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Extracorporeal Shockwave Lithotripsy Workup

  • Author: Michael Grasso, III, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
 
Updated: Jan 29, 2015
 

Laboratory Studies

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  • Anticoagulation profile (PT/aPTT)
  • Urinalysis, with or without urine culture
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Imaging Studies

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  • Renal ultrasonography
  • Noncontrast CT scanning
  • Intravenous pyelography
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Other Tests

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  • Electrocardiography in patients older than 50 years and in patients with a history of cardiac disease
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Contributor Information and Disclosures
Author

Michael Grasso, III, MD Professor and Vice Chairman, Department of Urology, New York Medical College; Director, Living Related Kidney Transplantation, Westchester Medical Center; Director of Endourology, Lenox Hill Hospital

Michael Grasso, III, MD is a member of the following medical societies: Medical Society of the State of New York, National Kidney Foundation, Society of Laparoendoscopic Surgeons, Societe Internationale d'Urologie (International Society of Urology), American Medical Association, American Urological Association, Endourological Society

Disclosure: Received consulting fee from Karl Storz Endoscopy for consulting.

Coauthor(s)

David A Green, MD Staff Physician, Department of Urology, New York Medical College

Disclosure: Nothing to disclose.

Bobby S Alexander, MD Fellow in Endourology, Lenox Hill Hospital, Long Island Jewish Medical Center

Bobby S Alexander, MD is a member of the following medical societies: American Medical Association, American Urological Association, Endourological Society, Phi Beta Kappa, Golden Key International Honour Society

Disclosure: Nothing to disclose.

Lynn J Paik, DO, MS Fellow in Endourology, Lenox Hill Hospital

Lynn J Paik, DO, MS is a member of the following medical societies: American College of Surgeons, American Medical Association, American Osteopathic Association, American Urological Association, Societe Internationale d'Urologie (International Society of Urology), American College of Osteopathic Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Bradley Fields Schwartz, DO, FACS Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine

Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, Society of Laparoendoscopic Surgeons, Society of University Urologists, Association of Military Osteopathic Physicians and Surgeons, American Urological Association, Endourological Society

Disclosure: Nothing to disclose.

Additional Contributors

Daniel B Rukstalis, MD Professor of Urology, Wake Forest Baptist Health System, Wake Forest University School of Medicine

Daniel B Rukstalis, MD is a member of the following medical societies: American Association for the Advancement of Science, American Urological Association

Disclosure: Nothing to disclose.

References
  1. Ganem JP, Carson CC. Cardiac arrhythmias with external fixed-rate signal generators in shock wave lithotripsy with the Medstone lithotripter. Urology. 1998 Apr. 51(4):548-52. [Medline].

  2. Eaton MP, Erturk EN. Serum troponin levels are not increased in patients with ventricular arrhythmias during shock wave lithotripsy. J Urol. 2003 Dec. 170(6 Pt 1):2195-7. [Medline].

  3. Bandi G, Meiners RJ, Pickhardt PJ, Nakada SY. Stone measurement by volumetric three-dimensional computed tomography for predicting the outcome after extracorporeal shock wave lithotripsy. BJU Int. Feb 2009. 103:524-528. [Medline].

  4. Takehiko Nakasato, Jun Morita, Yoshio Ogawa,. Evaluation of Hounsfield Units as a predictive factor for the outcome of extracorporeal shock wave lithotripsy and stone composition. Urolithiasis. August 2014. 20. [Medline].

  5. Park BH, Choi H, Kim JB, Chang YS. Analyzing the effect of distance from skin to stone by computed tomography scan on the extracorporeal shock wave lithotripsy stone-free rate of renal stones. Korean J Urol. Jan 2012. 53:40-43. [Medline].

  6. Pareek G, Hedican SP, Lee FT Jr, Nakada SY. Shock wave lithotripsy success determined by skin-to-stone distance on computed tomography. Urology. Nov 2005. 66:941-944. [Medline].

