{"id":1574,"date":"2026-03-10T14:03:30","date_gmt":"2026-03-10T14:03:30","guid":{"rendered":"https:\/\/berkanresorlu.com.tr\/?page_id=1574"},"modified":"2026-10-20T08:12:58","modified_gmt":"2026-10-20T08:12:58","slug":"kidney-stone-fragmentation-with-sound-waves-eswl","status":"publish","type":"page","link":"https:\/\/berkanresorlu.com.tr\/en\/kidney-stones\/kidney-stone-fragmentation-with-sound-waves-eswl\/","title":{"rendered":"Kidney Stone Fragmentation with Sound Waves (ESWL) in Turkey"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_20593701\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(255, 255, 255);border-width:4px 0px 0px 0px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1793032004\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-larger flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Kidney Stone Fragmentation with Sound Waves (ESWL) in Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_20593701 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: rgb(36, 68, 148);\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_11200307\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1642725172\">\n\n\t<div id=\"col-979813200\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Kidney stone fragmentation with sound waves (ESWL) is an effective treatment method that does not require a surgical incision and enables stones in the kidney and urinary tract to be broken into pieces with high-energy shock waves applied from outside the body. The stones are broken into small pieces and naturally passed through the urine.<\/p>\n<p>In response to the question of how the ESWL treatment method is applied, during the procedure the location of the patient&#8217;s stone is determined with imaging techniques and focused sound waves are sent to the targeted area. These waves create pressure on the stone and cause it to break, and the need for anesthesia is generally minimal.<\/p>\n<p>The recovery process after the kidney stone fragmentation procedure varies depending on the patient\u2019s stone size and general health condition. Mild pain and blood in the urine may be seen during the passage of the fragmented stones, but this is mostly temporary and improves in a short time.<\/p>\n<p>Within the scope of who ESWL is applied to and what its risks are, this method is generally suitable for kidney stones of certain sizes and is not preferred in the presence of pregnancy, bleeding disorders, or infection. Appropriate patient selection increases treatment success and reduces the risk of complications.<\/p>\n<table>\n<tbody>\n<tr>\n<td><b>What You Need to Know<\/b><\/td>\n<td><b>Information<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Definition of the Procedure<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ESWL (Extracorporeal Shock Wave Lithotripsy) is a treatment method that does not require a surgical incision and enables kidney stones to be broken into small pieces with high-energy shock waves sent from outside the body.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Purpose<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Its purpose is to break kidney and upper urinary tract stones into pieces so that the resulting small fragments can be naturally passed through the urine, and to prevent complications such as pain, infection, or obstruction.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Area of Application<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It is generally preferred for kidney and upper ureter stones smaller than 2 cm. The size, location, hardness of the stone, and the patient\u2019s anatomical features determine the suitability of the method.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Mechanism of Action<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Shock waves focused through the skin are concentrated on the stone. These waves create cracks in the stone, causing it to break into small pieces. Surrounding tissues are generally affected minimally.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Procedure Duration<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It usually lasts 30\u201360 minutes. The duration may vary depending on the size, number, and fragmentation response of the stone.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Anesthesia Status<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It is mostly performed with mild sedation or analgesia. In some cases, spinal or general anesthesia may be preferred.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hospital Stay<\/span><\/td>\n<td><span style=\"font-weight: 400;\">In most cases, it is performed on an outpatient basis (same-day discharge). A short observation period after the procedure is sufficient.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Preparation Before the Procedure<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blood tests, urinalysis, and imaging methods (ultrasonography, CT, or X-ray) are performed. Blood-thinning medications should be discontinued under doctor supervision before the procedure.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Post-Procedure Process<\/span><\/td>\n<td><span style=\"font-weight: 400;\">The patient can be discharged on the same day. Plenty of fluid intake is recommended. Mild pain and blood in the urine may occur during the passage of stone fragments.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Success Rate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It varies depending on the size, location, and hardness of the stone. The success rate is high for small stones in suitable locations. Some patients may require more than one session.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Possible Side Effects<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blood in the urine (hematuria), flank pain, mild bruising on the skin, nausea, and rarely infection may occur.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Complications<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Stone fragments may cause obstruction in the urinary tract (steinstrasse), severe pain, infection, or rarely kidney damage may develop.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Who It Is Not Suitable For<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It may not be suitable for pregnant women, those with bleeding disorders, those with an active urinary tract infection, and patients with large or very hard stones.