Description

 
Symptoms

Kidney stones are usually undetected during formation.  As the stone moves into the urinary tract they are often accompanied by the following symptoms: 

  • Renal colic
  • Frequent, burning or slow urination
  • Blood in the urine
  • Fever, nausea and/or vomiting
 
Patient Selection

Contraindications to ESWL include:

  • Pregnancy
  • Coagulation abnormalities as indicated by abnormal prothrombin time (PT), partial thromboplastin time (PTT), or bleeding time; patients on anticoagulants
  • Cysts, arterial aneurysms, bodies of vertebrae, large bony areas, arterial calcification or hemangioma in the shockwave path
  • Obstruction of urinary tract distal to the stone
  • Anatomic anomalies preventing adequate positioning
  • Stones which cannot be clearly located and localized on the imaging system of the lithotripter