Extracorporeal Shock Wave Lithotripsy


Extracorporeal Shock Wave Lithotripsy, ESWL

  • Indications
  1. Nephrolithiasis
  2. Gallstones
    1. Solitary noncalcified stones <20mm diameter
    2. Functioning gallbladder
    3. Large pancreatic stones or Common Bile Duct Stones (with ERCP following ESWL)
  1. Used in conjunction with Oral Dissolution Therapy
  1. May be effective for up to 95% of patients
  2. Recurrence
    1. Recurrence infrequent for single small stones
    2. Recurrence common for multiple stones
  1. Obstruction
  2. Discomfort, pain, or colic
  3. Obstructive Pyelonephritis or other infection
  4. Perianal bleeding
  5. Delayed fragment discharge
  6. Residual fragments