This information is not designed to replace discussion of your procedure with your physician. It is designed to give you an overview of what will happen on the day of your procedure, and in the following weeks.
If you have been scheduled for lithotripsy, you will have had appropriate x-rays which your physician will have available on the day of the procedure. The date, location, and time of your procedure will be arranged by your physician's office. You will be informed either by the hospital where the procedure is scheduled, or by your physician's office what time you will be asked to report to the hospital admissions department.
Typically, anesthesia is required so you will be asked not to eat or drink anything after midnight on the morning of surgery. Once in the hospital, you will "check in” and be escorted to a secondary area (sometimes called "Pre-Op” or "Daytime Surgery”). There, you will be asked questions by several different medical personnel, usually a nurse and anesthesiologist, sometimes ad nauseum, about your recent and past medical history, medicines your are currently taking, allergies, etc…You will be given any "pre-op” medication ordered, such as anxiety reducers and antibiotics.
When it is time for your surgery, you will be transported to the room in surgery where your procedure will be performed. Jason, our technologist, will then help you move to the lithotripsy table. He will then perform brief fluoroscopy x-ray, and move you around until the stone is in exactly the correct spot. The anesthesiologist will give you appropriate medicine to relax/anesthetize you. Often, a mouthpiece will be placed in your mouth to assist with breathing during the procedure.
After you are adequately anesthetized, the machine will go to work fragmenting your stone. Usually, 2400-3000 "shocks” are directed on the stone. The fluoroscopy x-ray will be used to monitor fragmentation along the way and ensure the stone stays in the appropriate location.After the procedure is complete, you will be transported to the recovery area, and eventually back to the "pre-op” area where you started. You will be monitored to make sure there are no immediate problems caused by the anesthesia or procedure. Typically you must eat or drink something and urinate before you are allowed to go home.