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Alternative Treatments<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ureteroscopy (URS), percutaneous nephrolithotomy (PNL), and medical treatment options may be preferred according to the characteristics of the stone.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Follow-up Process<\/span><\/td>\n<td><span style=\"font-weight: 400;\">After the procedure, imaging is used to evaluate whether the stone has been completely broken. Additional sessions are planned if necessary.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-979813200 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_11200307 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_774303663\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-2076942862\">\r\n\r\n\n\t<div id=\"col-1758480025\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(36, 68, 148);\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-481202693\">\r\n\r\n\n\t<div id=\"col-950683432\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1152167959\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner image-cover dark\" style=\"padding-top:120%;\">\n\t\t\t<img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/03\/fotograflar-6.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/03\/fotograflar-6.jpg 800w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/03\/fotograflar-6-533x400.jpg 533w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/03\/fotograflar-6-768x576.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1152167959 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-950683432 > .col-inner {\n  padding: 0px 10px 0px 10px;\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-950683432 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1213048458\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3423223404\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Prof. Dr. Berkan Re\u015forlu<\/strong><br \/><span style=\"font-size: 75%;\">Urology Specialist<\/span><\/div>\r\n\t\t\n<style>\n#text-3423223404 {\n  font-size: 1.35rem;\n}\n@media (min-width:550px) {\n  #text-3423223404 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"gap-596714563\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-596714563 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t<div id=\"text-2916762437\" class=\"text\">\n\t\t\r\n\r\n<p>Prof. Dr. Berkan Re\u015forlu, born in Ankara in 1979, completed his medical education at Ankara University between 1997-2003 and his urology specialization at Ankara University Faculty of Medicine between 2003-2008. Academically, he received the title of associate professor in 2013 and professor in 2022.<\/p>\r\n<p>He has carried out extensive series studies in the field of endoscopic stone surgery, introduced surgeries applied to children under 1 year of age into the literature, and gained international recognition with his stone scoring system and experimental surgical models.<\/p>\r\n\t\t\n<style>\n#text-2916762437 {\n  font-size: 0.859rem;\n}\n<\/style>\n\t<\/div>\n\t\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905332737268\" class=\"button white lowercase whatsapp-renkli-buton\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1213048458 > .col-inner {\n  padding: 0px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1213048458 > .col-inner {\n    padding: 0px 0px 0px 0px;\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1758480025 > .col-inner {\n  padding: 30px 0px 20px 0px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n@media (min-width:550px) {\n  #col-1758480025 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_774303663 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_49097557\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-486073553\">\n\n\t<div id=\"col-960002986\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#What_Is_ESWL_and_What_Is_Its_Historical_Development\" >What Is ESWL and What Is Its Historical Development?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#Why_Do_Kidney_Stones_Form_and_Which_Factors_Are_Effective\" >Why Do Kidney Stones Form and Which Factors Are Effective?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#How_Do_ESWL_Devices_Produce_Shock_Waves\" >How Do ESWL Devices Produce Shock Waves?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#How_Do_Shock_Waves_Break_the_Stone_Without_Damaging_the_Body\" >How Do Shock Waves Break the Stone Without Damaging the Body?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#Who_Are_Suitable_Candidates_for_ESWL_Treatment\" >Who Are Suitable Candidates for ESWL Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#How_Does_the_Location_of_the_Stone_in_the_Kidney_Affect_the_Success_of_ESWL\" >How Does the Location of the Stone in the Kidney Affect the Success of ESWL?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#What_Is_the_Relationship_Between_the_Hardness_of_the_Stone_and_ESWL_Success\" >What Is the Relationship Between the Hardness of the Stone and ESWL Success?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#What_Preparations_Are_Made_Before_the_ESWL_Procedure\" >What Preparations Are Made Before the ESWL Procedure?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#What_Awaits_the_Patient_During_the_ESWL_Session\" >What Awaits the Patient During the ESWL Session?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#Is_the_ESWL_Procedure_Painful_and_Is_Anesthesia_Required\" >Is the ESWL Procedure Painful and Is Anesthesia Required?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#What_Should_Be_Done_for_the_Stones_to_Pass_After_ESWL\" >What Should Be Done for the Stones to Pass After ESWL?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#What_Are_the_Possible_Side_Effects_of_ESWL_Treatment\" >What Are the Possible Side Effects of ESWL Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#Which_Closed_Surgical_Methods_Can_Be_Used_Instead_of_ESWL\" >Which Closed Surgical Methods Can Be Used Instead of ESWL?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#Is_ESWL_Safe_in_Children\" >Is ESWL Safe in Children?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/#Blog_Posts\" >Blog Posts<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_ESWL_and_What_Is_Its_Historical_Development\"><\/span>What Is ESWL and What Is Its Historical Development?