Thank you for choosing Premier Medical Group. We realize that it is a privilege to take care of you and will do our best to make the experience for this procedure as pleasant and easy as possible.
Thank you for choosing Premier Medical Group. We realize that it is a privilege to take care of you and will do our best to make the experience for this procedure as pleasant and easy as possible.
Your urologist will determine whether medical clearance is needed from your primary care doctor and/or cardiologist. Please make every effort to keep these appointments, as your procedure may need to be rescheduled if we do not receive the proper letters of clearance in time.
One week, 7 days, prior to the procedure, please stop all blood-thinners (this may be coordinated with your other physicians)
Stop 5 days prior to procedure – Warfarin (coumadin). You may be placed on Lovenox, a prescribed blood thinner that is injected, in place of your warfarin. If so, this should be stopped 24 hours before the operation.
You will need to do a bowel prep one day prior to the ESWL. Go to your local drug store and buy one bottle of magnesium citrate 10oz. Store it in the refrigerator. It is easier to drink chilled.
At 2:00 pm, drink 10 oz magnesium citrate. Be sure to follow it with 8 oz of water. Be sure to drink this where you will be near a bathroom. It will cause you to have several bowel movements. In the evening, drink 1 liter of a sport-type drink (Gatorade). It must contain electrolytes. You may have any flavor.
Do not eat or drink after midnight the night before our procedure or your procedure will be rescheduled.
On the morning of the procedure, take only the medication instructed by the office staff with just a small sip of water. You will not be allowed to drive home after the procedure or for at least 24 hours, so be sure to have a friend or family member with you.
After you are prepped for the procedure, you will be positioned on the treatment table, and the stone will be visualized on fluoroscopy. Then, anesthesia will be administered through your IV.
The stone will be fragmented using shock waves. This usually takes 30 to 40 minutes.
Afterwards, you will go home after you have fully awakened from the anesthetic.
Risks of the Procedure
No strenuous activity or heavy meals that day.
You may resume your normal diet and activity the next day.
Call our office if you develop any of the following: fevers, chills, severe pain in your side, blood in the urine with clots.
Our office is open from 8:30am-5:00pm to assist you. Should an off hours emergency arise, please call (845) 437-5000 and ask for the doctor on-call.