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Extracorporeal Shock Wave Lithotripsy
Aka: Extracorporeal Shock Wave Lithotripsy, ESWL
- Indications
- Nephrolithiasis
- Gallstones
- Solitary noncalcified stones <20mm diameter
- Functioning gallbladder
- Protocol: Gallstones
- Used in conjunction with Oral Dissolution Therapy
- Efficacy: Gallstones
- May be effective for up to 95% of patients
- Recurrence
- Recurrence infrequent for single small stones
- Recurrence common for multiple stones
- Complications: Nephrolithiasis
- Obstruction
- Discomfort, pain, or colic
- Obstructive Pyelonephritis or other infection
- Perianal bleeding
- Delayed fragment discharge
- Residual fragments