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kidney stone disease is a health problem as old as human history. In past years, the treatment of kidney stones was quite difficult. Patients underwent open surgeries with large surgical incisions, had to stay in the hospital for weeks, and it took months for them to return to normal life. The infection risks, incisional hernias, and serious bleeding caused by open surgeries were among the greatest disadvantages of the period. However, medical technology is in constant progress. In the early nineteen-eighties, a physical principle accidentally discovered during aviation and space research in Germany created almost a revolution in the world of medicine. The power of the shock waves created by raindrops hitting the bodies of aircraft was noticed, and this principle was adapted to the human body.<\/p>\n<p>Thus, the first ESWL devices emerged. At first, patients were placed inside large water-filled tubs. The waves passed through the water and reached the kidney. Over time, these devices underwent an incredible evolution. The tubs disappeared, the devices became smaller, and they turned into much more focused, comfortable table systems. Today, patients can come to the hospital in their daily clothes and walk home after a one-hour procedure. The absence of a surgical incision, the minimal need for anesthesia, and the almost nonexistent risk of infection have made this method one of the most valuable and indispensable inventions of modern medicine.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Do_Kidney_Stones_Form_and_Which_Factors_Are_Effective\"><\/span>Why Do Kidney Stones Form and Which Factors Are Effective?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kidney stones form when certain minerals and salts in the urine crystallize and come together. Under normal conditions, there are protective substances in urine that prevent this crystallization. However, sometimes this balance is disrupted. The concentration of substances such as calcium, oxalate, and uric acid in the urine increases and exceeds the capacity that the fluid can dissolve. In this case, these substances begin to form sediment. Over time, these small sediments combine and turn into grains of sand and then into the hard stone forms we know.<\/p>\n<p>The main factors that disrupt this balance and accelerate stone formation are as follows:<\/p>\n<ul>\n<li>Insufficient water consumption<\/li>\n<li>Excessively salty diet<\/li>\n<li>Genetic predisposition<\/li>\n<li>Sedentary lifestyle<\/li>\n<li>Obesity<\/li>\n<\/ul>\n<p>Low water consumption causes the urine to become concentrated and its color to darken. Concentrated urine is a perfect environment for stone formation. Genetic factors are also extremely important. Individuals with a family history of kidney stones are much more likely to encounter this disease at some point in their lives. In addition, the sedentary lifestyle and fast-food-heavy, salty diets of the modern age put excessive strain on the kidneys. Especially in summer, not replacing the water lost through sweating causes urology clinics to fill with people suffering from kidney pain.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Do_ESWL_Devices_Produce_Shock_Waves\"><\/span>How Do ESWL Devices Produce Shock Waves?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although ESWL devices appear complex from the outside, their basic working principles are quite clear. The aim is to focus a powerful energy produced outside the body on a stone located deep within the body with millimetric precision. Different technologies have been developed over the years to produce this energy. According to their method of generation, the devices are basically divided into three groups.<\/p>\n<p>The first technology is electrohydraulic systems. In these systems, there are two electrodes inside a water-filled chamber within the device. A very high electric current is suddenly delivered between these electrodes. This spark formed in water causes the water to suddenly vaporize and emit a very powerful shock wave, like a tiny explosion. The resulting wave is collected by a special reflective dish and directed directly toward the stone.<\/p>\n<p>The second and much more widely used system today is electromagnetic generators. Here, the working principle can be compared to a giant loudspeaker. A metal membrane is suddenly vibrated using a powerful magnetic field. This sudden vibration pushes the water and produces very regular and stable shock waves. The greatest advantage of electromagnetic devices is that the waves can be focused much more sharply on the stone and the lifespan of the device is longer.<\/p>\n<p>The third system is piezoelectric technology. These devices contain thousands of tiny crystals. When electricity is applied to these crystals, they all expand and contract simultaneously. This synchronized movement creates tiny pressure waves in the water. The greatest characteristic of these waves is that the point at which they reach the target, that is, the focal point, is extremely small. In this way, the waves do not spread to surrounding tissues while passing through the skin, and the pain felt by the patient is kept at the lowest level.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Do_Shock_Waves_Break_the_Stone_Without_Damaging_the_Body\"><\/span>How Do Shock Waves Break the Stone Without Damaging the Body?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>To understand this issue, it is necessary to look at how sound and energy travel through different environments. A large part of the human body consists of water and soft tissues. When shock waves pass through water or soft tissues, they encounter no resistance. Just as a sound wave in the sea can travel problem-free for kilometers, the waves entering the body also pass gently through muscles, fat, and organs without harming them. However, when the wave strikes a hard object, that is, a kidney stone, the physical aspect of the matter changes completely.