Dr. A.K. Singal MBBS (Gold Medalist), DNB, MNAMS
M.CH (AIIMS, Gold Medalist)
Stecker Scholar Pediatric Urology (USA)

Index Cases

A boy with kidney stone managed with Lithotripsy (ESWL)

Master S.K., was referred to us with pain on right side of tummy and hematuria (blood in urine) on and off for last one month. Ultrasound scan showed a 1cm sized stone in the pelvis of right kidney. There was minimal hydronephrosis seen.

Since the size of stone was small, we planned the child planned for Extra-corporeal Shock Wave Lithotripsy (ESWL).

Under anesthesia, as a first step cystoscopy was done and a DJ stent (a small plastic pipe) was placed into kidney. This DJ stent allows the small stone fragments to be passed without much pain/ blockage

The child was placed on the ESWL table under sedation (sleep). The x-ray machine and ESWL machine was focused on the stone and lithotripsy started. The stone was seen to fragment completely within 30 minutes.

Child was sent home in the evening of procedure. A check Ultrasound and x-ray 2 weeks later showed complete clearance of stone fragments and the DJ stent was removed.

  • Kidney stone in a child
  • Lithotripsy for stone
  • ESWL in a child

About Extra-corporeal Shock Wave Lithotripsy (ESWL) in Children

ESWL (lithotripsy) involves using the shock waves to break the stone into pieces. These shock waves are generated in a machine and transmitted via a rubber globe which is kept in contact with the kid’s body. ESWL is a completely non-invasive procedure and is practically pain free.

Advantages of ESWL

  • Non-invasive- no cuts/ scars
  • Painless
  • Same day discharge


  • Can be used for stones only in selected locations
  • Cant be used for stones bigger than 1.2 cm or multiple stones
  • If the stone does not break, a endoscopic surgery may still be required.

Pediatric Urology centre at MITR Hospital, Kharghar, Navi Mumbai (near Panvel) provides best lithotripsy treatment for kidney stones in children and adults. Dr A.K.Singal personally manages children who come with kidney stones to his clinic and provided best quality treatment options for medical management or endoscopic surgery. Dr Singal is trained in using endoscopic treatment techniques for small children for non-invasive and painless removal of kidney stones.

Watch video of Kidney Stone removal surgery by Dr Singal here: URS for ureteric stone in a child

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