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Common and Uncommon Complications Related to ESWL

  • Conference paper
Treatment of Urolithiasis

Part of the book series: Recent Advances in Endourology ((ENDOUROLOGY,volume 3))

Summary

Extracorporeal shock wave lithotripsy (ESWL) is one of the most common urologic procedures performed today. Although it is a minimally invasive procedure, there has been a wide spectrum of injuries to the kidney and adjacent organs associated with ESWL. It is evident that ESWL produces a variety of acute clinical and subclinical complications that may have an effect on longterm blood pressure and renal function. In this chapter, we review the common and uncommon complications related to ESWL based on our multiinstitutional study of 6852 cases treated at Okayama University Hospital and its affiliated hospitals, as well as an intensive literature survey. In our study, we have analyzed the relationship between the incidence of acute symptomatic complications, i.e., post-ESWL fever as a common complication, and renal subcapsular hematoma as an uncommon one, and the kind of shockwave generator used. The overall incidence of post-ESWL fever and subcapsular hematoma was 4.2% and 0.6%, respectively. Electrohydraulic lithotriptors produced a higher incidence of these complications than electromagnetic and piezoelectric lithotriptors. In addition to subcapsular hematoma, we found a variety of other uncommon complications, and the clinical manifestations of these cases are reported along with literature reviews.

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Authors and Affiliations

  1. Department of Urology, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan

    Yasutomo Nasu, Takushi Kurashige & Hiromi Kumon

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  1. Yasutomo Nasu
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  2. Takushi Kurashige
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  3. Hiromi Kumon
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Editor information

Editors and Affiliations

  1. Department of Urology, Nippon Medical School, 1-1-5 Sendagi, 113-8603, Bunkyo-ku, Tokyo, Japan

    Masao Akimoto M.D. (Professor and Chairman) (Professor and Chairman)

  2. Department of Urology, Kyorin University, 6-20-2 Shinkawa, 181-8611, Mitaka, Tokyo, Japan

    Eiji Higashihara M.D. (Professor) (Professor)

  3. Department of Urology, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, 700-8558, Okayama, Japan

    Hiromi Kumon M.D. (Professor) (Professor)

  4. Department of Urology, Saga Medical School, 5-1-1 Nabeshima, 849-8501, Saga, Japan

    Zenjiro Masaki M.D. (Professor) (Professor)

  5. Department of Urology, Tohoku University, 1-1 Seiryo-machi, 980-8574, Aoba-ku, Sendai, Japan

    Seiichi Orikasa M.D. (Professor) (Professor)

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© 2001 The Japanese Society of Endourology and ESWL

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Nasu, Y., Kurashige, T., Kumon, H. (2001). Common and Uncommon Complications Related to ESWL. In: Akimoto, M., Higashihara, E., Kumon, H., Masaki, Z., Orikasa, S. (eds) Treatment of Urolithiasis. Recent Advances in Endourology, vol 3. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68517-3_12

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  • DOI: https://doi.org/10.1007/978-4-431-68517-3_12

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68519-7

  • Online ISBN: 978-4-431-68517-3

  • eBook Packages: Springer Book Archive

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