<\/p>\n<p>The two main physical mechanisms that occur during stone fragmentation are as follows:<\/p>\n<ul>\n<li>Pressure-dependent fragmentation<\/li>\n<li>Cavitation effect<\/li>\n<\/ul>\n<p>Pressure-dependent fragmentation occurs at the moment the wave first hits the stone. The shock wave strikes the front surface of the stone like a very hard slap. This impact creates a severe vibration in the crystal structure of the stone. As the wave passes through the stone and exits its back surface, it meets the urine fluid surrounding the stone. The energy reflected back from the fluid this time pulls the stone from the inside outward. As a result of these opposite forces, small pieces begin to break off from the back of the stone.<\/p>\n<p>The cavitation effect is a fascinating event that occurs at the microscopic level. As shock waves pass through the liquid, they create microscopic air bubbles. These bubbles suddenly expand under the effect of the wave and then collapse violently inward in a fraction of a second. These millions of microscopic explosions occurring right on the surface of the stone erode the surface of the stone, just as rough waves gradually carve out rocks. When these two mechanisms are repeated continuously, that hard kidney stone turns into very fine sand within minutes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Who_Are_Suitable_Candidates_for_ESWL_Treatment\"><\/span>Who Are Suitable Candidates for ESWL Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Not every kidney stone case is the same, and not every treatment method suits everyone. Although ESWL is a very comfortable method, its success depends greatly on choosing the right patient. The patient&#8217;s kidney structure, weight, general health condition, and the characteristics of the stone must be examined meticulously. If this evaluation is not done correctly, the patient may be put through a process from which they will not benefit.<\/p>\n<p>The characteristics that suitable candidates who will benefit most from the treatment should have are as follows:<\/p>\n<ul>\n<li>Stone size smaller than twenty millimeters<\/li>\n<li>Normal kidney anatomy<\/li>\n<li>Ideal body mass index<\/li>\n<li>No bleeding disorder<\/li>\n<li>No pregnancy<\/li>\n<\/ul>\n<p>Shock waves generally provide excellent results for stones smaller than twenty millimeters, that is, below two centimeters. If the stone is larger than this, even if it is broken, the risk of the enormous amount of sand and gravel produced blocking the urinary tract becomes much higher. Therefore, in large stones, directing the patient directly to closed surgery is a safer strategy. In pregnant women, this procedure is absolutely not applied because the effects of sound waves on the baby in the womb cannot be predicted. Likewise, ESWL is not preferred in people who use blood thinners and cannot stop these medications because of the risk of bleeding inside the kidney.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-960002986 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_49097557 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_684975777\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-899998520\">\r\n\r\n\n\t<div id=\"col-2115440286\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(36, 68, 148);border-radius:20px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1144893323\">\r\n\r\n\n\t<div id=\"col-1432472403\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2772018176\" class=\"text\">\n\t\t\r\n\r\n<strong>Contact us now to get detailed information about treatments and to make an appointment!<\/strong>\r\n\t\t\n<style>\n#text-2772018176 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #244494;\n}\n#text-2772018176 > * {\n  color: #244494;\n}\n@media (min-width:550px) {\n  #text-2772018176 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1432472403 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-358530223\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905332737268\" class=\"button primary expand\" style=\"border-radius:20px;padding:10px 0px 10px 0px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-358530223 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2115440286 > .col-inner {\n  padding: 30px 20px 20px 20px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-2115440286 > .col-inner {\n    padding: 20px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_684975777 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_950536750\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-22352891\">\n\n\t<div id=\"col-148038819\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"How_Does_the_Location_of_the_Stone_in_the_Kidney_Affect_the_Success_of_ESWL\"><\/span>How Does the Location of the Stone in the Kidney Affect the Success of ESWL?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The kidney is a complex organ containing different chambers and a wide central cavity. These chambers are called calyces, and the central cavity is called the pelvis. The urine produced by the kidney first collects in these chambers, flows into the pelvis, and finally travels downward to the bladder through the thin channel we call the ureter. Where the stone is located in which chamber of the kidney or in which part of the pelvis is one of the most critical factors determining the passage rate after fragmentation.<\/p>\n<p>If the stone is located in the middle cavity (pelvis) of the kidney or in the upper chambers, this is quite advantageous anatomically. Because the outlets of these chambers look directly downward toward the opening of the canal. After the stone is broken by shock waves, it can easily pass into the urinary canal, almost like sliding down a slide with the help of gravity. The success of fragmentation and passage is always much higher in upper and middle stones.<\/p>\n<p>However, if the stone is located in the lower chambers of the kidney (lower calyx), the physical conditions become a little more difficult. The lower chamber resembles a blind pocket located at the very bottom of the kidney. In order for the fragmented particles to exit this pocket and reach the urinary canal, they need to move uphill. This struggle against gravity is quite difficult. If this lower pocket in the patient\u2019s kidney is anatomically very narrow or its angle is steep, even if the stone is completely fragmented, it may remain accumulated in that pocket. Therefore, the situation is evaluated in detail in lower pole stones. In stones in the urinary canal, it is decided whether focusing can be done by looking at whether the stone corresponds to bony structures.