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• W2080324077 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Jan 1999PYELOLITHOTOMY IMPROVES WHILE EXTRACORPOREAL LITHOTRIPSY IMPAIRS KIDNEY FUNCTION DAVOR ETEROVIC, LJUBICA JURETIC-KUSCIC, VESNA CAPKUN, and ZELJKO DUJIC DAVOR ETEROVICDAVOR ETEROVIC More articles by this author , LJUBICA JURETIC-KUSCICLJUBICA JURETIC-KUSCIC More articles by this author , VESNA CAPKUNVESNA CAPKUN More articles by this author , and ZELJKO DUJICZELJKO DUJIC More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62055-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Extracorporeal shock wave lithotripsy (ESWL [dagger]) causes acute depression of kidney function, which chronically returns to baseline levels. This sequala could indicate chronic regression of acute lesions or a balance between lesions and relief of obstruction. We compared changes in kidney function 1 week and 3 months after ESWL and pyelolithotomy. Materials and Methods: A group of 17 women and 13 men 28 to 71 years old with 0.6 to 3 cm. stones received 1,800 to 3,200 shock waves by an electromagnetic lithotriptor. Another group of 21 women and 9 men 35 to 76 years old with 2.5 to 3.8 cm. stones underwent Gil-Vernet intra-sinus pyelolithotomy. Split renal plasma flow, glomerular filtration rate and mean parenchymal transit times of nonreabsorbable filtrate solutes were measured by dual gamma camera renography, and plasma clearances of99m technetium diethylenetriaminepentaacetic acid and131 orthoiodohippurate acid. Results: ESWL caused acute deterioration and chronic restoration of baseline parameters of the treated kidney, and small but sometimes irreversible damage to plasma flow to the untreated kidney, especially in obese patients. In contrast, pyelolithotomy acutely and chronically improved function of the treated kidney, and normalized parenchymal transit times of radiotracers. Conclusions: ESWL does not achieve substantial improvements in kidney function, which can be achieved by other methods of stone removal. References 1 : Extracorporeal shock wave lithotripsy. An update. Urol. Clin. N. Amer.1990; 17: 231. Google Scholar 2 : Extracorporeal shockwave lithotripsy and percutaneous renal surgery. Comparisons, combinations and conclusions. Brit J. Urol.1986; 58: 1. Google Scholar 3 : Critical evaluation of treatment of staghorn calculi by percutaneous neprolithotomy and extracorporeal shock wave lithotripsy. J. Urol.1989; 141: 822. Google Scholar 4 : The role of lithotripsy and its side effects. J. Urol.1989; 141: 793. Link, Google Scholar 5 : Extracorporeal shock-wave lithotripsy: long term complications. AJR1988; 150: 311. 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Invest. Rad.1990; 25: 664. Google Scholar 14 : Blood pressure changes following extracorporeal shock wave lithotripsy and other forms of treatment for nephrolithiasis. J.A.M.A.1990; 263: 1789. Google Scholar 15 : Protective effect of verapamil on shock wave induced renal disfunction. J. Urol.1993; 150: 27. Abstract, Google Scholar 16 : Protective effects of nifedipine and allopurinol on high energy shock wave induced acute changes of renal function. J. Urol.1995; 153: 596. Google Scholar 17 : Biological effects of shock waves: kidney haemorrhage by shock waves in dogs-administration rate dependence. Ultrasound Med. Biol.1988; 14: 689. Google Scholar 18 : Cavitation and thermal phenomena associated with high energy shock waves: in vitro and in vivo measurements. J. Urol., part 21990; 142: 388A. abstract 797. Google Scholar 19 : Free radical production by high energy shock waves-comparison with ionizing irradiation. J. Urol.1988; 139: 186. Link, Google Scholar 20 : Effects of extracorporeal shock wave lithotripsy on renal function. J. Urol., part 21988; 139: 323A. abstract 641. Google Scholar 21 Recker, F., Ruben, H., Hofstader, F. and Bex, A.: Ultramorphological acute and long term lesions of ESWL in rat kidney. Presented at VI World Congress on Endourology and ESWL, Paris, France, abstract 0-54, 1988. Google Scholar 22 : Pathogenesis and shock wave rate dependence of intrarenal injury from extracorporeal shock waves. J. Endourol.1992; 6: 199. Google Scholar 23 : Pathologic-anatomic alterations in human kidney after extracorporeal piezoelectric shock wave lithotripsy. J. Endourol.1991; 5: 17. Google Scholar Departments of Physiology and Biomedical Physics, Medical School, and Department of Nuclear Medicine, Clinical Hospital Split, Split, Croatia© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byAssimos D (2018) Urolithiasis/EndourologyJournal of Urology, VOL. 182, NO. 6, (2780-2784), Online publication date: 1-Dec-2009.LIOU L and STREEM S (2018) LONG-TERM RENAL FUNCTIONAL EFFECTS OF SHOCK WAVE LITHOTRIPSY, PERCUTANEOUS NEPHROLITHOTOMY AND COMBINATION THERAPY: A COMPARATIVE STUDY OF PATIENTS WITH SOLITARY KIDNEYJournal of Urology, VOL. 166, NO. 1, (33-37), Online publication date: 1-Jul-2001. Volume 161Issue 1January 1999Page: 39-44 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information DAVOR ETEROVIC More articles by this author LJUBICA JURETIC-KUSCIC More articles by this author VESNA CAPKUN More articles by this author ZELJKO DUJIC More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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