Frequently asked questions

Will the treatment hurt?

You'll be under IV sedation during shockwave lithotripsy, so you're comfortable and relaxed throughout — most people describe only a tapping sensation, if anything. Afterward, as fragments pass over the following days, you may feel mild flank soreness or brief colicky episodes, which usually settle within a week.

Will I be put to sleep?

General anesthesia usually isn't needed in the office setting. The procedure is typically done under IV sedation (monitored anesthesia care), which keeps you comfortable while avoiding the heavier recovery of general anesthesia.

How many sessions will I need?

Many stones clear in a single session, but a larger or denser stone may need a second (occasionally a third) treatment. Because there's no incision, repeating it is straightforward. We'll give you an honest estimate up front based on your stone's size and density.

What if it doesn't work the first time?

Bring your imaging and hospital records. We review your stone’s size, location and density, your symptoms and your health, then recommend a plan. ESWL suitability and timing are individual.

Will I pass a stone afterward, and how will it feel?

Yes — the goal is to fragment the stone into pieces small enough to pass in your urine over the following days to weeks. You may notice some blood in the urine and occasional mild colic as fragments move. Staying well hydrated helps them clear.

Can I drive home? Go to work the next day?

After sedation, do not drive. Our team can help arrange a rideshare home once the anesthesia team clears you for discharge. Confirm the required escort, home supervision and arrival assistance in advance, including help reaching your building. Follow your personal discharge instructions about recovery and returning to work.

Is it covered by insurance?

Shockwave lithotripsy for kidney stones is a standard, widely covered urologic treatment. Coverage specifics depend on your plan; our office can help you understand what to expect before treatment.

What if my stone is uric acid, very hard, large, or in the lower pole?

Bring your imaging and hospital records. We review your stone’s size, location and density, your symptoms and your health, then recommend a plan. ESWL suitability and timing are individual.

Why choose an office-based treatment over a hospital?

Office-based care means same-day, on-site imaging, prompt scheduling without long hospital waits, a calmer setting, and typically sedation rather than general anesthesia. When hospital-based care genuinely is the right call, we coordinate that for you.