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


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.


Extracorporeal shock-wave lithotripsy Garlic Bleeding Herbal medicines 


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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

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