Post-Surgery Symptoms After Kidney Stone Treatment - Urology

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Could you please provide more details about the issue with kidney stones?


I underwent extracorporeal shock wave lithotripsy on November 7th, targeting the right side.
In the days leading up to the procedure, I experienced cramping sensations, but I am now back to normal.
During a recent follow-up appointment, the doctor took an X-ray and confirmed that the original stone is no longer present.
However, I am now experiencing slight twitching in the right lower back area.
It is not very frequent, and it is not painful, but it feels unusual.
What could this be?

Wayne, 20~29 year old female. Ask Date: 2006/11/21

Dr. Chen Xiuyi reply Urology


Hello: After extracorporeal shock wave lithotripsy, there may be mild pain.
Follow-up with X-rays, renal ultrasound, and urinalysis can be performed.
If all results are normal, it may not be related to the stones and could be due to musculoskeletal pain.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2006/11/21

More Info


After undergoing Extracorporeal Shock Wave Lithotripsy (ESWL) for kidney stones, it is common to experience a variety of post-surgery symptoms as the body adjusts and recovers. Your recent experience of having the stone successfully treated is a positive outcome, but it is understandable to have concerns about any lingering sensations or discomfort.

The sensation of slight twitching or movement in the right lower back that you are experiencing could be attributed to several factors. First, after ESWL, the body may still be in a state of recovery, and the muscles and nerves around the treatment area can react in various ways. The shock waves used in the procedure can cause temporary irritation or inflammation in the surrounding tissues, which might lead to unusual sensations such as twitching or spasms. This is generally not a cause for concern, especially if it is not accompanied by pain or other alarming symptoms.

Additionally, the kidney and urinary tract can be sensitive after treatment. The passage of stone fragments through the urinary system can sometimes cause minor discomfort or unusual sensations as they move. It is also important to consider that the body may still be adjusting to the absence of the stone, and the surrounding muscles and nerves may take some time to return to their normal state.

In terms of follow-up care, it is crucial to stay hydrated, as this helps to flush out any remaining fragments and supports overall kidney health. Drinking plenty of water is essential, and if you find it difficult to consume plain water, you might consider alternatives like herbal teas or electrolyte drinks, as long as they are low in sugar and caffeine.

Regarding your follow-up appointments, it is typically recommended to have a check-up around 3 to 4 weeks post-procedure to monitor your recovery and ensure that there are no complications. If you continue to experience unusual sensations, or if you develop new symptoms such as pain, fever, or changes in urination, it is important to contact your healthcare provider promptly.

In summary, the slight twitching sensation you are experiencing in your right lower back is likely a normal part of the recovery process following ESWL. However, it is always best to communicate any concerns with your healthcare provider, especially if symptoms persist or worsen. Regular follow-ups and maintaining a healthy lifestyle, including adequate hydration, will help in your recovery and reduce the risk of future stone formation.

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