Silent renal obstruction with severe functional loss after extracorporeal shock wave lithotripsy: a report of 2 cases

We report 2 cases of irreversible renal damage after extracorporeal shock wave lithotripsy. The patients experienced little or no discomfort after lithotripsy and they did not return for followup until 5 months later. One patient had total loss of function of the treated kidney and the other had onl...

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Bibliographic Details
Published in:	The Journal of urology Vol. 137; no. 1; p. 91
Main Authors:	Hardy, M R, McLeod, D G
Format:	Journal Article
Language:	English
Published:	United States 01-01-1987
Subjects:	Aged Follow-Up Studies Humans Kidney - physiopathology Kidney Calculi - therapy Lithotripsy - adverse effects Male Middle Aged Ureteral Obstruction - etiology Ureteral Obstruction - physiopathology
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Summary:	We report 2 cases of irreversible renal damage after extracorporeal shock wave lithotripsy. The patients experienced little or no discomfort after lithotripsy and they did not return for followup until 5 months later. One patient had total loss of function of the treated kidney and the other had only 11 per cent remaining function. Both patients had ureteral obstruction documented by retrograde pyeloureterography and neither exhibited any renal arterial pathological condition on selective angiography.
ISSN:	0022-5347
DOI:	10.1016/S0022-5347(17)43882-1