Urological Research

, Volume 38, Issue 1, pp 61–63 | Cite as

Extracorporeal shock-wave lithotripsy and garlic consumption: a lesson to learn

  • Stavros Gravas
  • Vassilios Tzortzis
  • Christos Rountas
  • Michael D. Melekos
Case Report

Abstract

The first case of a kidney haematoma after extracorporeal shock-wave lithotripsy (SWL) in a patient with nephrolithiasis who was taking aged garlic extraction is reported. Patient was treated conservatively without the need of any intervention. Urologists should be aware that herbal products including garlic, ginkgo, and ginseng have been associated with potential increased bleeding. The present case emphasises the need to specifically seek out a history of herbal use in presurgical patients. It is suggested that herbal medications should be discontinued up to 15 days prior to urologic surgery or SWL to minimise the risk of complications.

Keywords

Extracorporeal shock-wave lithotripsy Garlic Bleeding Herbal medicines 

References

  1. 1.
    Kaye AD, Clarke RC, Sabar R, Vig S, Dhawan KP, Hofbauer R, Kaye AM (2000) Herbal medications: current trends in anaesthesiology practice—a hospital survey. J Clin Anesth 12:468–471CrossRefPubMedGoogle Scholar
  2. 2.
    Messina BAM (2006) Herbal supplements: facts and myths—talking to your patients about herbal supplements. J Perianesth Nurs 21:268–278CrossRefPubMedGoogle Scholar
  3. 3.
    Ang-Lee MK, Moss J, Yuan CS (2001) Herbal medicines and perioperative care. JAMA 286:208–216CrossRefPubMedGoogle Scholar
  4. 4.
    Fugh-Berman A (2000) Herb–drug interactions. Lancet 355:134–138CrossRefPubMedGoogle Scholar
  5. 5.
    Chagan L, Ioselovich A, Asherova L, Cheng JW (2002) Use of alternative pharmacotherapy in management of cardiovascular diseases. Am J Manag Care 8:270–285PubMedGoogle Scholar
  6. 6.
    Scharbert G, Kalb ML, Duris M, Marschalek C, Kozek-Langenecker SA (2007) Garlic at dietary doses does not impair platelet function. Anesth Analg 105:1214–1218CrossRefPubMedGoogle Scholar
  7. 7.
    Beckert BW, Concannon MJ, Sl Henry, Smith DS, Puckett CL (2007) The effect of herbal medicine on platelet function: an in vivo experiment and review of the literature. Plast Reconstr Surg 120:2044–2050CrossRefPubMedGoogle Scholar
  8. 8.
    German K, Kumar U, Blackford HN (1995) Garlic and the risk of TURP bleeding. Br J Urol 76:518CrossRefPubMedGoogle Scholar
  9. 9.
    Rose KD, Croissant PD, Parliament CF, Levin MB (1990) Spontaneous spinal epidural hematoma with associated platelet dysfunction from excessive garlic ingestion: a case report. Neurosurgery 26:880–882CrossRefPubMedGoogle Scholar
  10. 10.
    Burnham BE (1995) Garlic as a possible risk for postoperative bleeding. Plast Reconstr Surg 95:213CrossRefPubMedGoogle Scholar
  11. 11.
    Carden SM, Good WV, Carden PA, Good RM (2002) Garlic and the strabismus surgeon. Clin Exp Ophthalmol 30:303–304CrossRefGoogle Scholar
  12. 12.
    Tsen LC, Segal S, Pothier M, Bader AM (2000) Alternative medicine use in presurgical patients. Anesthesiology 93:148–151CrossRefPubMedGoogle Scholar
  13. 13.
    Skinner CM, Rangasami J (2002) Preoperative use of herbal medicines: a patient survey. Br J Anaesth 89:792–795CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Stavros Gravas
    • 1
  • Vassilios Tzortzis
    • 1
  • Christos Rountas
    • 2
  • Michael D. Melekos
    • 1
  1. 1.Department of Urology, Medical SchoolUniversity of ThessaliaLarissaGreece
  2. 2.Department of Radiology, Medical SchoolUniversity of ThessaliaLarissaGreece

Personalised recommendations