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Published on: December 23, 2022
[Harmful effects of electrocorporal shock-wave lithotripsy]
Urologiia (Moscow, Russia : 1999)
|August 17, 2001
Summary
Extracorporeal shock-wave lithotripsy (ECSWL) can cause urinary hemoglobin rise and intravascular hemolysis, indicating potential hazards. This treatment may damage tissues and trigger a systemic hematological reaction in patients.
Area of Science:
- Nephrology
- Urology
- Hematology
Context:
- Analysis of 101 patients undergoing extracorporeal shock-wave lithotripsy (ECSWL).
- Evaluation of hematological parameters post-ECSWL.
- Assessment of urinary and plasma hemoglobin levels.
Purpose:
- To investigate the negative effects and hematological impact of ECSWL.
- To identify potential hazards associated with ECSWL procedures.
- To understand the systemic reaction induced by ECSWL.
Summary:
- All patients exhibited a rise in urinary hemoglobin post-ECSWL.
- Elevated protein levels were observed when calculi were in the kidneys or lower ureter.
- A five-fold increase in plasma free hemoglobin suggests intravascular hemolysis as an ECSWL hazard.
Impact:
- ECSWL appears to cause damage to stone-adjacent tissues.
- ECSWL induces a general hematological reaction.
- Findings highlight the need for monitoring hematological changes after ECSWL.
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