Can I Undergo Shock Wave Lithotripsy During My Period? - Urology

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Is it possible to undergo extracorporeal shock wave lithotripsy (ESWL) while on my menstrual period? (Kidney stone size: 1.2 cm)


I recently completed treatment for a urinary tract infection at an internal medicine clinic.
I have a history of recurrent urinary tract infections for over ten years, with more than 20 episodes.
The doctor performed an ultrasound and found a 1.2 cm kidney stone.
I was referred to a larger hospital for extracorporeal shock wave lithotripsy and was advised to go as soon as possible with the referral.
Can I undergo the procedure during my menstrual period? Will it affect any examinations or the surgery? Thank you.

Obachao, 20~29 year old female. Ask Date: 2020/07/29

Dr. Du Shixi reply Urology


Hello: Menstruation can affect urine test results.
If there are no symptoms, it is recommended to wait until after your period to test.
However, if you experience fever or pain, it is advisable to seek treatment first and address the other issues afterward.
Urine tests can be influenced, but X-rays are not.
Wishing you good health.

Reply Date: 2020/07/29

More Info


Undergoing Shock Wave Lithotripsy (SWL) during your menstrual period is generally considered safe, but there are several factors to consider. Shock Wave Lithotripsy is a non-invasive procedure used to break down kidney stones into smaller pieces, making them easier to pass. The procedure uses high-energy shock waves directed at the stone, and it typically does not interfere with the menstrual cycle.

However, here are some important points to consider:
1. Comfort Level: While the procedure itself is safe during menstruation, some women may experience increased discomfort or cramping during their period. If you are prone to severe menstrual cramps, you might want to discuss this with your healthcare provider. They may suggest rescheduling the procedure for a time when you are not menstruating, especially if you are concerned about discomfort.

2. Potential for Increased Bleeding: Although SWL is not a surgical procedure that involves incisions, there is a slight risk of bleeding from the kidney or urinary tract after the procedure. If you are menstruating, this could complicate the assessment of any bleeding that might occur. However, this is generally not a significant concern.

3. Anesthesia Considerations: If sedation or anesthesia is required for the procedure, your healthcare provider may want to know about your menstrual cycle. Hormonal changes during menstruation can sometimes affect how your body responds to anesthesia, although this is typically not a major issue.

4. Follow-Up Care: After the procedure, you may experience some discomfort, hematuria (blood in urine), or the need to pass stone fragments. If you are menstruating, it may be harder to distinguish between menstrual bleeding and any bleeding related to the procedure. This is something to keep in mind when monitoring your symptoms post-treatment.

5. Consultation with Your Doctor: It is always best to consult with your healthcare provider regarding your specific situation. They can provide personalized advice based on your medical history, the size and location of the kidney stone, and your overall health. If they believe that your menstrual cycle may affect the procedure or your recovery, they might recommend postponing it.

In summary, while it is generally safe to undergo Shock Wave Lithotripsy during your menstrual period, it is essential to consider your comfort and any potential complications. Discussing your concerns with your healthcare provider will help you make an informed decision about whether to proceed with the treatment during this time. They can provide guidance tailored to your specific health needs and circumstances.

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