Abstract:
Introduction: Approximately 80-90% of reno-ureteral stones have for treatment indication Extra
Corporeal Shock Wave Lithotripsy (ESWL). Like a therapeutic procedure, extracorporeal lithotripsy
may be accompanied by complications. Most of this are minor complications, but in a lower percentage,
major complications can be appear.Materials and methods: The study was made in the Urology and Nephrology Department of
the Republican Clinical Hospital, during January 2015 and November 2015, on a group of 120 (65 male
and 55 female, mean age 41,3 years) patients diagnosed with reno-ureteral lithiasis and treated with
ESWL. The dimension of the calculi has varied between 0,6 and 15 mm. Were analyzed the
complications after ESWL.
Results: Hematoma is the most serious complication of extracorporeal lithotripsy, with a low
incidence (0,83%). Acute pyelonephritis (3,33%) occurs either due to a pre-existing urinary infection,
or by the release of germs located into the calculi during fragmentation. Flanc pain (98,3%) was the most
common symptom was on the side were was made de ESWL. The pain disappear after 2-3 days with
non-steroidal anti-inflammatory drugs. „Steinstrasse” (5.83%) was another complication and was
resolved by administration of conservative treatment.
Conclusions: ESWL is a safe method to treat stones when proper indications are followed. But
when we have the complication after ESWL we must as soon as possible to find this complications and
to treat as well.
Description:
Department of Urology and Surgical Nephrology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016