The Urologist’s Role in Lithotripsy of Biliary Stones

  • David L. McCullough


Biliary stones are being treated by a number of lithotripsy techniques familiar to urologists. These include extraction and various forms of fragmentation: ultrasonic, electrohydraulic, laser, and extracorporeal shock wave lithotripsy (ESWL). Dissolution is also playing a role in therapy. A review of current biliary stone therapy and results of the above techniques are presented. Urologists interested in urinary lithotripsy should be aware of the advances occurring in biliary stone management. They may be asked to assist in biliary stone management and should be prepared to help if requested. The techniques are remarkably similar. A working knowledge of biliary stone management is mandatory for the urologist planning to assist general surgeons, radiologists, or gastroenterologists in this field.


Common Bile Duct Stone Extracorporeal Shock Wave Lithotripsy Chenodeoxycholic Acid Common Duct Gallbladder Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Gelfand DW, McCullough DL, et al: Choledocholithiasis: successful treatment with extra-corporeal lithotripsy. AJR 148: 1114, 1987.PubMedCrossRefGoogle Scholar
  2. 2.
    McCullough DL: personal case.Google Scholar
  3. 3.
    Sauerbruch T, et al: Fragmentation of gallstones by extracorporeal shock waves. NEJM 314: 818, 1986.PubMedCrossRefGoogle Scholar
  4. 4.
    Sackman M, et al: Shock wave lithotripsy of gallbladder stones: the first 175 patients. NEJM 318: 393, 1988.CrossRefGoogle Scholar
  5. 5.
    Allen MJ, et al: Rapid dissolution of gallstones by methyl-tert butyl ether. NEJM 312: 217, 1985.PubMedCrossRefGoogle Scholar
  6. 6.
    Von Sonnenberg E, et al: Diagnostic and therapeutic gallbladder procedures. Radiology 160: 23, 1986.Google Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • David L. McCullough
    • 1
  1. 1.Department of Surgery, Section of UrologyBowman Gray School of MedicineWinston-SalemUSA

Personalised recommendations