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_the_Relationship_Between_the_Hardness_of_the_Stone_and_ESWL_Success\"><\/span>What Is the Relationship Between the Hardness of the Stone and ESWL Success?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It is not possible to understand how hard a patient\u2019s stone is by looking from the outside only with ultrasound or a normal X-ray. This is where advanced radiological imaging techniques come into play. The computed tomography (CT) performed before the procedure not only shows the location and size of the stone, but also maps its density and hardness. On tomography, the hardness of the stone is measured with a unit called the &#8220;Hounsfield Unit,&#8221; abbreviated as HU.<\/p>\n<p>Stones whose HU value measured on tomography is below one thousand are relatively soft and fragile stones that easily lose resistance against shock waves. ESWL sessions applied to these stones usually result in a short time and with high success. However, when the HU value rises to one thousand two hundred, one thousand three hundred, or above, the physical resistance increases greatly. These stones, which have contents such as calcium oxalate monohydrate or cystine, have a structure almost as hard as concrete. When shock waves hit these stones, they cannot transfer their energy inside and are reflected back from the surface, just like a rubber ball bouncing off a wall. Trying to break such hard stones with sound waves usually results in failure, and in these cases, it is recommended to directly use laser fragmentation methods.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Preparations_Are_Made_Before_the_ESWL_Procedure\"><\/span>What Preparations Are Made Before the ESWL Procedure?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>After the method is decided, there are some simple but very important preparations that need to be made until the day of the procedure. First of all, the patient\u2019s general health condition is reviewed. Kidney functions and the presence of any urinary tract infection are checked with a simple blood and urine test. If an active infection is detected in the urine, it is necessary to first eliminate the infection with antibiotic treatment, because when the stone is broken, trapped bacteria may enter the bloodstream.<\/p>\n<p>In addition, the medications regularly used by the patient are carefully questioned. Some drug groups that need to be stopped or adjusted under doctor supervision before the procedure are as follows:<\/p>\n<ul>\n<li>Blood thinners<\/li>\n<li>Aspirin derivatives<\/li>\n<li>Rheumatism medications<\/li>\n<\/ul>\n<p>Since shock waves create a minimal vibration in the kidney tissue, these medications, which delay blood clotting, may cause unwanted minor bleeding around the kidney during or after the procedure. Therefore, blood thinners may need to be discontinued a few days before the procedure or switched to injectable forms. There is no harm in the patient having a light breakfast on the morning of the procedure, but it is important to avoid foods that cause excessive gas. Because dense gas accumulation in the intestines can act as an invisible wall that prevents sound waves from reaching the stone.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Awaits_the_Patient_During_the_ESWL_Session\"><\/span>What Awaits the Patient During the ESWL Session?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When you enter the procedure room, you are greeted by a technological table and a fragmentation head integrated into it. There is no need to completely remove your clothes; it is enough that only your waist or back area where the fragmentation procedure will be performed remains exposed. After you lie down on the table, the technician or the relevant specialist determines the location of the stone millimetrically with the help of ultrasound or fluoroscopy (X-ray) devices. Once the target is determined, the head of the device is placed against your skin with a special fluid similar to ultrasound gel applied in between. This gel allows the sound waves to pass directly into your body without dispersing in the air.<\/p>\n<p>When the procedure starts, the first thing you will hear is a rhythmic and solid &#8220;click click&#8221; sound. Each sound represents a shock wave sent into your body. The device is deliberately started at a very low energy level at first. The purpose of this is to give the kidney vessels time to constrict and allow the kidney to gradually adapt to this vibration. After a few minutes, the energy and shot rate are gradually increased. In an average session, between two thousand and three thousand shock waves are sent to the stone depending on its size. It is very important for the patient to remain as still as possible during this process and to breathe calmly. Irregular or very deep breaths cause the kidney to move up and down and the stone to shift away from the target. The procedure is usually completed within thirty to fifty minutes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_the_ESWL_Procedure_Painful_and_Is_Anesthesia_Required\"><\/span>Is the ESWL Procedure Painful and Is Anesthesia Required?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is one of the most frequently wondered questions and the issue that makes patients the most anxious before the procedure. Since a strong acoustic energy is sent from the outside into the body, the procedure is not completely without sensation. When the shock waves hit the skin, a sensation like repeated elastic impacts may be felt, and deep in the kidney a dull pressure may be perceived. However, this is definitely not in the form of a knife cut or unbearable pain.<\/p>\n<p>In today\u2019s modern ESWL applications, a wide variety of options are offered to ensure the comfort of the patient. In the vast majority of adult patients, a strong painkiller injection administered about half an hour before the procedure through the hip or vein is sufficient to get through the process comfortably. If the patient is extremely anxious or has a very low pain threshold, a mild drowsy state (sedation) can be created with relaxing medications. Full general anesthesia, that is, completely putting the patient to sleep, is very rare in adults; it is generally preferred in children in order to completely eliminate fear and movement.