Extracorporeal Shock Wave Lithotripsy (ESWL)
Activity:
Rest for 24 hours, then resume light activity.
Avoid strenuous exercise for 48 hours.

Hydration:
Drink at least 2–3 liters of water daily to help flush stone fragments.

Symptoms to Expect:
Blood in the urine (pink/red) for a few days.
Mild back or flank soreness.
Possible small stone fragments in the urine.

Pain:
Take pain medication as prescribed.
Heating pad may help with back discomfort.

Call your doctor if:
Fever > 101°F
Severe pain not controlled with medication.
Inability to urinate.
Heavy bleeding or clots in urine.

Mini Percutaneous Nephrolithotomy (Mini-PCNL)
Activity:
Rest for a few days, light activity for 1 week.
Avoid lifting >10 lbs for 1–2 weeks.

Wound Care:
Keep the nephrostomy site clean and dry.

Hydration:
Continue drinking plenty of fluids to promote kidney function.

Stent Care:
It is normal to feel bladder discomfort, urinary urgency/frequency, and see blood in urine.
You may pass small stone fragments.
This stent will come out in a week in the office. 

Symptoms to Expect:
Mild flank discomfort.
Small amount of drainage at the site.
Blood-tinged urine for several days.

Call your doctor if:
Fever or chills.
Increasing pain or redness at the incision site.
Persistent heavy bleeding.

Percutaneous Nephrolithotomy (PCNL)
Activity:
Light activity for 1–2 weeks.
No heavy lifting or strenuous exercise.

Wound Care:
Keep the surgical site clean and dry.
Instructions will vary if a nephrostomy tube remains in place.

Hydration:
Encourage high fluid intake to prevent new stone formation.

Pain:
Take medications as prescribed.
Use a heating pad for muscle soreness if needed.

Call your doctor if:
Fever >101°F.
Severe or worsening pain.
Heavy bleeding or large clots in urine.

 Laser Lithotripsy with Ureteroscopy + Ureteral Stent Placement
Activity:
Avoid strenuous activity for 1 week.
Resume normal activities as tolerated.

Stent Care:
It is normal to feel bladder discomfort, urinary urgency/frequency, and see blood in urine.
You may pass small stone fragments.

Hydration:
Drink 2–3 liters of water daily to flush the urinary tract.

Pain:
Flank pain or bladder spasms are common and may worsen after urination
Take pain relievers and antispasmodics as prescribed.

Stent Removal:
Scheduled for 1 week after surgery in the office.
Removal is quick and usually done without anesthesia.

Call your doctor if:
Fever or chills.
Inability to urinate.
Severe pain not controlled with medication.
Persistent heavy bleeding.