter, fragments that quietly regrow \u2014 Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, sets out what actually happens in the days after shockwave lithotripsy, the real risk figures, and the warning signs that need urgent attention.<\/p>","protected":false},"author":185281453,"featured_media":10083,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Post-ESWL kidney stone patient instructions: expected side effects including hematuria, steinstrasse, stone regrowth risk, and when to seek urgent care after shockwave lithotripsy.","jetpack_seo_html_title":"Post-ESWL Patient Instructions: What to Expect | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1],"tags":[1383,1381],"class_list":["post-2556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kidney-stone","tag-eswl","tag-instruction"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-Fe","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Post-ESWL-Care.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/2556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/comments?post=2556"}],"version-history":[{"count":49,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/2556\/revisions"}],"predecessor-version":[{"id":11350,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/2556\/revisions\/11350"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media\/10083"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media?parent=2556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/categories?post=2556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/tags?post=2556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}