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-148038819 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_950536750 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1396447971\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1995704735\">\r\n\r\n\n\t<div id=\"col-632906130\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 37, 41);border-radius:20px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1373991803\">\r\n\r\n\n\t<div id=\"col-620728018\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1065676118\" class=\"text\">\n\t\t\r\n\r\n<strong>Contact us now to get detailed information about treatments and to make an appointment!<\/strong>\r\n\t\t\n<style>\n#text-1065676118 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: rgb(33, 37, 41);\n}\n#text-1065676118 > * {\n  color: rgb(33, 37, 41);\n}\n@media (min-width:550px) {\n  #text-1065676118 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-620728018 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-782458193\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905332737268\" class=\"button success expand\" style=\"border-radius:20px;padding:10px 0px 10px 0px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-782458193 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-632906130 > .col-inner {\n  padding: 30px 20px 20px 20px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-632906130 > .col-inner {\n    padding: 20px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1396447971 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1794287788\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1446079414\">\n\n\t<div id=\"col-69804927\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_Should_Be_Done_for_the_Stones_to_Pass_After_ESWL\"><\/span>What Should Be Done for the Stones to Pass After ESWL?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Getting up from the ESWL device and going home shows only that the first stage of the treatment is over. The second and in fact the most important stage that will determine the success of the treatment is the process of washing out and passing those broken sands and small fragments through the urinary tract. The only driving force that will clear these residues inside the kidney is the volume of fluid you consume. After the procedure, movement begins in the urinary tract, and complete clearance of the stones may take several weeks.<\/p>\n<p>The steps that need to be followed to accelerate this passage process and prevent blockage of the canals are as follows:<\/p>\n<ul>\n<li>Drinking plenty of water<\/li>\n<li>Walking<\/li>\n<li>Jumping rope<\/li>\n<li>Using the prescribed medications<\/li>\n<\/ul>\n<p>Drinking at least two and a half to three liters of water per day ensures that the fragments are rapidly carried downward without becoming stagnant in the kidney. The light yellow color of your urine is the clearest sign that you are drinking enough water. Just drinking water and lying down is not enough; it is necessary to benefit from gravity. Brisk walks or light jumping movements at home incredibly accelerate the descent of the stones in the canal. In addition, some medications that widen the thin urinary canal called the ureter and relax its contractions may also be prescribed so that the fragments fall into the bladder much more painlessly.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Possible_Side_Effects_of_ESWL_Treatment\"><\/span>What Are the Possible Side Effects of ESWL Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As with every medical intervention, fragmentation with sound waves also has some expected and temporary side effects. These are generally the body\u2019s natural responses to mechanical vibration. Knowing how the process works prevents panic. The most common situation is that the color of the urine becomes pinkish or reddish during the first few days after the procedure. This is a normal bleeding caused by mild irritation in the inner lining of the urinary tract during the fragmentation of the stone and returns to normal quickly as fluid is consumed.<\/p>\n<p>Other temporary side effects that may frequently be encountered after the procedure are as follows:<\/p>\n<ul>\n<li>Bleeding in the urine<\/li>\n<li>Bruising on the skin<\/li>\n<li>Mild lower back pain<\/li>\n<li>Nausea<\/li>\n<\/ul>\n<p>Mild redness and, in some patients, bruising may be seen in the back or waist area where the shock waves contact the skin. These bruises disappear spontaneously within a few days, just like bruises that occur when you hit somewhere. As stone fragments begin to fall into the canal, dull pain radiating to the back may occur; this condition can be easily controlled with the prescribed painkillers. In very rare situations, large broken fragments may line up one after another and completely block the urinary canal. If this condition, called &#8220;stone street,&#8221; causes severe pain, a small closed intervention may be required to open that path.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Closed_Surgical_Methods_Can_Be_Used_Instead_of_ESWL\"><\/span>Which Closed Surgical Methods Can Be Used Instead of ESWL?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If the size of your stone exceeds the limits of ESWL, if its location is not suitable for sound waves to reach, or if analyses show that your stone is very hard, fragmentation sessions are not stubbornly continued. Other closed surgical options offered by technology come into play. These methods are modern techniques based on entering directly into the kidney and fragmenting the stone under direct vision. The two most commonly used main methods are RIRS and PNL.<\/p>\n<p>RIRS (Flexible Ureteroscopy) is a scarless procedure performed entirely by entering through the natural openings of the urinary tract. With a very thin flexible instrument that has a camera at its tip and can bend in every direction, it is possible to advance through the urinary canal to the chambers of the kidney. The stones are clearly seen on the screen and are turned into dust within seconds with a thin laser wire sent through the instrument. The patient is usually discharged on the same day or the next morning. It is a highly successful alternative that is not affected by the hardness of the stone.<\/p>\n<p>PNL (Percutaneous Nephrolithotomy) is a method generally applied for giant stones larger than two or two and a half centimeters. Only a small hole of about one centimeter is opened from the patient\u2019s back toward the kidney. Through the tube sent through this hole, the kidney is entered with optical devices. The large stones inside are fragmented with mechanical or pneumatic lithotripters and removed one by one through the same hole. In patients with a very large stone burden, providing complete clearance in a single session with PNL instead of struggling with ESWL for months is the gold standard of modern urology.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_ESWL_Safe_in_Children\"><\/span>Is ESWL Safe in Children?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kidney stone disease in children is an issue that causes great concern for families and requires very meticulous work to protect kidney health. The biggest question mark in families\u2019 minds is whether these powerful shock waves harm the developing kidney of a tiny child. Very long-term clinical follow-ups and studies have clearly proven that ESWL is extremely safe in children, even in babies a few months old. The waves do not prevent the growth of kidney tissue or leave permanent damage.<\/p>\n<p>Interestingly, child anatomy is more advantageous for this treatment compared to adults. Children\u2019s tissues are much more elastic. Since their urinary canals (ureters) are much shorter than those of adults, the broken stone fragments fall down the canal and into the bladder incredibly easily and quickly. The only point that needs attention is anesthesia. Since it is not possible for children to lie still during the procedure, the procedures are definitely performed under mild general anesthesia (sleeping) and under the control of anesthesiologists in order not to lose the target.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-69804927 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1794287788 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1397366198\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1929390851\">\r\n\r\n\n\t<div id=\"col-1764161137\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2201980746\" class=\"text\">\n\t\t\r\n<h2><span class=\"ez-toc-section\" id=\"Blog_Posts\"><\/span>Blog Posts<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n\t\t\n<style>\n#text-2201980746 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\r\n\n  \n    <div class=\"row blog-alani-border large-columns-3 medium-columns-1 small-columns-1 slider row-slider slider-nav-circle\"  data-flickity-options='{&quot;imagesLoaded&quot;: true, &quot;groupCells&quot;: &quot;100%&quot;, &quot;dragThreshold&quot; : 5, &quot;cellAlign&quot;: &quot;left&quot;,&quot;wrapAround&quot;: true,&quot;prevNextButtons&quot;: true,&quot;percentPosition&quot;: true,&quot;pageDots&quot;: false, &quot;rightToLeft&quot;: false, &quot;autoPlay&quot; : false}' >\n\n  <div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-treats-genital-warts\/\" class=\"plain\" aria-label=\"Genital Warts: Which Doctor or Department Should You See?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Organda-Sigil-Hangi-Bolum-Bakar-1-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Organda-Sigil-Hangi-Bolum-Bakar-1-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Organda-Sigil-Hangi-Bolum-Bakar-1-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Organda-Sigil-Hangi-Bolum-Bakar-1-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Organda-Sigil-Hangi-Bolum-Bakar-1-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Organda-Sigil-Hangi-Bolum-Bakar-1.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-treats-genital-warts\/\" class=\"plain\">Genital Warts: Which Doctor or Department Should You See?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tWhen genital warts are noticed, the [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-treats-genital-warts\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-should-you-visit-for-a-urinary-tract-infection\/\" class=\"plain\" aria-label=\"Urinary Tract Infection (UTI): Which Doctor or Department Should You Visit?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Idrar-Yolu-Enfeksiyonu-Icin-Hangi-Bolum-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Idrar-Yolu-Enfeksiyonu-Icin-Hangi-Bolum-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Idrar-Yolu-Enfeksiyonu-Icin-Hangi-Bolum-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Idrar-Yolu-Enfeksiyonu-Icin-Hangi-Bolum-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Idrar-Yolu-Enfeksiyonu-Icin-Hangi-Bolum-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Idrar-Yolu-Enfeksiyonu-Icin-Hangi-Bolum.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-should-you-visit-for-a-urinary-tract-infection\/\" class=\"plain\">Urinary Tract Infection (UTI): Which Doctor or Department Should You Visit?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe department patients experiencing urinary tract [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-should-you-visit-for-a-urinary-tract-infection\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-kidney-stones\/\" class=\"plain\" aria-label=\"Kidney Stones: Which Doctor or Specialist Should You See?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Tasi-Icin-Hangi-Bolume-Doktora-Gidilir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Tasi-Icin-Hangi-Bolume-Doktora-Gidilir-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Tasi-Icin-Hangi-Bolume-Doktora-Gidilir-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Tasi-Icin-Hangi-Bolume-Doktora-Gidilir-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Tasi-Icin-Hangi-Bolume-Doktora-Gidilir-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Tasi-Icin-Hangi-Bolume-Doktora-Gidilir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-kidney-stones\/\" class=\"plain\">Kidney Stones: Which Doctor or Specialist Should You See?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe primary specialty that patients with [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-kidney-stones\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-treats-kidney-diseases-which-doctor-should-you-see\/\" class=\"plain\" aria-label=\"Kidney Diseases: Which Doctor or Department Should You See?