Patient Positioning Following Extracorporeal Shock Wave Lithotripsy

Abstract

Fragments remaining after extracorporeal shock wave lithotripsy (ESWL*) often accumulate in the lower pole and remain there. A method, modeled on the principle of postural drainage, was developed to increase the passage of the lower pole fragments. After consuming a large quantity of water, the patient assumes a special position. The procedure is not invasive and utilizes equipment found in the home. Nearly all patients who tried the procedure reported increased fragment passage. Only one patient reported difficulty. A patient with hiatal hernia suffered an episode of chest pain requiring an emergency room admission.