  7. Connors BA, McAteer JA, Evan AP, Blomgren PM, Handa RK, Johnson CD, et al. Evaluation of shock wave lithotripsy injury in the pig using a narrow focal zone lithotriptor. BJU Int. 2012 Nov. 110(9):1376-85. [Medline]. [Full Text].

  8. Lingeman JE. Lithotripsy Systems. Smith AD, Badlani GH, Bagley DH. Smith’s Textbook of Endourology. Ontario, Canada: BC Decker, Inc; 2007. 333-42.

  9. Willis LR, Evan AP, Connors BA, Handa RK, Blomgren PM, Lingeman JE. Prevention of lithotripsy-induced renal injury by pretreating kidneys with low-energy shock waves. J Am Soc Nephrol. 2006 Mar. 17(3):663-73. [Medline].

  10. Jain A, Shah TK. Effect of air bubbles in the coupling medium on efficacy of extracorporeal shock wave lithotripsy. Eur Urol. 2007 Jun. 51(6):1680-6; discussion 1686-7. [Medline].

  11. Chin CM, Tay KP, NG FC, Lim PH, Chng HC. Use of patient-controlled analgesia in extracorporeal shockwave lithotripsy. Br J Urol. 1997 Jun. 79(6):848-51. [Medline].

  12. Parkin J, Keeley FX FX, Timoney AG. Analgesia for shock wave lithotripsy. J Urol. 2002 Apr. 167(4):1613-5. [Medline].

  13. Kumar A, Gupta NP, Hemal AK, Wadhwa P. Comparison of three analgesic regimens for pain control during shockwave lithotripsy using Dornier Delta Compact lithotripter: a randomized clinical trial. J Endourol. 2007 Jun. 21(6):578-82. [Medline].

  14. Philippou P, Payne D, Davenport K, Timoney AG, Keeley FX. Does previous failed ESWL have a negative impact of on the outcome of ureterorenoscopy? A matched pair analysis. Urolithiasis. 2013 Nov. 41(6):531-8. [Medline].

  15. Krambeck AE, Gettman MT, Rohlinger AL, Lohse CM, Patterson DE, Segura JW. Diabetes mellitus and hypertension associated with shock wave lithotripsy of renal and proximal ureteral stones at 19 years of followup. J Urol. 2006 May. 175(5):1742-7. [Medline].

  16. Wendt-Nordahl G, Krombach P, Hannak D, Häcker A, Michel MS, Alken P. Prospective evaluation of acute endocrine pancreatic injury as collateral damage of shock-wave lithotripsy for upper urinary tract stones. BJU Int. 2007 Dec. 100(6):1339-43. [Medline].

  17. Makhlouf AA, Thorner D, Ugarte R, Monga M. Shock wave lithotripsy not associated with development of diabetes mellitus at 6 years of follow-up. Urology. 2009 Jan. 73(1):4-8; discussion 8. [Medline].

  18. Akin Y, Yucel S. Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function. Res Rep Urol. 2014. 6:21-5. [Medline]. [Full Text].

  19. Tuncer M, Erdogan BA, Yazici O, Sahin C, Altin G, Faydaci G, et al. Does extracorporeal shock wave lithotripsy cause hearing impairment?. Urology. 2014 Jul. 84(1):12-5. [Medline].

  20. Aboumarzouk OM, Kata SG, Keeley FX, Nabi G. Extracorporeal shock wave lithotripsy (ESWL) versus ureteroscopic management for ureteric calculi. Cochrane Database Syst Rev. 2011 Dec 7. 12:CD006029. [Medline].

  21. Fayad A, El-Sheikh MG, El-Fayoumy H, El-Sergany R, Abd El Bary A. Effect of extracorporeal shock wave lithotripsy on kidney growth in children. J Urol. 2012 Sep. 188(3):928-31. [Medline].

  22. Lingeman JE, Zafar FS. Lithotripsy systems. Smith AD, Badlani GH, Bagley DH, et al. Smith's Textbook of Endourology. St Louis, Mo: Quality Medical Publishing; 1996. 553-89.

  23. Sheir KZ, Madbouly K, Elsobky E, Abdelkhalek M. Extracorporeal shock wave lithotripsy in anomalous kidneys: 11-year experience with two second-generation lithotripters. Urology. 2003 Jul. 62(1):10-5; discussion 15-6. [Medline].