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobreklere-Hangi-Bolum-Bakar-Hangi-Doktora-Gidilir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobreklere-Hangi-Bolum-Bakar-Hangi-Doktora-Gidilir-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobreklere-Hangi-Bolum-Bakar-Hangi-Doktora-Gidilir-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobreklere-Hangi-Bolum-Bakar-Hangi-Doktora-Gidilir-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobreklere-Hangi-Bolum-Bakar-Hangi-Doktora-Gidilir-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobreklere-Hangi-Bolum-Bakar-Hangi-Doktora-Gidilir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-treats-kidney-diseases-which-doctor-should-you-see\/\" class=\"plain\">Kidney Diseases: Which Doctor or Department Should You See?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe primary medical specialty that patients [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-treats-kidney-diseases-which-doctor-should-you-see\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-sexually-transmitted-diseases-stds\/\" class=\"plain\" aria-label=\"Sexually Transmitted Diseases (STDs): Which Doctor Should You See?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Yolla-Bulasan-Hastaliklar-Icin-Hangi-Doktora-Gidilir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Yolla-Bulasan-Hastaliklar-Icin-Hangi-Doktora-Gidilir-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Yolla-Bulasan-Hastaliklar-Icin-Hangi-Doktora-Gidilir-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Yolla-Bulasan-Hastaliklar-Icin-Hangi-Doktora-Gidilir-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Yolla-Bulasan-Hastaliklar-Icin-Hangi-Doktora-Gidilir-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Cinsel-Yolla-Bulasan-Hastaliklar-Icin-Hangi-Doktora-Gidilir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-sexually-transmitted-diseases-stds\/\" class=\"plain\">Sexually Transmitted Diseases (STDs): Which Doctor Should You See?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe answer to the question of [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-sexually-transmitted-diseases-stds\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-a-kidney-cyst\/\" class=\"plain\" aria-label=\"Kidney Cysts: Which Doctor or Department Should You See?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Kisti-Icin-Hangi-Bolume-Doktora-Gidilir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Kisti-Icin-Hangi-Bolume-Doktora-Gidilir-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Kisti-Icin-Hangi-Bolume-Doktora-Gidilir-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Kisti-Icin-Hangi-Bolume-Doktora-Gidilir-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Kisti-Icin-Hangi-Bolume-Doktora-Gidilir-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Bobrek-Kisti-Icin-Hangi-Bolume-Doktora-Gidilir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-a-kidney-cyst\/\" class=\"plain\">Kidney Cysts: Which Doctor or Department Should You See?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe primary medical specialties that patients [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-a-kidney-cyst\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-prostate-problems\/\" class=\"plain\" aria-label=\"Prostate Problems: Which Doctor or Specialist Should You See?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Prostat-Icin-Hangi-Bolume-Doktora-Gidilir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Prostat-Icin-Hangi-Bolume-Doktora-Gidilir-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Prostat-Icin-Hangi-Bolume-Doktora-Gidilir-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Prostat-Icin-Hangi-Bolume-Doktora-Gidilir-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Prostat-Icin-Hangi-Bolume-Doktora-Gidilir-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Prostat-Icin-Hangi-Bolume-Doktora-Gidilir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-prostate-problems\/\" class=\"plain\">Prostate Problems: Which Doctor or Specialist Should You See?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe medical specialty that men experiencing [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-department-or-doctor-should-you-see-for-prostate-problems\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-push box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:75%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/\" class=\"plain\" aria-label=\"Premature Ejaculation: Which Doctor Should You See for Treatment?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Erken-Bosalma-Hangi-Doktora-Gidilir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Erken-Bosalma-Hangi-Doktora-Gidilir-711x400.jpg 711w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Erken-Bosalma-Hangi-Doktora-Gidilir-1400x788.jpg 1400w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Erken-Bosalma-Hangi-Doktora-Gidilir-768x432.jpg 768w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Erken-Bosalma-Hangi-Doktora-Gidilir-1536x864.jpg 1536w, https:\/\/berkanresorlu.com.tr\/wp-content\/uploads\/2026\/07\/Erken-Bosalma-Hangi-Doktora-Gidilir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-left\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/\" class=\"plain\">Premature Ejaculation: Which Doctor Should You See for Treatment?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tThe first and primary medical specialty [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/berkanresorlu.com.tr\/en\/which-doctor-should-you-see-for-premature-ejaculation\/\" class=\"button primary is-outline is-small mb-0\">\n\t\t\t\t\t\t\tRead More\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">13<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Jul<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1764161137 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1397366198 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1573,"parent":1566,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-1574","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/pages\/1574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/comments?post=1574"}],"version-history":[{"count":3,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/pages\/1574\/revisions"}],"predecessor-version":[{"id":5350,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/pages\/1574\/revisions\/5350"}],"up":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/pages\/1566"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/media\/1573"}],"wp:attachment":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}