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Related Experiment Videos

Kidney changes after extracorporeal shock wave lithotripsy: CT evaluation.

J I Rubin, P H Arger, H M Pollack

    Radiology
    |January 1, 1987
    PubMed
    Summary

    Extracorporeal shock wave lithotripsy (ESWL) for kidney stones can cause temporary changes like hematomas and swelling. However, serious kidney trauma from ESWL is infrequent, making it a generally safe procedure.

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    Area of Science:

    • Radiology
    • Urology
    • Nephrology

    Background:

    • Kidney stones are a common ailment.
    • Extracorporeal shock wave lithotripsy (ESWL) is a primary treatment for kidney stones.
    • Understanding the impact of ESWL on renal and perinephric tissues is crucial for patient management.

    Purpose of the Study:

    • To evaluate the effects of ESWL on kidney and surrounding tissues using computed tomography (CT).
    • To assess the frequency and severity of post-ESWL complications.

    Main Methods:

    • Computed tomography (CT) scans were performed on 50 patients before and after ESWL.
    • Kidney size, hematomas, fluid collections, and perinephric tissue changes were analyzed.
    • Statistical analysis was used to determine significant changes.

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    Main Results:

    • Post-ESWL CT scans revealed subcapsular hematomas in 15% of patients and intrarenal hematomas in 4%.
    • A 9% mean increase in kidney size was observed after ESWL.
    • Perinephric soft-tissue stranding and fascial thickening were noted in 70% of treated renal fossae.

    Conclusions:

    • Most patients undergoing ESWL exhibit CT abnormalities, primarily mild.
    • Serious renal trauma associated with ESWL is infrequent.
    • CT is valuable for monitoring post-ESWL changes and assessing potential complications.