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Extracorporeal shock wave lithotripsy

Dr Daniel J Bell and Dr Henry Knipe et al.

Extracorporeal shock wave lithotripsy (ESWL) is a common non-invasive treatment for urolithiasis. It is less successful in obese patients and with stones >2 cm.


  • steinstrasse: incomplete fragmentation that results in a pile-up of stone fragments that obstruct the ureter
  • renal hemorrhage is rare (<1%)

Article information

rID: 43461
System: Urogenital
Synonyms or Alternate Spellings:
  • Extracorporeal shock wave lithotripsy (ESWL)
  • Shock wave lithotripsy (SWL)

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Cases and figures

  • Case 1: post ESWL calculus fragmentation
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  • Case 2: post ESWL renal hemorrhage
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  • Case 3: post ESWL subcapsular hematoma
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  • Case 4: Shock wave lithotripsy-induced renal injury
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