The 3rd Generation of ESWL’s patient instruction

3rd-generation ESWL patient instruction — extracorporeal shock wave lithotripsy for kidney stones | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

What actually happens in the days after shockwave lithotripsy on a 3rd-generation machine — the one used at Bangkok Hospital Headquarters. Dr. Soarawee Weerasopone sets out the expected effects, the risks worth knowing, and the warning signs that need attention.

Waiting for a Stone to Pass: Does Medication Actually Help?

Medical expulsive therapy (MET) — alpha-blocker treatment success rate for distal ureteric stones | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Most small ureteric stones pass by themselves, and a tablet is often added to help them along. Dr. Soarawee Weerasopone explains what the large trials actually showed about that tablet, the side effect men are rarely warned about, and — the part usually missing — how long it is safe to keep waiting.

Potassium Citrate for Kidney Stones: What It Can and Cannot Do

Oral medications for kidney stones — pharmacologic dissolution and prevention of urinary calculi | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Patients often hope a tablet will make a kidney stone disappear. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains what potassium citrate genuinely does — dissolving one stone type, preventing another — and where its limits lie.

How the 4th Generation ESWL works?

4th-generation extracorporeal shock wave lithotripsy (ESWL) — advanced kidney stone treatment technology | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Not all shockwave lithotripters are the same. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains what 4th-generation ESWL machines added over earlier ones, what the success rates by stone size really are — and which generation is used at Bangkok Hospital Headquarters today.

Why Do Kidney Stones Form?

How kidney stones form — supersaturation, crystallization, and metabolic risk factors explained | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Kidney stones are not bad luck — they are the end result of a set of risk factors, some fixed and some entirely within your control. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains why stones form and which of the factors behind them can actually be changed.

Does Every Kidney Stone Need Treating?

Kidney stone therapy — when conservative management is sufficient and when intervention is needed | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

A health checkup reports a kidney stone, and the immediate assumption is that it has to come out. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains why ultrasound often overcalls stones, why 4 mm is the number that matters, and when watching is the right answer.

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