Advertisement

Urolithiasis pp 945-946 | Cite as

Renal Functional Alterations after Extracorporeal Shock-Wave Lithotripsy Assessed by Measurement of Urinary Proteins

  • D. M. Wilbert
  • K.-H. Bichler
  • W. L. Strohmaier
  • S. H. Flüchter

Abstract

Currently, extracorporeal shock-wave lithotripsy (ESWL) is the method of choice for treatment of renal and ureteral calculi. From various animal experiments, it is known that renal damage can occur when large doses of these high-energy pressure waves are directed towards the kidney. On the other hand, routine treatment does not seem to jeopardize renal function too much. In approximately 1% of the patients, perirenal or intrarenal hematomas lead to clinical symptoms. It has been difficult to quanititative-ly assess renal damage after ESWL. Imaging techniques like axial computerized tomography or nuclear scans can show morphological changes only after ESWL, such as diminished perfusion or perirenal fluid collection of edema of the kidney in 30 to 50%. However, radionuclide scans do not show these alterations regularly.

Keywords

Urinary Protein Renal Damage Axial Computerize Tomography Ureteral Calculus Stone Composition 
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.

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • D. M. Wilbert
    • 1
  • K.-H. Bichler
    • 1
  • W. L. Strohmaier
    • 1
  • S. H. Flüchter
    • 1
  1. 1.Department of UrologyUniversity of TübingenTübingenGermany

Personalised recommendations