Identification of Risk Factors in the Development of Clinically Significant Subcapsular Hematomas Following Shock Wave Lithotripsy

  • Lawrence H. Newman
  • Brian Saltzman


A retrospective study of 1,012 shock wave lithotripsy treatments was performed to identify and analyze the risk factors for the development of six clinically significant post-ESWL subcapsular hematomas. The six patients had developed clinical signs and symptoms that on evaluation were confirmed as originating from a subcapsular hematoma.

Common factors identified included hypertension, diabetes mellitus, coronary artery disease, and obesity. These factors may put patients at increased risk for the development of subcapsular hematoma.


Shock Wave Shock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Solitary Kidney Subcapsular Hematoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Drach GW, Dretler SP, Fair WR, et al: Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol 135: 1127, 1986.PubMedGoogle Scholar
  2. 2.
    Roth RA and Beckman CF: Complications of extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy. Urol Clin N Am 15: 2, 1988.Google Scholar
  3. 3.
    Coptcoat MJ, Webb DR, Kellett MJ, et al: The complications of extracorporeal shock wave lithotripsy: management and prevention. Br J Urol 58: 578, 1986.PubMedCrossRefGoogle Scholar
  4. 4.
    Rubin JI, Arger PH, Pollack HM, et al: Kidney changes after extracorporeal shock wave lithotripsy: CT evaluation. Radiology 24, 1987.Google Scholar
  5. 5.
    Kaude JV, Williams CM, Millner MR, et al: Renal morphology and function immediately after extracorporeal shock wave lithotripsy. AJR 145: 303, 1985.CrossRefGoogle Scholar
  6. 6.
    Papanicolaou N, Stafford SA, Pfister RC, et al: Significant renal hemorrhage following extracorporeal shock wave lithotripsy: imaging and clinical features. Radiology 167: 662, 1987.Google Scholar
  7. 7.
    Knapp PM, Kulb TB, Lingeman JE, et al: Extracorporeal shock wave lithotripsy-induced perirenal hematomas. J Urol 139: 700, 1988.PubMedGoogle Scholar
  8. 8.
    Kishimoto T, Yamamoto K, Sugimoto T, et al: Side effects of extracorporeal shock wave exposure in patients treated by extracorporeal shock wave lithotripsy for upper urinary tract stone. Eur Urol 12: 308, 1986.PubMedGoogle Scholar
  9. 9.
    Delius M, Enders G, Xuan Z, et al: Biological effects of shock waves: kidney damage by shock waves in dogs—dose dependence. Ultrasound Med Biol 14: 117, 1988.PubMedCrossRefGoogle Scholar
  10. 10.
    Newman R, Hackett R, Senior D, et al: Pathologic effects of ESWL on canine renal tissue. Urology 29: 194, 1987.PubMedCrossRefGoogle Scholar
  11. 11.
    Robbins SC and Cotran RS (eds): Pathologic Basis of Disease. 2nd Edition, Philadelphia: W.B. Saunders Co.Google Scholar
  12. 12.
    Stehbens WE: Vascular complications in experimental atherosclerosis. Progress Cardiovascular Dis 2913: 221, 1986.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • Lawrence H. Newman
    • 1
    • 2
  • Brian Saltzman
    • 1
    • 2
  1. 1.Department of UrologyThe Mount Sinai School of Medicine Mount Sinai Medical CenterNew YorkUSA
  2. 2.The Bronx Veteran’ s Administration Medical CenterNew YorkUSA

Personalised recommendations