  24. Sheir KZ, El-Diasty TA, Ismail AM. Evaluation of a synchronous twin-pulse technique for shock wave lithotripsy: the first prospective clinical study. BJU Int. 2005 Feb. 95(3):389-93. [Medline].

  25. Sheir KZ, Elhalwagy SM, Abo-Elghar ME, Ismail AM, Elsawy E, El-Diasty TA. Evaluation of a synchronous twin-pulse technique for shock wave lithotripsy: a prospective randomized study of effectiveness and safety in comparison to standard single-pulse technique. BJU Int. 2008 Jun. 101(11):1420-6. [Medline].

  26. Zehnder P, Roth B, Birkhäuser F, Schneider S, Schmutz R, Thalmann GN, et al. A Prospective Randomised Trial Comparing the Modified HM3 with the MODULITH(®) SLX-F2 Lithotripter. Eur Urol. 2011 Apr. 59(4):637-44. [Medline].

  27. Miernik A1, Wilhelm K, Ardelt P, Bulla S, Schoenthaler M. Modern urinary stone therapy: is the era of extracorporeal shock wave lithotripsy at an end?. Urologe A. Mar 2012. 51:372-378. [Medline].

  28. García-Galisteo E1, Sánchez-Martínez, Molina-Díaz, López-Rueda, Baena-González. Invasive treatment trends in urinary calculi in a third level hospital. Actas Urol Esp. Jul 2014. [Medline].

  29. Abe T, Akakura K, Kawaguchi M, Ueda T, Ichikawa T, Ito H, et al. Outcomes of shockwave lithotripsy for upper urinary-tract stones: a large-scale study at a single institution. J Endourol. 2005 Sep. 19(7):768-73. [Medline].

  30. Albala DM, Assimos DG, Clayman RV, Denstedt JD, Grasso M, Gutierrez-Aceves J, et al. Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol. 2001 Dec. 166(6):2072-80. [Medline].

  31. Anagnostou T, Tolley D. Management of ureteric stones. Eur Urol. 2004 Jun. 45(6):714-21. [Medline].

  32. Auge BK, Preminger GM. Update on shock wave lithotripsy technology. Curr Opin Urol. 2002 Jul. 12(4):287-90. [Medline].

  33. Chacko J, Moore M, Sankey N, Chandhoke PS. Does a slower treatment rate impact the efficacy of extracorporeal shock wave lithotripsy for solitary kidney or ureteral stones?. J Urol. 2006 Apr. 175(4):1370-3; discussion 1373-4. [Medline].

  34. Chaussy CG, Fuchs GJ. Current state and future developments of noninvasive treatment of human urinary stones with extracorporeal shock wave lithotripsy. J Urol. 1989 Mar. 141(3 Pt 2):782-9. [Medline].

  35. Collins JW, Keeley FX. Is there a role for prophylactic shock wave lithotripsy for asymptomatic calyceal stones?. Curr Opin Urol. 2002 Jul. 12(4):281-6. [Medline].

  36. Delius M. This month in Investigative Urology: effect of extracorporeal shock waves on the kidney. J Urol. 1988 Aug. 140(2):390. [Medline].

  37. Joshi HB, Obadeyi OO, Rao PN. A comparative analysis of nephrostomy, JJ stent and urgent in situ extracorporeal shock wave lithotripsy for obstructing ureteric stones. BJU Int. 1999 Aug. 84(3):264-9. [Medline].

  38. Kim FJ, Rice KR. Prediction of shockwave failure in patients with urinary tract stones. Curr Opin Urol. 2006 Mar. 16(2):88-92. [Medline].

  39. Lee C, Ugarte R, Best S, Monga M. Impact of renal function on efficacy of extracorporeal shockwave lithotripsy. J Endourol. 2007 May. 21(5):490-3. [Medline].

  40. Lee YH, Tsai JY, Jiaan BP, Wu T, Yu CC. Prospective randomized trial comparing shock wave lithotripsy and ureteroscopic lithotripsy for management of large upper third ureteral stones. Urology. 2006 Mar. 67(3):480-4; discussion 484. [Medline].

  41. Lindqvist K, Holmberg G, Peeker R, Grenabo L. Extracorporeal shock-wave lithotripsy or ureteroscopy as primary treatment for ureteric stones: a retrospective study comparing two different treatment strategies. Scand J Urol Nephrol. 2006. 40(2):113-8. [Medline].

  42. Lingeman JE, Kim SC, Kuo RL, McAteer JA, Evan AP. Shockwave lithotripsy: anecdotes and insights. J Endourol. 2003 Nov. 17(9):687-93. [Medline].

  43. Liou LS, Streem SB. Long-term renal functional effects of shock wave lithotripsy, percutaneous nephrolithotomy and combination therapy: a comparative study of patients with solitary kidney. J Urol. 2001 Jul. 166(1):36; discussion 36-7. [Medline].

  44. Madaan S, Joyce AD. Limitations of extracorporeal shock wave lithotripsy. Curr Opin Urol. 2007 Mar. 17(2):109-13. [Medline].

  45. Martin TV, Sosa RE. Shock-wave lithotripsy. Walsh PC, Retik AB, Vaughan ED, Wein AJ. Campbell's Urology. 7th ed. Philadelphia, Pa: WB Saunders; 1998. Vol 3: 2735-52.

  46. Micali S, Grande M, Sighinolfi MC, De Stefani S, Bianchi G. Efficacy of expulsive therapy using nifedipine or tamsulosin, both associated with ketoprofene, after shock wave lithotripsy of ureteral stones. Urol Res. 2007 Jun. 35(3):133-7. [Medline].

  47. Moody JA, Evans AP, Lingeman JE. Extracorporeal shockwave lithotripsy. Weiss RM, George NJR, O'Reilly PH, eds. Comprehensive Urology. Mosby International Limited; 2001. 623-36.

  48. Paonessa, J and Lingeman, JE. Extracorporeal Shock Wave Lithotripsy: Generators and Treatment Techniques. Grasso, M and Golfarb, DS. Urinary Stones: Medical and Surgical Management. UK: Wiley-Blackwell; 2014. 216-26/ 18.

  49. Pareek G, Armenakas NA, Fracchia JA. Hounsfield units on computerized tomography predict stone-free rates after extracorporeal shock wave lithotripsy. J Urol. 2003 May. 169(5):1679-81. [Medline].

  50. Putman SS, Hamilton BD, Johnson DB. The use of shock wave lithotripsy for renal calculi. Curr Opin Urol. 2004 Mar. 14(2):117-21. [Medline].

  51. Sayed MA, el-Taher AM, Aboul-Ella HA, Shaker SE. Steinstrasse after extracorporeal shockwave lithotripsy: aetiology, prevention and management. BJU Int. 2001 Nov. 88(7):675-8. [Medline].

  52. Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, et al. Nephrolithiasis Clinical Guidelines Panel summary report on the management of staghorn calculi. The American Urological Association Nephrolithiasis Clinical Guidelines Panel. J Urol. 1994 Jun. 151(6):1648-51. [Medline].

  53. Skolarikos A, Alivizatos G, de la Rosette J. Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention. Eur Urol. 2006 Nov. 50(5):981-90; discussion 990. [Medline].

  54. Tan EC, Tung KH, Foo KT. Comparative studies of extracorporeal shock wave lithotripsy by Dornier HM3, EDAP LT 01 and Sonolith 2000 devices. J Urol. 1991 Aug. 146(2):294-7. [Medline].

  55. Unal B, Kara S, Bilgili Y, Basar H, Yilmaz E, Batislam E. Giant abdominal wall abscess dissecting into thorax as a complication of ESWL. Urology. 2005 Feb. 65(2):389. [Medline].

  56. Weiland D, Lee C, Ugarte R, Monga M. Impact of shockwave coupling on efficacy of extracorporeal shockwave lithotripsy. J Endourol. 2007 Feb. 21(2):137-40. [Medline].

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