PMID: 3343731Mar 1, 1988

Extracorporeal shock wave lithotripsy and its effect on renal function

The Journal of Urology
B R GilbertE D Vaughan

Abstract

Extracorporeal shock wave lithotripsy has become a major treatment modality for symptomatic upper tract renal stone disease. Although proved to be effective in disintegrating stones the short-term and long-term effects on renal function are not yet known. We evaluated several basic physiological parameters, namely creatinine clearance, fractional sodium excretion, protein excretion and urine osmolality before and after extracorporeal shock wave lithotripsy in 26 consecutive patients in an attempt to quantitate changes in renal function. In addition, a 3 to 6-month followup study of patients showing excessive protein excretion with extracorporeal shock wave lithotripsy also is reported. Our data suggest that with extracorporeal shock wave lithotripsy transient nephrotic range proteinuria occurs immediately after treatment, returning to normal values within 3 to 6 months after treatment without a change in the glomerular filtration rate. The glomerular filtration rate increases after successful extracorporeal shock wave lithotripsy in patients with kidneys obstructed by the treated stone before the start of the procedure, and the kidney appears to maintain its ability to dilute urine and to conserve sodium after treatment.

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Citations

Dec 1, 1990·British Journal of Urology·M BarakN Gruener
Dec 1, 1991·The Journal of Urology·G A Lycklama à NijeholtS E Papapoulos
Sep 1, 1989·The Journal of Urology·D G AssimosD L McCullough
Jul 1, 1993·The Journal of Urology·W L StrohmaierD M Wilbert
Jan 1, 1993·Urological Research·W RoesslerW F Wieland
Jan 1, 1995·Urological Research·P WinterA Hesse
Mar 16, 2001·Journal of Endourology·A J ChanB Saltzman
Apr 2, 2008·Emergency Medicine Australasia : EMA·Owen Doran, Bernard Foley
Feb 1, 1995·The Journal of Urology·D A MyersW R Jordan
Nov 8, 2003·Archives of Orthopaedic and Trauma Surgery·Zafer OrhanKutay Ozturan
Jan 1, 1994·International Urology and Nephrology·J UozumiJ Kumazawa
Jan 1, 1996·International Urology and Nephrology·S SenS Tamer
Oct 26, 1999·International Journal of Urology : Official Journal of the Japanese Urological Association·Y AokiY Arai
Mar 6, 2007·International Urology and Nephrology·Turgay AkgülCankon Germiyanoğlu
Aug 1, 1996·Scandinavian Journal of Urology and Nephrology·O AtahanI Bozkirli
Jun 2, 1998·International Urology and Nephrology·P WinterA Hesse

Related Concepts

Kidney
Kidney Calculi
Percutaneous Ultrasonic Lithotripsy
Osmolality
Proteinuria
Sodium

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