Post-Extracorporeal Shock Wave Lithotripsy: When Can You Resume Masturbation? - Urology

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After undergoing Extracorporeal Shock Wave Lithotripsy (ESWL) for kidney stones, it is understandable to have concerns about resuming activities such as masturbation, especially after experiencing hematuria (blood in urine) following previous sexual activity. Here’s a comprehensive response to your questions based on medical knowledge and common practices.

1. When Can You Resume Masturbation?
After ESWL, it is generally recommended to wait at least 48 to 72 hours before resuming sexual activities, including masturbation. This allows your body some time to recover from the procedure and reduces the risk of irritation or complications. Since you mentioned that you had the procedure done on March 14, if you are feeling well and have not experienced any significant pain or discomfort, you may consider resuming masturbation after a few days. However, if you notice any unusual symptoms, such as increased pain, bleeding, or changes in urine color, it would be wise to consult your healthcare provider before proceeding.

2. Urine Color and Symptoms Post-Procedure:
It is common for urine to appear darker or more turbid after ESWL due to the breakdown of stones and potential irritation of the urinary tract. The fact that your urine has returned to a clearer state after the initial post-procedure days is a positive sign. The variability in urine color and discomfort can depend on several factors, including hydration levels and individual responses to the procedure. If you experience any pain or discomfort that is not manageable with over-the-counter pain relief, or if you have concerns about your symptoms, it is advisable to follow up with your doctor.

3. Hydration Guidelines:
Drinking adequate fluids is crucial after ESWL to help flush out the fragments of the kidney stones and prevent new stone formation. The recommendation of 4000 cc (or about 4 liters) of water daily is a common guideline, but it is essential to spread this intake throughout the day to avoid overloading your bladder at once. To prevent water intoxication, ensure that you are not consuming excessive amounts in a short period. A good strategy is to drink a glass of water every hour and increase your intake if you are active or sweating. To avoid waking up at night to urinate, try to limit your fluid intake in the hours leading up to bedtime.

4. Consumption of Health Drinks:
Regarding your question about drinking health green tea after treatment, moderation is key. If you enjoy it and it does not cause any discomfort, having a can once a week should be fine. However, be cautious with any drinks that may have high oxalate content, as they can contribute to stone formation in susceptible individuals. Always consult your healthcare provider if you have specific dietary concerns post-treatment.

5. Water Quality and Stone Formation:
Using tap water for cooking and drinking is generally safe, but the mineral content can vary by location. If you are concerned about the potential for stone formation, consider having your water tested for mineral content, particularly calcium and oxalate levels. Cooking with tap water should not inherently lead to stone formation unless the water has high levels of stone-forming minerals. Using it to make black bean water is fine, but ensure you maintain a balanced diet and adequate hydration.

In conclusion, while it is important to listen to your body and follow your healthcare provider's recommendations, you can generally resume normal activities, including masturbation, within a few days after ESWL, provided you are feeling well. Always prioritize hydration and monitor your symptoms closely. If you have any lingering concerns or unusual symptoms, do not hesitate to reach out to your healthcare provider for personalized advice.