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Treatments

Extracorporeal Shock Wave Lithotripsy (ESWL) for Kidney Stones

Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive procedure used to treat kidney stones by using shock waves to break them into smaller, more manageable pieces. At Z Urology, we provide advanced ESWL treatments that can help you get back to your daily activities with minimal discomfort and no need for surgery.
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What is Extracorporeal Shock Wave Lithotripsy (ESWL)?

Extracorporeal Shock Wave Lithotripsy (ESWL) is a procedure that uses high-energy shock waves to break kidney stones into smaller pieces, which can then pass through the urinary tract more easily. This non-invasive treatment is one of the most common methods for kidney stone removal. The shock waves are targeted at the stones, and the treatment is typically done without the need for general anesthesia.

ESWL is most effective for stones that are smaller than 2 cm in diameter, and it can be performed on patients who have stones located in the kidney or upper urinary tract# [H2] How Does ESWL Work?
The ESWL procedure involves the following steps:

  1. Shock Wave Generation: The shock waves are generated by a machine called a lithotripter. These waves are precisely aimed at the kidney stones.
  2. Shock Wave Delivery: The shock waves pass through the body without causing harm, targeting the kidney stones specifically.
  3. Stone Fragmentation: The shock waves break the stones into smaller pieces, allowing them to pass through the urinary tract naturally.
  4. Recovery: ESWL does not require incisions or cuts, which means patients can usually return to normal activities in a few days .

ESWL Advantages Versus Traditional Surgical Methods

ESWL offers several advantages over traditional surgical methods for removing kidney stones:

  • Non-invasive: No need for incisions, reducing the risk of infection and scarring.
  • Minimal Discomfort: Most patients experience only mild discomfort during the procedure, and pain is usually managed effectively with medications.
  • Quick Recovery: Most patients can resume normal activities within a few days after treatment.
  • Effective for Small Stones: ESWL is highly effective for breaking up smaller stones (less than 2 cm) and those located in the kidney or upper urinary tract .

Candidates for ESWL

ESWL is most effective for:

  • Small to medium-sized kidney stones (less than 2 cm).
  • Stones located in the kidney or upper urinary tract, where the shock waves can reach them easily.
  • Patients who are not candidates for surgery or prefer a non-invasive treatment option.

It may not be suitable for patients with certain medical conditions, such as pregnancy, bleeding disorders, or stones that are too large or located in difficult-to-reach areas .

Risks and Complications of ESWL

ESWL is generally safe and effective, there are some potential risks and side effects, including:

  • Pain: Some patients experience discomfort or pain as the stones are broken down and pass through the urinary tract.
  • Bruising or Skin Irritation: The shock waves can sometimes cause bruising or irritation on the skin over the kidney area.
  • Incomplete Stone Fragmentation: In some cases, the stones may not break down completely, and further treatment may be needed.
  • Hematuria: Blood in the urine can occur after the procedure, but it typically resolves on its own within a few days .

After ESWL: Recovery and Care

After ESWL treatment, most patients can expect a quick recovery. Here are a few guidelines for post-procedure care:

  • Hydration: It’s important to drink plenty of water to help flush out the stone fragments.
  • Pain Management: Mild discomfort or cramping may occur as the stone pieces pass through the urinary tract. Over-the-counter pain relievers can help alleviate discomfort.
  • Follow-up Care: A follow-up visit may be scheduled to ensure the stones have been fully fragmented and passed .

Why Choose Z Urology for ESWL Treatment?

At Z specialize in advanced kidney stone treatments, including Extracorporeal Shock Wave Lithotripsy (ESWL). Here's why patients choose us:

  • Expert Care: Our urologists have extensive experience in treating kidney stones and using ESWL to break down stones safely and effectively.
  • Advanced Technology: We use the latest lithotripsy machines for precise and effective treatment.
  • Compassionate Support: We provide patient-centered care, ensuring you're informed and comfortable throughout the process.
  • Quick Recovery: With ESWL, you can return to your normal activities in no time, minimizing downtime.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

If you're experiencing kidney stones or need treatment for kidney stone removal, contact Z Urology today for expert care. Our team is here to help you with ESWL treatment and ensure a quick, effective recovery.
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