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Endotoxemia in patients who underwent ultrasonic lithotripsy and extracorporeal shock wave lithotripsy
M Tanaka1, T Matsumoto, S Kitada
1Department of Urology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Abstract:
The authors conducted limulus tests of assay blood endotoxin in order to study the fever which often develops after ultrasonic lithotripsy (USL) and extracorporeal shock wave lithotripsy (ESWL). Assays of endotoxin were also conducted after transurethral resection (TUR) and other operations as a basis for comparison. Endotoxemia was observed in 18 among 28 patients (64.3%) who underwent USL, in 8 among 34 patients (23.5%) who underwent ESWL, in 1 among 14 patients (7.1%) who underwent TUR and in 1 among 11 patients (9.1%) who underwent other operations. The incidence of endotoxemia was significantly higher (p less than 0.01 by chi 2 test) in patients who had undergone USL than in those who had undergone ESWL, TUR or other operations.