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Related Experiment Videos

Renal function immediately after piezoelectric extracorporeal lithotripsy.

M P Daniel1, J R Burns

  • 1Department of Surgery, University of Alabama, Birmingham 35294.

The Journal of Urology
|July 1, 1990
PubMed
Summary

Piezoelectric lithotripsy for kidney stones showed no significant impact on renal function in patients. Renal scans confirmed stable kidney function post-treatment with the Richard Wolf 2300 device.

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Area of Science:

  • Nephrology
  • Urology
  • Medical Imaging

Background:

  • Renal calculi (kidney stones) are a common condition requiring treatment.
  • Lithotripsy is a standard procedure for breaking down kidney stones.
  • Concerns exist regarding potential renal function impairment following lithotripsy.

Purpose of the Study:

  • To assess the impact of piezoelectric lithotripsy on renal function.
  • To evaluate changes in effective renal plasma flow and differential renal function post-treatment.
  • To determine if early post-treatment renal function is affected by this lithotripsy method.

Main Methods:

  • 14 patients with renal calculi were treated using the Richard Wolf 2300 piezoelectric lithotriptor.
  • Patients received 3,000 to 4,000 shocks at maximal recommended voltage.

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  • 131iodine-orthoiodohippurate renal scans were performed pre- and post-treatment (within 24 hours).
  • Paired t-testing was used to compare changes in total and differential renal plasma flow.

    • Main Results:

    • No statistically significant changes were observed in total effective renal plasma flow.
    • Effective renal plasma flow of the treated kidney remained unchanged.
    • Differential renal function showed no significant alterations post-lithotripsy.
    • Renal scan studies indicated no immediate adverse effects on kidney function.

    Conclusions:

    • Piezoelectric lithotripsy, as performed in this study, does not cause significant changes in renal function.
    • Early post-treatment renal function is preserved following piezoelectric lithotripsy.
    • The Richard Wolf 2300 piezoelectric lithotriptor appears safe for renal function in the short term.