Abstract
Changes in several serum and urinary laboratory values were noted in 542 patients treated with the Dornier HM3 lithotripter. Transient decreases were noted in hemoglobin, total protein (TP), albumin, and blood urea nitrogen (BUN). Transient increases were noted in white blood cell counts, total bilirubin (T. Bil), creatinine (Cr), lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and glutamic-oxalacetic transaminase (GOT). All of these serum values returned to normal within three months except for a decrease in serum creatinine in patients treated for ureteral stones.
Creatinine clearance (CCr) decreased transiently following extracorporeal shock wave lithotripsy (ESWL) while increases in urinary ß-2-microglobulin (ß2MG) and N-acetyl-ß-D-glucosaminidase (NAG) were noted. Gamma glutamyl transpeptidase (GTP) did not change.
This study documents that injury to renal and surrounding tissues does occur with ESWL. Although the effects of ESWL are reversible at three months, the number of shock waves administered during ESWL should be limited.
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References
Chaussy C, Brendel W, Schmiedt E: Extracorporeally induced destruction of kidney stones by shock waves. The Lancet 2: 1265, 1980.
Fuchs G, Miller K, Rassweiler J, et al: Extracorporeal shock wave lithotripsy: one-year experience with Dornier lithotripter. Eur Urol 11: 145, 1985.
Gravenstein JS and Peter K (eds): Extracorporeal Shock Wave Lithotripsy for Renal Stone Disease: Technical and Clinical Aspectts. Stoneham, MA: Butterworths, 1986.
Sofras F, Karayannis A, Kistakopoulos A, et al: Methodology, results and complications in 2,000 extracorporeal shock wave lithotripsy procedures. Brit J Urol 61: 9, 1988.
Yokoyama M, Shoji F, Yanagizawa R, et al: Extracorporeal shock wave monotherapy on renal and ureteral stones. Jpn J Urol 78: 2079, 1987.
Drach GW, Dretler SP, Fair WR, et al: Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol 135: 1127, 1986.
Chaussy C, Schmidt E, Jocham D, et al: Extracorporeal shock Wave Lithotripsy: New Aspects in the Treatment of Kidney Stone Disease. Basel, Switzerland: Karger, 1982.
Niijima T, Isurugi K, Umeda T, et al: Clinical application of extracorporeal shock wave lithotripter. Jpn J Urol 76: 1460, 1985.
Ruiz-Marcellan FJ, Ibarz-Serujio L: Evaluation of renal damage in extracorporeal lithotripsy by shock waves. Eur Urol 12: 73, 1986.
Kishimoto T, Yamamoto K, Sugimoto T, et al: Side effects of extracorporeal shock wave exposure in patients treated by extracorporeal shock wave lithotripsy for upper urinary tract stone. Eur Urol 12: 308, 1986.
Zanetti G, Trinehieri A, Mandressi A, et al: Serum and urinary enzymes after ESWL. V World Congress on Endourology and ESWL. Cairo, 1987.
Das G, Birch B, Samuel C, et al: Clinical significance of urinary enzyme changes following ESWL. V World Congress on Endourology and ESWL. Cairo, 1987.
Saltzman B and Krongrand A: Enzymuria following extracorporeal shock wave lithotripsy. V World Congress on Endourology and ESWL. Cairo, 1987.
Woodruff RD and Kandel LB: Effect of ESWL on the kidney and adjacent tissues. In Kandel LB, Harrison LH, McCullough D (eds): State of the Art: Extracorporeal Shock Wave Lithotripsy. New York: Futura Publishing Co. Inc., 1987.
Brendel W: Effect of shock waves on canine kidneys. In Gravenstein JS and Peter K (eds): ESWL for Renal Stone Diseases: Technical and Clinical Aspects. Stoneham, MA: Butterworths, 1986.
Newman R, Hackett R, Senior D, et al: Pathologic effects of ESWL on canine renal tissue. Urology 29: 194, 1987.
Kaude JV, Williams CM, Millner MR, et al: Renal morphology and function immediately after extracorporeal shock wave lithotripsy. AJR 145: 305, 1985.
Baumgartner BR, Dickey KW, Ambrose SS, et al: Kidney changes after extracorporeal shock wave lithotripsy: appearance on MR imaging. Radiology 163: 531, 1987.
Rubin JI, Arger PH, Pollack HM, et al: Kidney changes after extracorporeal shock wave lithotripsy: CT evaluation. Radiology 162: 21, 1987.
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© 1988 Springer Science+Business Media New York
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Yokoyama, M., Kitahara, K., Yanagizawa, R., Shoji, F., Osaka, M. (1988). Tissue Damage by Extracorporeal Shock Wave Lithotripsy Treatment in Patients with Urolithiasis: Clinical Evaluation. In: Lingeman, J.E., Newman, D.M. (eds) Shock Wave Lithotripsy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1977-2_78
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DOI: https://doi.org/10.1007/978-1-4757-1977-2_78
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