The Effect of Shock Wave Lithotripsy on Urease-Positive Calculogenic Bacteria

  • J. Elbers
  • P. Seline
  • Ralph V. Clayman

Abstract

Extracorporeal shock wave lithotripsy (ESWL) has been extremely effective among patients with infection-associated renal calculi. Given recent data regarding the adverse effect on shock waves on malignant cells, the possibility was raised that perhaps shock waves might also have an adverse effect on calculogenic bacteria. Accordingly, we studied the direct and indirect effects of shock waves on urease-positive bacteria. In all instances, utilizing a variety of bacteria, shock waves had no effect on bacterial viability. These results more strongly underscore earlier recommendations that patients undergoing ESWL should have a sterile urine. In those instances in which infection stones are suspected, appropriate parenteral antibiotic therapy should be instituted in order to sterilize the urine, and such treatment should be continued in the immediate post-ESWL period.

Keywords

Shock Wave Shock Wave Lithotripsy Urease Activity Extracorporeal Shock Wave Lithotripsy Total Bacterium 
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.

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References

  1. 1.
    Russo P, Stephenson RA, Mies C, et al: High energy shock waves suppress tumor growth in vitro and in vivo. J Urol 135: 626, 1986.PubMedGoogle Scholar
  2. 2.
    Meares EM and Stamey TA: Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest Urol 5: 492, 1968.PubMedGoogle Scholar
  3. 3.
    Chaussy C, Schmiedt E, Jocham D, et al: First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol 127: 417, 1982.PubMedGoogle Scholar
  4. 4.
    Chaussy C: Extracorporeal Shock Wave Lithotripsy. Basel, Switzerland: Karger, 1982.Google Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • J. Elbers
    • 1
  • P. Seline
    • 1
  • Ralph V. Clayman
    • 1
  1. 1.Division of Urologic SurgeryWashington University School of MedicineSt. LouisUSA

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