Skip to main content
SpringerLink
Log in

Safeguarding foetus and gonads

  • Chapter
The Management of Lithiasis

Part of the book series: Developments in Nephrology ((DINE,volume 38))

Abstract

Because of the mutagenic potential of X-rays which are required for follow-up after extracorporeal shock wave lithotripsy (ESWL), even when the lithotriptor does not use ionizing radiation, lithotripsy is contraindicated in pregnancy. All female patients undergoing lithotripsy should be warned that they should use contraceptive methods during treatment. If it is discovered that the patient has become pregnant during lithotripsy, in spite of precautions, X-rays should be avoided, especially during the first trimester. The risks of foetal damage from already administered X-rays should be assessed, and suitable advice given.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Eckford SD, Gingell JC. Ureteric obstruction in pregnancy — diagnosis and management. Br J Obstet Gynaecol 1991;98:1137–40.

    Article  PubMed  CAS  Google Scholar 

  2. Recker F, Jaeger P, Knonagel H et al. Does ESWL injure the female reproductive tract? Helen Chir Acto 1990;57:471–5.

    CAS  Google Scholar 

  3. Smith DP, Graham JB, Prystowsky JB et al. The effects of ultrasound-guided shock waves during early pregnancy in Sprague-Dawley rats. J Urol 1992;147:231–4.

    PubMed  CAS  Google Scholar 

  4. Ohmori K, Matsuda T, Horii Y et al. Effect of shock waves on mouse fetus. J Urol 1994;151:255–8.

    PubMed  CAS  Google Scholar 

  5. Vieweg J, Weber HM, Miller K et al. Female fertility following ESWL of distal ureteral calculi. J Urol 1992;148:1007–10.

    PubMed  CAS  Google Scholar 

  6. Puppo P, De Rose AF, Pittaluga P et al. Evaluation of the seminal fluid in patients treated with ESWL of pelvic ureteral calculi. Arch Ital Urol Nephrol Androl 1990;62:65–8.

    CAS  Google Scholar 

  7. Hellstrom WJ, Kaack MB, Harrison RM et al. Absence of long-term gonadotoxicity in primates receiving extracorporeal shock wave application. J Endourol 1993;7:17–21.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Jamsheer Talati
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Aga Khan University Medical Center, Karachi, Pakistan

    Jamsheer Talati , Roger A. L. Sutton , Farhat Moazam  & Mushtaq Ahmed , ,  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Talati, J. (1997). Safeguarding foetus and gonads. In: Talati, J., Sutton, R.A.L., Moazam, F., Ahmed, M. (eds) The Management of Lithiasis. Developments in Nephrology, vol 38. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5396-6_24

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-5396-6_24

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6270-1

  • Online ISBN: 978-94-011-5396-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation